Johnson S W, Riker W K
Epilepsia. 1982 Apr;23(2):123-31. doi: 10.1111/j.1528-1157.1982.tb05060.x.
The hypothesis that phenytoin exerts its anticonvulsant effect by increasing the spontaneous firing rate of cerebellar Purkinje cells was tested in frogs (Rana pipiens). Time-dose-effect relationships were first established for the anticonvulsant effect of phenytoin in intact frogs. Maximal seizures were induced by corneal electroshock (MES), and phenytoin was injected into the ventral lymph sac. At the time of peak effect (3 h), 20-40 mg/kg phenytoin protected 60-80% of frogs against tonic hindlimb extension (THE). With this functional data base, experiments were then undertaken to test the effect of phenytoin on Purkinje cell firing rates. Phenytoin was injected into the ventral lymph sac 30-45 min prior to anesthesia with tricaine. The cranium was opened, the dura mater overlying the cerebellum was removed, and the frog was then curarized. Single-unit extracellular recordings from Purkinje cells were made with NaCl-filled glass micropipettes 2-6 h after phenytoin injection, the expected time of maximum anticonvulsant effect. Effective anticonvulsant doses (20-40 mg/kg) of phenytoin produced no alteration in the spontaneous firing rates of cerebellar Purkinje cells compared to the rates in solvent-injected controls. Consequently, the hypothesis that the anticonvulsant effect of phenytoin is mediated by an action on Purkinje cell firing rates is not supported by the results of this study.
苯妥英通过提高小脑浦肯野细胞的自发放电率发挥抗惊厥作用这一假说在青蛙(豹蛙)身上进行了验证。首先在完整的青蛙中建立了苯妥英抗惊厥作用的时间-剂量-效应关系。通过角膜电休克(MES)诱发最大惊厥发作,然后将苯妥英注入腹侧淋巴囊。在效应峰值时(3小时),20 - 40mg/kg的苯妥英可保护60 - 80%的青蛙免受强直性后肢伸展(THE)。基于这些功能数据,随后开展实验来测试苯妥英对浦肯野细胞放电率的影响。在使用三卡因麻醉前30 - 45分钟,将苯妥英注入腹侧淋巴囊。打开颅骨,移除覆盖小脑的硬脑膜,然后使青蛙箭毒化。在注射苯妥英后2 - 6小时(预期的最大抗惊厥效应时间),用充满氯化钠的玻璃微电极对浦肯野细胞进行单单位细胞外记录。与注射溶剂的对照组相比,有效抗惊厥剂量(20 - 40mg/kg)的苯妥英并未改变小脑浦肯野细胞的自发放电率。因此,本研究结果不支持苯妥英的抗惊厥作用是通过对浦肯野细胞放电率的作用介导的这一假说。