Seale T W, Carney J M, Rennert O M, Flux M, Skolnick P
Pharmacol Biochem Behav. 1987 Feb;26(2):381-7. doi: 10.1016/0091-3057(87)90133-x.
Several lines of evidence suggest that the convulsant actions of caffeine are mediated through benzodiazepine receptors. A pharmacogenetic approach has been used to further explore the relationship of these receptors to caffeine-induced seizures. The susceptibility of two inbred strains of mice (CBA and SWR) to the convulsant actions of picrotoxinin, strychnine, Ro 5-4864 and DMCM was examined. Previous studies have demonstrated these two strains differ in their susceptibilities to the convulsant action of caffeine. While no differences were observed between these two strains in susceptibility to tonic seizures induced by picrotoxinin, RO 5-4864 or strychnine, SWR mice were significantly less sensitive to tonic seizures induced by DMCM compared to CBA mice (CD50 values in CBA and SWR mice were 6 and 12 mg/kg IP). Both clonazepam and the benzodiazepine receptor antagonist, Ro 15-1788, significantly blocked caffeine-induced seizures. Further, when subconvulsant doses of caffeine and DMCM were combined, a synergistic action was observed. Taken together, these findings support the hypothesis that the convulsant actions of caffeine result from an action at benzodiazepine receptors, and that the hyporesponsiveness of the SWR strain to both caffeine- and DMCM-induced seizures could result from an inherited abnormality in these sites.
多条证据表明咖啡因的惊厥作用是通过苯二氮䓬受体介导的。已采用药物遗传学方法进一步探究这些受体与咖啡因诱发癫痫之间的关系。研究了两种近交系小鼠(CBA和SWR)对印防己毒素、士的宁、Ro 5-4864和DMCM惊厥作用的易感性。先前的研究表明这两种品系对咖啡因惊厥作用的易感性不同。虽然在对印防己毒素、Ro 5-4864或士的宁诱发的强直性惊厥的易感性方面,这两种品系之间未观察到差异,但与CBA小鼠相比,SWR小鼠对DMCM诱发的强直性惊厥的敏感性显著降低(CBA和SWR小鼠的半数惊厥剂量分别为腹腔注射6和12 mg/kg)。氯硝西泮和苯二氮䓬受体拮抗剂Ro 15-1788均能显著阻断咖啡因诱发的癫痫发作。此外,当联合使用亚惊厥剂量的咖啡因和DMCM时,观察到协同作用。综上所述,这些发现支持以下假设:咖啡因的惊厥作用源于其对苯二氮䓬受体的作用,并且SWR品系对咖啡因和DMCM诱发癫痫的低反应性可能是由于这些位点的遗传异常所致。