Von Lubitz D K, Carter M F, Deutsch S I, Lin R C, Mastropaolo J, Meshulam Y, Jacobson K A
NIH/NIDDK, Molecular Recognition Section, Bethesda, MD 20892, USA.
Eur J Pharmacol. 1995 Feb 24;275(1):23-9. doi: 10.1016/0014-2999(94)00734-o.
We have previously shown that acute preischemic adenosine A3 receptor stimulation results in an increased postischemic damage, while chronic stimulation of this receptor diminishes it. Since several pathophysiological phenomena are common for both ischemia and seizures, we have explored the effect of acute and chronic administration of the adenosine A3 receptor selective agonist IB-MECA (N6-(3-iodobenzyl) adenosine-5'-N-methylcarboxamide) prior to seizures induced by N-methyl-D-aspartate (NMDA), pentamethylenetetrazole, or electric shock. At 100 micrograms/kg, acutely injected IB-MECA was protective in chemically but not electrically induced seizures. In chronic administration of IB-MECA, significant protection against chemically induced seizures was obtained in all studied measures, i.e., seizure latency, neurological impairment, and survival. Although threshold voltage was unchanged in electrically induced seizures, a chronic regimen of IB-MECA significantly reduced postepileptic mortality. Since the combination of an arteriole-constricting compound 48/80 and hypotension-inducing clonidine injected prior to NMDA results in a significant protection against seizures, and since acute stimulation of adenosine A3 receptor causes both arteriolar constriction and severe hypotension, there is a possibility that the protection obtained by the acutely administered drug may result from inadequate delivery of chemoconvulsants to the brain. It is, however, unknown whether the protective effect of chronically administered IB-MECA is related to the effect of the drug on blood flow, neuronal mechanisms, or both.
我们之前已经表明,急性缺血前腺苷A3受体刺激会导致缺血后损伤增加,而该受体的慢性刺激则会减轻这种损伤。由于缺血和癫痫发作存在几种共同的病理生理现象,我们探究了在N-甲基-D-天冬氨酸(NMDA)、戊四氮或电击诱发癫痫发作之前,急性和慢性给予腺苷A3受体选择性激动剂IB-MECA(N6-(3-碘苄基)腺苷-5'-N-甲基甲酰胺)的效果。以100微克/千克的剂量急性注射IB-MECA对化学诱导的癫痫发作有保护作用,但对电诱导的癫痫发作无保护作用。在慢性给予IB-MECA时,在所有研究指标中,即癫痫发作潜伏期、神经功能损害和存活率方面,均获得了对化学诱导癫痫发作的显著保护作用。虽然电诱导癫痫发作的阈值电压未改变,但慢性给予IB-MECA方案显著降低了癫痫发作后的死亡率。由于在NMDA注射前联合注射血管收缩化合物48/80和诱导低血压的可乐定可对癫痫发作产生显著保护作用,并且由于急性刺激腺苷A3受体可导致小动脉收缩和严重低血压,因此急性给药药物所获得的保护作用可能是由于化学惊厥剂向大脑的输送不足所致。然而,慢性给予IB-MECA的保护作用是否与药物对血流、神经元机制或两者的作用有关尚不清楚。