Laboratory of the Pharmacology and Toxicology of Natural Products, Biological Sciences Institute, Federal University of Pará, Rua Augusto Corrêa, 01, Guamá, Belém, Pará 66075-110, Brazil.
Laboratory of Experimental Neuropathology, João de Barros Barreto University Hospital, Federal University of Pará, Rua dos Munducurus, 4487, Guamá, Belém, Pará 66073-000, Brazil.
Exp Mol Pathol. 2024 Oct;139:104921. doi: 10.1016/j.yexmp.2024.104921. Epub 2024 Aug 2.
Seizures are neurological disorders triggered by an imbalance in the activity of excitatory and inhibitory neurotransmitters in the brain. When triggered chronically, this imbalance can lead to epilepsy. Critically, many of the affected individuals are refractory to treatment. Given this, anti-inflammatory drugs, in particular glucocorticoids, have been considered as a potential antiepileptogenic therapy. Glucocorticoids are currently used in the treatment of refractory patients, although there have been contradictory results in terms of their use in association with antiepileptic drugs, which reinforces the need for a more thorough investigation of their effects. In this context, the present study evaluated the effects of dexamethasone (DEX, 0.6 mg/kg) on the electroencephalographic (EEG) and histopathological parameters of male Wistar rats submitted to acute seizure induced by pentylenetetrazol (PTZ). The EEG monitoring revealed that DEX reduced the total brainwave power, in comparison with PTZ, in 12 h after the convulsive episode, exerting this effect in up to 36 h (p < 0.05 for all comparisons). An increase in the accommodation of the oscillations of the delta, alpha, and gamma frequencies was also observed from the first 12 h onwards, with the accommodation of the theta frequency occurring after 36 h, and that of the beta frequency 24 h after the seizure. The histopathological analyses showed that the CA3 region and hilum of the hippocampus suffered cell loss after the PTZ-induced seizure (control vs. PTZ, p < 0.05), although DEX was not able to protect these regions against cell death (PTZ vs. DEX + PTZ, p > 0.05). While DEX did not reverse the cell damage caused by PTZ, the data indicate that DEX has beneficial properties in the EEG analysis, which makes it a promising candidate for the attenuation of the epileptiform wave patterns that can precipitate refractory seizures.
癫痫发作是由大脑中兴奋性和抑制性神经递质活动失衡引起的神经紊乱。当这种失衡慢性触发时,可能导致癫痫。重要的是,许多受影响的个体对治疗有抗性。鉴于此,抗炎药物,特别是糖皮质激素,已被认为是一种潜在的抗癫痫发生治疗方法。糖皮质激素目前用于治疗难治性患者,尽管它们与抗癫痫药物联合使用的结果存在矛盾,这进一步强调了更彻底地研究其作用的必要性。在这种情况下,本研究评估了地塞米松(DEX,0.6mg/kg)对戊四氮(PTZ)诱导的急性癫痫发作后雄性 Wistar 大鼠脑电图(EEG)和组织病理学参数的影响。脑电图监测显示,DEX 降低了总脑电波功率,与 PTZ 相比,在抽搐发作后 12 小时内,这种作用持续长达 36 小时(所有比较均为 p<0.05)。从最初的 12 小时开始,还观察到了对 delta、alpha 和 gamma 频率的波动的适应增加,而 theta 频率的适应在 36 小时后发生,beta 频率的适应在癫痫发作后 24 小时发生。组织病理学分析显示,CA3 区和海马的门区在 PTZ 诱导的癫痫发作后发生细胞丢失(对照与 PTZ,p<0.05),尽管 DEX 不能保护这些区域免受细胞死亡(PTZ 与 DEX+PTZ,p>0.05)。虽然 DEX 没有逆转 PTZ 引起的细胞损伤,但数据表明 DEX 在 EEG 分析中具有有益的特性,使其成为减轻可能引发难治性癫痫发作的癫痫样波模式的有前途的候选药物。