Dailey J W, Jobe P C
Fed Proc. 1985 Jul;44(10):2640-4.
Anticonvulsant drugs were evaluated in members of two colonies of genetically epilepsy-prone rats (GEPR). Virtually all of the animals in the first colony experience a wild running fit that terminates in a generalized clonic convulsion when they are stimulated by sound. According to our convulsion intensity scoring system, these animals have an audiogenic response score (ARS) of 3 and the colony is designated the GEPR-3 colony. In the second colony, more than 95% of the animals experience a wild running phase terminating in a tonic extensor convulsion when they are stimulated by sound. That is, they have an ARS of 9 and the colony is designated the GEPR-9 colony. All of the established antiepileptic drugs that were tested produced anticonvulsant effects in the GEPR. Three tricyclic antidepressant agents acted as anticonvulsants in doses substantially lower than the toxic doses that produced spontaneous convulsions. Two of the established anticonvulsants, phenobarbital and ethosuximide, produced anticonvulsant effects in very similar doses in members of GEPR-3 and GEPR-9 colonies. Valproic acid produced an anticonvulsant effect in GEPR-3 in significantly lower doses than in GEPR-9. Carbamazepine, phenytoin, imipramine, amitriptyline, and desipramine produced anticonvulsant effects in essentially equimolar doses and in each case the protective dose was significantly lower in GEPR-9 than in GEPR-3 colonies. GEPR did not experience the convulsive effects of imipramine, amitriptyline, and desipramine at lower doses than did control animals. Thus, these epilepsy-prone animals are no more likely to experience convulsions in response to overdose of one of these three drugs than are nonepileptic subjects.
在两个遗传性癫痫易感大鼠(GEPR)群体的成员中对抗惊厥药物进行了评估。第一个群体中几乎所有动物在受到声音刺激时都会经历一阵狂奔发作,最终以全身性阵挛性惊厥结束。根据我们的惊厥强度评分系统,这些动物的听源性反应评分(ARS)为3,该群体被指定为GEPR - 3群体。在第二个群体中,超过95%的动物在受到声音刺激时会经历一阵狂奔阶段,最终以强直性伸展性惊厥结束。也就是说,它们的ARS为9,该群体被指定为GEPR - 9群体。所有 tested 的已确立抗癫痫药物在GEPR中均产生了抗惊厥作用。三种三环类抗抑郁药在剂量大幅低于产生自发性惊厥的中毒剂量时起到了抗惊厥作用。两种已确立的抗惊厥药,苯巴比妥和乙琥胺,在GEPR - 3和GEPR - 9群体的成员中以非常相似的剂量产生了抗惊厥作用。丙戊酸在GEPR - 3中产生抗惊厥作用的剂量明显低于在GEPR - 9中的剂量。卡马西平、苯妥英、丙咪嗪、阿米替林和地昔帕明以基本等摩尔的剂量产生抗惊厥作用,并且在每种情况下,GEPR - 9中的保护剂量均明显低于GEPR - 3群体中的剂量。与对照动物相比,GEPR在低于丙咪嗪、阿米替林和地昔帕明较低剂量时未出现惊厥作用。因此,与非癫痫受试者相比,这些癫痫易感动物对这三种药物之一过量的反应发生惊厥的可能性并不更高。