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拉科酰胺与第二代抗癫痫药物在小鼠强直-阵挛性癫痫模型中的相互作用。

Interactions among Lacosamide and Second-Generation Antiepileptic Drugs in the Tonic-Clonic Seizure Model in Mice.

机构信息

Department of Pathophysiology, Medical University of Lublin, 20-090 Lublin, Poland.

Department of Medical Anthropology, Institute of Rural Health, 20-090 Lublin, Poland.

出版信息

Int J Mol Sci. 2021 May 24;22(11):5537. doi: 10.3390/ijms22115537.

Abstract

Combination therapy with two or three antiseizure medications (ASMs) is sometimes a preferred method of treatment in epilepsy patients. (1) Background: To detect the most beneficial combination among three ASMs, a screen test evaluating in vivo interactions with respect to their anticonvulsant properties, was conducted on albino Swiss mice; (2) Methods: Classification of interactions among lacosamide (LCM) and selected second-generation ASMs (lamotrigine (LTG), pregabalin (PGB), oxcarbazepine (OXC), and topiramate (TPM)) was based on the isobolographic analysis in the mouse maximal electroshock-induced seizure (MES) model. Interactions among LCM and second-generation ASMs were visualized using a polygonogram; (3) Results: In the mouse MES model, synergy was observed for the combinations of LCM + TPM + PGB and LCM + OXC + PGB. Additivity was reported for the other combinations tested i.e., LCM + LTG + TPM, LCM + LTG + PGB, LCM + LTG + OXC, and LCM + OXC + TPM in this seizure model. No adverse effects associated with triple ASM combinations, containing LCM and second-generation ASMs were observed in mice; (4) Conclusions: The combination of LCM + TPM + PGB was the most beneficial combination among the tested in this study, offering synergistic suppression of tonic-clonic seizures in mice subjected to the MES model. Both the isobolographic analysis and polygonogram method can be recommended for experimental epileptology when classifying interactions among the ASMs.

摘要

联合使用两种或三种抗癫痫药物(ASMs)有时是癫痫患者的首选治疗方法。(1)背景:为了检测三种 ASMs 中最有益的组合,在白化瑞士小鼠身上进行了一项针对其抗惊厥特性的体内相互作用的筛选试验;(2)方法:基于棋盘分析,对拉考沙胺(LCM)与选定的第二代 ASMs(拉莫三嗪(LTG)、普瑞巴林(PGB)、奥卡西平(OXC)和托吡酯(TPM))之间的相互作用进行分类,在小鼠最大电休克致惊厥(MES)模型中进行。使用多边形图可视化 LCM 和第二代 ASMs 之间的相互作用;(3)结果:在小鼠 MES 模型中,观察到 LCM+TPM+PGB 和 LCM+OXC+PGB 组合具有协同作用。报告了其他测试组合的相加作用,即在该惊厥模型中,LCM+LTG+TPM、LCM+LTG+PGB、LCM+LTG+OXC 和 LCM+OXC+TPM。在小鼠中未观察到含有 LCM 和第二代 ASMs 的三联 ASM 组合的不良反应;(4)结论:在本研究中,LCM+TPM+PGB 是测试中最有益的组合,在接受 MES 模型的小鼠中协同抑制强直阵挛性发作。当对 ASMs 之间的相互作用进行分类时,等辐射分析和多边形图方法均可推荐用于实验性癫痫学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64f0/8197343/2218a0262ce6/ijms-22-05537-g001a.jpg

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