Riaz A, Faingold C L
Department of Pharmacology, Southern Illinois University, School of Medicine, Springfield 62794-9230.
Alcohol Clin Exp Res. 1994 Dec;18(6):1456-62. doi: 10.1111/j.1530-0277.1994.tb01450.x.
Physical dependence on ethanol can result in seizure susceptibility during ethanol withdrawal. In rats, generalized tonic-clonic seizures are precipitated by auditory stimulation during the ethanol withdrawal syndrome. Excitant amino acids (EAAs) are implicated as neurotransmitters in the inferior colliculus and the brain stem reticular formation, which play important roles in the neuronal network for genetic models of audiogenic seizures (AGSs). Ethanol blocks the actions of EAAs in various brain regions, including the inferior colliculus. In this study, dependence was produced by intragastric administration of ethanol for 4 days. During ethanol withdrawal, AGSs were blocked by systemic administration of competitive or noncompetitive NMDA antagonists 3-((+/-)-2-carboxypiperazin-4-yl)-propyl-1-phosphonic acid (CPP) or dizocilpine (MK-801). Focal microinjections of NMDA or non-NMDA antagonists into the inferior colliculus or the pontine reticular formation also inhibited AGSs. MK-801 was the most potent anticonvulsant systemically. When injected into the inferior colliculus, CPP had a more potent anticonvulsant effect than either MK-801 or the non-NMDA antagonist 6-cyano-7-nitroquinoxaline-2,3-dione. The inferior colliculus was more sensitive than the pontine reticular formation to the anticonvulsant effects of both competitive NMDA and non-NMDA antagonists. The results of the present support the idea that continued ethanol administration may lead to development of supersensitivity to the action of EAAs in inferior colliculus and pontine reticular formation neurons. This may be a critical mechanism subserving AGS susceptibility during ethanol withdrawal.
对乙醇产生身体依赖可导致在乙醇戒断期间出现癫痫易感性。在大鼠中,在乙醇戒断综合征期间,听觉刺激会引发全身性强直阵挛性癫痫发作。兴奋性氨基酸(EAA)被认为是下丘和脑干网状结构中的神经递质,它们在听源性癫痫(AGS)的遗传模型的神经网络中发挥重要作用。乙醇会阻断EAA在包括下丘在内的各个脑区的作用。在本研究中,通过胃内给予乙醇4天来产生依赖性。在乙醇戒断期间,全身性给予竞争性或非竞争性NMDA拮抗剂3-((+/-)-2-羧基哌嗪-4-基)-丙基-1-膦酸(CPP)或地佐环平(MK-801)可阻断AGS。向下丘或脑桥网状结构局部微量注射NMDA或非NMDA拮抗剂也可抑制AGS。MK-801是全身作用最强的抗惊厥药。当注入下丘时,CPP的抗惊厥作用比MK-801或非NMDA拮抗剂6-氰基-7-硝基喹喔啉-2,3-二酮更强。下丘比脑桥网状结构对竞争性NMDA和非NMDA拮抗剂的抗惊厥作用更敏感。本研究结果支持这样的观点,即持续给予乙醇可能导致下丘和脑桥网状结构神经元对EAA作用的超敏反应的发展。这可能是乙醇戒断期间AGS易感性的关键机制。