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大麻二酚对清醒大鼠边缘叶癫痫发作抗惊厥作用的电生理分析

An electrophysiological analysis of the anticonvulsant action of cannabidiol on limbic seizures in conscious rats.

作者信息

Turkanis S A, Smiley K A, Borys H K, Olsen D M, Karler R

出版信息

Epilepsia. 1979 Aug;20(4):351-63. doi: 10.1111/j.1528-1157.1979.tb04815.x.

Abstract

The effects of cannabidiol (CBD) on electrically evoked kindled seizures were studied in conscious, unrestrained rats with chronically implanted cortical and limbic electrodes, and the results were compared with those of delta 9-tetrahydrocannabinol (delta 9-THC), phenytoin (PHT), and ethosuximide (ESM). All drugs were anticonvulsant, but there were marked differences in their effects on afterdischarge (AD) threshold, duration, and amplitude. CBD, like PHT and delta 9-THC, elevated the AD threshold; in contrast, ESM decreased the threshold but suppressed AD spread. CBD, however, also resembled ESM inasmuch as both drugs decreased AD duration and amplitude. Electrophysiologically, the antiseizure effects of CBD were a combination of those of PHT and ESM. The combination of effects may account for the observation that CBD was the most efficacious of the drugs tested against limbic ADs and convulsions. Other properties of CBD were also noted: For example, compared with delta 9-THC, it is a much more selective anticonvulsant vis-à-vis motor toxicity. CBD also lacks the CNS excitatory effects produced by delta 9-THC, PHT, and ESM. These characteristics, combined with its apparently unique set of electrophysiological properties, support the suggestion that CBD has therapeutic potential as an antiepileptic.

摘要

在长期植入皮层和边缘电极的清醒、自由活动的大鼠中,研究了大麻二酚(CBD)对电诱发点燃性癫痫发作的影响,并将结果与9-四氢大麻酚(delta 9-THC)、苯妥英(PHT)和乙琥胺(ESM)的结果进行了比较。所有药物均具有抗惊厥作用,但它们对后放电(AD)阈值、持续时间和幅度的影响存在显著差异。CBD与PHT和delta 9-THC一样,提高了AD阈值;相比之下,ESM降低了阈值,但抑制了AD的扩散。然而,CBD在降低AD持续时间和幅度方面也与ESM相似。从电生理学角度来看,CBD的抗癫痫作用是PHT和ESM作用的组合。这些作用的组合可能解释了以下观察结果:CBD是测试药物中对抗边缘性AD和惊厥最有效的药物。还注意到了CBD的其他特性:例如,与delta 9-THC相比,就运动毒性而言,它是一种更具选择性的抗惊厥药。CBD也缺乏由delta 9-THC、PHT和ESM产生的中枢神经系统兴奋作用。这些特性,再加上其明显独特的电生理特性,支持了CBD作为抗癫痫药具有治疗潜力的观点。

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