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家禽的癫痫样发作。IX. 乙琥胺在癫痫药理学模型中无抗惊厥活性的意义。

Epileptiform seizures in domestic fowl. IX. Implications of the absence of anticonvulsant activity of ethosuximide in a pharmacological model of epilepsy.

作者信息

Davis H L, Johnson D D, Crawford R D

出版信息

Can J Physiol Pharmacol. 1978 Oct;56(5):893-6. doi: 10.1139/y78-141.

Abstract

Acute dose--response studies were conducted to determine if ethosuximide had anticonvulsant activity against seizures evoked by stroboscopic stimulation of epileptic fowl and to correlate the observed effects with the concentration of the drug in the plasma. Ethosuximide, in doses that produced mean plasma concentrations of 366 microgram/ml and signs of sedation, did not reduce seizure susceptibility. Twice daily administration of ethosuximide produced mean plasma concentrations of 430 microgram/ml after 36 h without affecting seizure susceptibility even in the presence of marked sedation. Previous studies have shown that epileptic fowl are sensitive to the anticonvulsant effects of phenobarbital, phenytoin, and primidone at plasma concentrations similar to those required in humans. Since ethosuximide has a high specificity against petit mal seizures in humans, the failure of ethosuximide to provide protection indicates that epileptic fowl represent a relatively specific pharmacological model for drugs effective against generalized tonic--clonic and focal cortical epilepsies in humans.

摘要

进行急性剂量-反应研究,以确定乙琥胺对频闪刺激诱发的癫痫鸡的惊厥是否具有抗惊厥活性,并将观察到的效应与血浆中药物浓度相关联。乙琥胺剂量产生的平均血浆浓度为366微克/毫升并有镇静迹象,但并未降低惊厥易感性。乙琥胺每日两次给药36小时后,平均血浆浓度为430微克/毫升,即使存在明显的镇静作用,也不影响惊厥易感性。先前的研究表明,癫痫鸡对苯巴比妥、苯妥英和扑米酮的抗惊厥作用敏感,其血浆浓度与人类所需浓度相似。由于乙琥胺对人类小发作癫痫具有高度特异性,乙琥胺未能提供保护表明癫痫鸡代表了一种相对特异的药理学模型,用于研究对人类全身性强直-阵挛性癫痫和局灶性皮质癫痫有效的药物。

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