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卡马西平的多态性与药理学评估。

Polymorphism and Pharmacological Assessment of Carbamazepine.

机构信息

Graduate Program in Pharmaceutical Sciences, Evangelical University of Goiás, Anapolis 75083-515, GO, Brazil.

Institute of Biological Sciences, Federal University of Goiás, Goiás 74605-010, GO, Brazil.

出版信息

Int J Mol Sci. 2024 Sep 11;25(18):9835. doi: 10.3390/ijms25189835.


DOI:10.3390/ijms25189835
PMID:39337323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11431949/
Abstract

This work provides insight into carbamazepine polymorphs (Forms I, II, III, IV, and V), with reports on the cytoprotective, exploratory, motor, CNS-depressant, and anticonvulsant properties of carbamazepine (CBZ), carbamazepine formulation (CBZ-F), topiramate (TOP), oxcarbazepine (OXC), and diazepam (DZP) in mice. Structural analysis highlighted the significant difference in molecular conformations, which directly influence the physicochemical properties; and density functional theory description provided indications about CBZ reactivity and stability. In addition to neuron viability assessment in vitro, animals were treated orally with vehicle 10 mL/kg, as well as CBZ, CBZ-F, TOP, OXC, and DZP at the dose of 5 mg/kg and exposed to open-field, rotarod, barbiturate sleep induction and pentylenetetrazol (PTZ 70 mg/kg)-induced seizure. The involvement of GABAergic mechanisms in the activity of these drugs was evaluated with the intraperitoneal pretreatment of flumazenil (2 mg/kg). The CBZ, CBZ-F, and TOP mildly preserved neuronal viability. The CBZ-F and the reference AEDs potentiated barbiturate sleep, altered motor activities, and attenuated PTZ-induced convulsion. However, flumazenil pretreatment blocked these effects. Additional preclinical assessments could further establish the promising utility of CBZ-F in clinical settings while expanding the scope of AED formulations and designs.

摘要

这项工作深入研究了卡马西平的多晶型物(形式 I、II、III、IV 和 V),并报告了卡马西平(CBZ)、卡马西平制剂(CBZ-F)、托吡酯(TOP)、奥卡西平(OXC)和地西泮(DZP)在小鼠中的细胞保护、探索性、运动、中枢神经系统抑制和抗惊厥特性。结构分析突出了分子构象的显著差异,这直接影响物理化学性质;密度泛函理论描述提供了有关 CBZ 反应性和稳定性的指示。除了体外神经元活力评估外,动物还经口给予 10 mL/kg 的载体,以及 5 mg/kg 的 CBZ、CBZ-F、TOP、OXC 和 DZP,并暴露于旷场、旋转棒、巴比妥类药物诱导的睡眠和戊四氮(PTZ 70 mg/kg)诱导的惊厥。用氟马西尼(2 mg/kg)腹腔预处理评估了这些药物活性中 GABA 能机制的参与。CBZ、CBZ-F 和 TOP 轻度保存神经元活力。CBZ-F 和参考 AED 增强了巴比妥类药物诱导的睡眠,改变了运动活动,并减轻了 PTZ 诱导的惊厥。然而,氟马西尼预处理阻断了这些作用。进一步的临床前评估可以进一步确定 CBZ-F 在临床环境中的有前途的用途,同时扩大 AED 制剂和设计的范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/534abcc23236/ijms-25-09835-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/2c07eb9df2ae/ijms-25-09835-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/ac8bc20363dc/ijms-25-09835-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/b04cf195ab54/ijms-25-09835-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/51537363a875/ijms-25-09835-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/d21d4387e026/ijms-25-09835-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/dd531f9bab37/ijms-25-09835-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/2afe5ce121fe/ijms-25-09835-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/534abcc23236/ijms-25-09835-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/2c07eb9df2ae/ijms-25-09835-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/ac8bc20363dc/ijms-25-09835-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/b04cf195ab54/ijms-25-09835-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/51537363a875/ijms-25-09835-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/d21d4387e026/ijms-25-09835-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/dd531f9bab37/ijms-25-09835-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/2afe5ce121fe/ijms-25-09835-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/11431949/534abcc23236/ijms-25-09835-g008.jpg

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[2]
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