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大鼠中咪达唑尼不存在抗惊厥耐受性及苯二氮䓬受体下调现象。

Lack of anticonvulsant tolerance and benzodiazepine receptor down regulation with imidazenil in rats.

作者信息

Zanotti A, Mariot R, Contarino A, Lipartiti M, Giusti P

机构信息

Fidia Research Laboratories, Abano, Italy.

出版信息

Br J Pharmacol. 1996 Feb;117(4):647-52. doi: 10.1111/j.1476-5381.1996.tb15239.x.

Abstract
  1. Development of anticonvulsant tolerance and benzodiazepine (BZD) receptor down-regulation has been reported to occur upon chronic administration of conventional BZDs. We compared the effect of chronic treatment with imidazenil, a new BZD partial agonist, and diazepam in rats. 2. After acute administration, imidazenil was more potent though less effective than diazepam in protecting from bicuculline-induced seizure. The time-course analysis of two peak equieffective doses of imidazenil (2.5 mumol kg-1 p.o.) and diazepam (35 mumol kg-1, p.o.) showed a longer lasting action of the former drug. 3. The anticonvulsant efficacy of diazepam (35 mumol kg-1, p.o.) was reduced in rats given chronic diazepam (35 mumol kg-1 p.o., 3 times a day for 8-15 days). No tolerance to imidazenil (2.5 mumol kg-1, p.o.) was apparent after 130-day administration with imidazenil (2.5 mumol kg-1, p.o., 3 times a day). 4. Plasma levels of imidazenil and diazepam, assessed 30 min after administration, were not changed in chronically treated animals. 5. In rats made tolerant to diazepam, the maximum number of [3H]-flumazenil binding sites were reduced in both cerebral cortex (-36%) and cerebellum (-42%). No changes in [3H]-flumazenil binding were found in chronic imidazenil-treated rats. 6. Specific [3H]-flumazenil binding in vivo was decreased in the forebrain of chronic diazepam- but not of chronic imidazenil-treated animals. 7. These data indicate that imidazenil possesses a very low tolerance potential to its anticonvulsant activity and does not affect BZD receptor density even after prolonged administration.
摘要
  1. 据报道,长期服用传统苯二氮䓬类药物(BZDs)会出现抗惊厥耐受性和苯二氮䓬(BZD)受体下调。我们比较了新型BZD部分激动剂咪达唑仑和地西泮对大鼠的长期治疗效果。2. 急性给药后,在保护大鼠免受荷包牡丹碱诱导的惊厥方面,咪达唑仑比地西泮更有效,但效力较弱。对咪达唑仑(2.5 μmol·kg-1口服)和地西泮(35 μmol·kg-1口服)两个峰值等效剂量的时程分析表明,前者药物的作用持续时间更长。3. 给予慢性地西泮(35 μmol·kg-1口服,每天3次,共8 - 15天)的大鼠,地西泮(35 μmol·kg-1口服)的抗惊厥效力降低。给予咪达唑仑(2.5 μmol·kg-1口服)130天后,未观察到明显的耐受性。4. 给药30分钟后评估,长期治疗动物的咪达唑仑和地西泮血浆水平未发生变化。5. 在对地西泮产生耐受性的大鼠中,大脑皮层(-36%)和小脑(-42%)中[3H]-氟马西尼结合位点的最大数量均减少。长期用咪达唑仑治疗的大鼠中未发现[3H]-氟马西尼结合的变化。6. 慢性地西泮治疗的动物前脑体内特异性[3H]-氟马西尼结合减少,但慢性咪达唑仑治疗的动物未出现这种情况。7. 这些数据表明,咪达唑仑对其抗惊厥活性的耐受性潜力非常低,即使长期给药也不会影响BZD受体密度。

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