Department of Pharmacology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Iran J Med Sci. 2023 May;48(3):329-340. doi: 10.30476/ijms.2022.94177.2544.
Edaravone is an anti-stroke medication that may have nitric oxide (NO) modulating properties. This study evaluated the role of NO in the acute and sub-chronic anticonvulsant effects of edaravone in murine models of seizures induced by intraperitoneal (IP) or intravenous (IV) injections of pentylenetetrazole (PTZ) or electroshock (maximal electroshock seizure [MES]).
132 male albino mice were randomly divided into 22 groups (n=6) and given IP injections of vehicle or edaravone either acutely or for eight days (sub-chronically). The seizure was induced by electroshock or PTZ (IP or IV). The following edaravone doses were used: 7.5, 10, 12.5 (acute); 5, 7.5, 10 (sub-chronic) in IP PTZ model; 5, 7.5, 10 in IV PTZ model; and 5, 10 mg/Kg in the MES. To evaluate NO involvement, 216 mice were randomly divided into 36 groups (n=6) and pretreated with vehicle, edaravone, a non-specific nitric oxide synthase (NOS) inhibitor: N(ω)-nitro-L-arginine methyl ester (L-NAME) (5 mg/Kg), a specific nNOS inhibitor: 7-nitroindazole (7-NI) (60 mg/Kg), or a combination of edaravone plus L-NAME or 7-NI, either acutely or for eight days before seizure induction. Doses of edaravone were as follows: in IP PTZ model: 12.5 (acute) and 10 (sub-chronic); in IV PTZ model: 10; and in the MES: 5 mg/Kg. Data were analyzed using the one-way analysis of variance (ANOVA) followed by Tukey's test (SPSS 18). P≤0.05 was considered statistically significant.
In the IP PTZ model, edaravone increased time latencies to seizures (P<0.001), prevented tonic seizures, and death. Edaravone increased the seizure threshold (P<0.001) in the IV PTZ model and shortened the duration of tonic hind-limb extension (THE) in the MES model (P<0.001). In comparison to mice treated with edaravone alone, adding L-NAME or 7-NI reduced seizure time latencies (P<0.001), reduced seizure threshold (P<0.001), and increased THE duration (P<0.001).
Edaravone (acute or sub-chronic) could prevent seizures by modulating NO signaling pathways.
依达拉奉是一种抗中风药物,可能具有调节一氧化氮(NO)的特性。本研究评估了 NO 在依达拉奉对腹膜内(IP)或静脉内(IV)注射戊四氮(PTZ)或电休克(最大电休克发作[MES])诱导的小鼠模型中的急性和亚慢性抗惊厥作用中的作用。
132 只雄性白化小鼠随机分为 22 组(n=6),分别给予 IP 注射载体或依达拉奉,急性或 8 天(亚慢性)。通过电休克或 PTZ(IP 或 IV)诱导癫痫发作。使用以下依达拉奉剂量:7.5、10、12.5(急性);5、7.5、10(IP PTZ 模型);5、7.5、10(IV PTZ 模型);和 5、10mg/Kg 在 MES 中。为了评估 NO 参与,216 只小鼠随机分为 36 组(n=6),分别用载体、依达拉奉、非特异性一氧化氮合酶(NOS)抑制剂:N(ω)-硝基-L-精氨酸甲酯(L-NAME)(5mg/Kg)、特异性 nNOS 抑制剂:7-硝基吲唑(7-NI)(60mg/Kg)预处理,或依达拉奉加 L-NAME 或 7-NI 的组合,无论是急性还是在癫痫发作诱导前 8 天。依达拉奉的剂量如下:在 IP PTZ 模型中:12.5(急性)和 10(亚慢性);在 IV PTZ 模型中:10;和 MES:5mg/Kg。数据采用单因素方差分析(ANOVA)进行分析,然后用 Tukey 检验(SPSS 18)进行检验。P≤0.05 被认为具有统计学意义。
在 IP PTZ 模型中,依达拉奉增加了癫痫发作的潜伏期(P<0.001),防止了强直性发作和死亡。依达拉奉增加了 IV PTZ 模型中的癫痫发作阈值(P<0.001),并缩短了 MES 模型中强直性后肢伸展(THE)的持续时间(P<0.001)。与单独给予依达拉奉的小鼠相比,添加 L-NAME 或 7-NI 可降低癫痫发作潜伏期(P<0.001),降低癫痫发作阈值(P<0.001),并延长 THE 持续时间(P<0.001)。
依达拉奉(急性或亚慢性)可通过调节 NO 信号通路来预防癫痫发作。