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苯巴比妥对发育中大鼠抑制产前酒精暴露相关癫痫发作的年龄相关性影响。

Age-related impact of phenobarbital in suppressing prenatal alcohol exposure-related seizures in developing rats.

作者信息

Li Tengfei, Luta George, N'Gouemo Prosper

机构信息

Georgetown University Medical Center, Department of Biostatistics, Bioinformatics, and Biomathematics, Washington, DC 20057, United States.

Howard University College of Medicine, Department of Physiology and Biophysics, Washington, DC 20059, United States.

出版信息

Alcohol. 2025 Mar;123:39-50. doi: 10.1016/j.alcohol.2024.12.007. Epub 2024 Dec 26.

Abstract

Prenatal alcohol exposure (PAE) during pregnancy can increase the prevalence of N-methyl-d-aspartate (NMDA)-induced generalized tonic-clonic seizures (GTCSs) in developing rats. However, it is unclear whether phenobarbital (PB) can suppress these PAE-related seizures. To explore this knowledge gap, we investigated the effects of acute PB treatment on NMDA-induced seizures in postpartum rats, prenatally exposed to alcohol on gestational day 18 (GD18), at two developmental stages: day 7 (P7), the equivalent of pre-term neonates, and day 15 (P15), the equivalent of full-term neonates. Timed-pregnant female Sprague-Dawley rats were given a single dose of alcohol or its vehicle on GD18 during the second-trimester equivalent. Male and female postpartum rats were tested for the effectiveness of single-dose treatment with either PB or its vehicle in suppressing NMDA-induced seizures. These seizures include wild running-like behavior (WRLB), flexion seizures (FSs), clonic seizures (CSs), generalized tonic-clonic seizures (GTCSs), and tonic seizures (TSs) in P7 and P15 rats. Analyses revealed that P7 rats were more likely to develop GTCSs after PB administration than P15 rats; this effect was associated with shorter latencies to develop NMDA-induced seizures. Moreover, PAE-related seizure severity is less responsive to PB treatment in P7 rats than in P15 rats. These findings suggest that the PAE-related GTCS model in P7 rats can be used to investigate the mechanisms underlying PB-resistant seizures in developing rats.

摘要

孕期酒精暴露(PAE)会增加发育中大鼠由N-甲基-D-天冬氨酸(NMDA)诱导的全身强直阵挛性癫痫发作(GTCSs)的发生率。然而,尚不清楚苯巴比妥(PB)是否能抑制这些与PAE相关的癫痫发作。为了填补这一知识空白,我们研究了急性PB治疗对产后大鼠NMDA诱导的癫痫发作的影响,这些大鼠在妊娠第18天(GD18)经产前酒精暴露,处于两个发育阶段:第7天(P7),相当于早产新生儿;第15天(P15),相当于足月新生儿。在相当于妊娠中期的GD18,对定时怀孕的雌性Sprague-Dawley大鼠给予单剂量酒精或其溶剂。对产后雄性和雌性大鼠进行测试,以评估单剂量PB或其溶剂治疗对抑制NMDA诱导的癫痫发作的有效性。这些癫痫发作包括P7和P15大鼠的狂奔样行为(WRLB)、屈曲性癫痫发作(FSs)、阵挛性癫痫发作(CSs)、全身强直阵挛性癫痫发作(GTCSs)和强直性癫痫发作(TSs)。分析显示,与P15大鼠相比,P7大鼠在给予PB后更易发生GTCSs;这种效应与NMDA诱导的癫痫发作的较短潜伏期相关。此外,与PAE相关的癫痫发作严重程度在P7大鼠中对PB治疗的反应性低于P15大鼠。这些发现表明,P7大鼠中与PAE相关的GTCS模型可用于研究发育中大鼠对PB耐药性癫痫发作的潜在机制。

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Seizures in Preterm Neonates: A Multicenter Observational Cohort Study.早产儿癫痫发作:一项多中心观察性队列研究。
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