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新动物模型中的抗癫痫药物评估:大鼠自发性失神癫痫

Antiepileptic drug evaluation in a new animal model: spontaneous petit mal epilepsy in the rat.

作者信息

Micheletti G, Vergnes M, Marescaux C, Reis J, Depaulis A, Rumbach L, Warter J M

出版信息

Arzneimittelforschung. 1985;35(2):483-5.

PMID:3922381
Abstract

One-third of Wistar rats bred in our laboratory present recurrent seizures whose EEG and clinical symptomatology resemble those of human petit mal. Bilateral cortical synchronous spike- and wave discharges (7-11 c/s; 200-600 microV, lasting 0.5 to 40 s) accompany behavioral arrest and are associated frequently with facial myoclonia. These seizures, observed as long as the animals survive, appear spontaneously and seem to be unrelated to surgical procedures. Antiepileptics in common clinical use were tested. Ethosuximide (greater than 12.5 mg/kg), diazepam (greater than 0.5 mg/kg), trimethadione and sodium valproate (greater than 50 mg/kg) suppressed these discharges in a dose related manner. Carbamazepine and phenytoin were ineffective or aggravated the seizures. Phenobarbital, effective at 2.5 to 10 mg/kg, was ineffective at 20 mg/kg. The similar effects of these antiepileptics on both the rats' seizures and human petit mal confirm the hypothesis that this phenomenon constitutes a valid pharmacological model of petit mal epilepsy. Its predictive value appears to be superior to that of other currently used models.

摘要

在我们实验室培育的三分之一的Wistar大鼠出现反复发作的癫痫,其脑电图和临床症状与人类小发作相似。双侧皮质同步棘波和慢波放电(7 - 11次/秒;200 - 600微伏,持续0.5至40秒)伴随着行为停止,并经常伴有面部肌阵挛。只要动物存活就能观察到这些癫痫发作,它们自发出现,似乎与外科手术无关。对常用的抗癫痫药物进行了测试。乙琥胺(大于12.5毫克/千克)、地西泮(大于0.5毫克/千克)、三甲双酮和丙戊酸钠(大于50毫克/千克)以剂量相关的方式抑制了这些放电。卡马西平和苯妥英钠无效或加重了癫痫发作。苯巴比妥在2.5至10毫克/千克时有效,在20毫克/千克时无效。这些抗癫痫药物对大鼠癫痫发作和人类小发作的相似作用证实了这一现象构成小发作癫痫有效药理学模型的假设。其预测价值似乎优于目前使用的其他模型。

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