Stringer J L
Department of Pharmacology, Baylor College of Medicine, Houston, TX 77030.
Epilepsy Res. 1994 Dec;19(3):229-35. doi: 10.1016/0920-1211(94)90066-3.
Valproic acid and ethosuximide are commonly used to treat absence seizures, but their mechanisms of action have not been clearly defined. This is partly due to testing in different experimental models and different species. We re-examined the effect of valproic acid and ethosuximide in an experimental model of reverberatory seizures in the hippocampus of the urethane-anesthetized rat, maximal dentate activation. Valproic acid, at 450 and 600 mg/kg i.p., caused an increase in the time to onset of seizure discharges, but only the changes with 600 mg/kg reached statistical significance. Both doses of valproic acid shortened the seizure duration. Serum levels of valproic acid were determined and it appears that in this system at least 200-400 micrograms/ml are needed to produce an effect on seizure onset and duration. Ethosuximide, at 600 mg/kg i.p., delayed the onset of the seizure discharge and blocked the increase in seizure duration. Both ethosuximide and valproic acid delayed the onset of the seizure discharge in this model suggesting that these drugs may help to determine the mechanisms behind seizure initiation in the hippocampal-parahippocampal circuits.
丙戊酸和乙琥胺常用于治疗失神发作,但其作用机制尚未明确。部分原因在于在不同的实验模型和不同物种中进行测试。我们在乌拉坦麻醉大鼠海马的折返性癫痫发作实验模型(最大齿状激活)中重新研究了丙戊酸和乙琥胺的作用。腹腔注射450和600mg/kg的丙戊酸可使癫痫放电开始时间增加,但只有600mg/kg剂量的变化具有统计学意义。两种剂量的丙戊酸均缩短了癫痫持续时间。测定了丙戊酸的血清水平,在该系统中似乎至少需要200 - 400微克/毫升才能对癫痫发作的起始和持续时间产生影响。腹腔注射600mg/kg的乙琥胺可延迟癫痫放电的起始并阻止癫痫持续时间的增加。在该模型中,乙琥胺和丙戊酸均延迟了癫痫放电的起始,这表明这些药物可能有助于确定海马 - 海马旁回回路中癫痫发作起始背后的机制。