Key Laboratory of Neuropharmacology and Translational Medicine of Zhejiang Province, Department of Neurology, The First Affiliated Hospital, School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Zhejiang Rehabilitation Medical Center, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, 310061, China.
Acta Pharmacol Sin. 2023 Aug;44(8):1600-1611. doi: 10.1038/s41401-023-01075-w. Epub 2023 Mar 27.
Epilepsy is one common brain disorder, which is not well controlled by current pharmacotherapy. In this study we characterized the therapeutic potential of borneol, a plant-derived bicyclic monoterpene compound, in the treatment of epilepsy and elucidated the underlying mechanisms. The anti-seizure potency and properties of borneol were assessed in both acute and chronic mouse epilepsy models. Administration of (+)-borneol (10, 30, 100 mg/kg, i.p.) dose-dependently attenuated acute epileptic seizure in maximal-electroshock seizure (MES) and pentylenetetrazol (PTZ)-induced seizure models without obvious side-effect on motor function. Meanwhile, (+)-borneol administration retarded kindling-induced epileptogenesis and relieved fully kindled seizures. Importantly, (+)-borneol administration also showed therapeutic potential in kainic acid-induced chronic spontaneous seizure model, which was considered as a drug-resistant model. We compared the anti-seizure efficacy of 3 borneol enantiomers in the acute seizure models, and found (+)-borneol being the most satisfying one with long-term anti-seizure effect. In electrophysiological study conducted in mouse brain slices containing the subiculum region, we revealed that borneol enantiomers displayed different anti-seizure mechanisms, (+)-borneol (10 μM) markedly suppressed the high frequency burst firing of subicular neurons and decreased glutamatergic synaptic transmission. In vivo calcium fiber photometry analysis further verified that administration of (+)-borneol (100 mg/kg) inhibited the enhanced glutamatergic synaptic transmission in epilepsy mice. We conclude that (+)-borneol displays broad-spectrum anti-seizure potential in different experimental models via decreasing the glutamatergic synaptic transmission without obvious side-effect, suggesting (+)-borneol as a promising anti-seizure compound for pharmacotherapy in epilepsy.
癫痫是一种常见的脑部疾病,目前的药物治疗效果并不理想。在这项研究中,我们研究了龙脑(一种植物源性双环单萜化合物)在治疗癫痫中的治疗潜力,并阐明了其潜在的作用机制。我们在急性和慢性小鼠癫痫模型中评估了龙脑的抗惊厥作用和特性。(+)-龙脑(10、30、100mg/kg,腹腔注射)给药剂量依赖性地减弱了最大电休克(MES)和戊四氮(PTZ)诱导的癫痫发作模型中的急性癫痫发作,而对运动功能没有明显的副作用。同时,(+)-龙脑给药可延缓点燃诱导的癫痫发生,并缓解完全点燃的癫痫发作。重要的是,(+)-龙脑给药在红藻氨酸诱导的慢性自发性癫痫模型中也显示出治疗潜力,该模型被认为是一种耐药模型。我们比较了 3 种龙脑对映异构体在急性癫痫发作模型中的抗惊厥疗效,发现(+)-龙脑具有最满意的长期抗惊厥作用。在含有下托区的小鼠脑片进行的电生理研究中,我们发现龙脑对映异构体显示出不同的抗惊厥机制,(+)-龙脑(10μM)显著抑制下托区神经元的高频爆发放电,并降低谷氨酸能突触传递。体内钙光纤光度测定分析进一步证实,(+)-龙脑(100mg/kg)给药抑制了癫痫小鼠中增强的谷氨酸能突触传递。我们的结论是,(+)-龙脑通过降低谷氨酸能突触传递,在不同的实验模型中表现出广谱的抗惊厥潜力,而没有明显的副作用,提示(+)-龙脑作为一种有前途的抗癫痫药物化合物,可用于癫痫的药物治疗。