Kirkby R D, Carroll D M, Grossman A B, Subramaniam S
Neuronal Excitability Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892-1408, USA.
Epilepsy Res. 1996 Jun;24(2):91-100. doi: 10.1016/0920-1211(96)00005-8.
Although a majority of studies suggest that inhibitors of nitric oxide synthase (NOS) are proconvulsant, a substantial minority indicate the opposite (i.e. that inhibitors of NOS are anticonvulsant). As a consequence, the role of endogenous nitric oxide (NO) in the expression of seizures is unclear. In the present series of experiments, we therefore assessed factors governing pro- and anticonvulsant effects of inhibitors of NOS. In mice receiving systemic injections of kainate or picrotoxin, we confirmed the hypothesis that the effects of inhibitors of NOS vary with the model of seizure: Whereas 7-nitroindazole (7-NI) reduced the latency and increased the severity of kainate-induced convulsions (Expt. 1), both 7-NI and N(omega)-nitro-L-arginine methyl ester (L-NAME) slightly delayed clonus following the systemic administration of picrotoxin at doses > or = 3.5 mg/kg but not at doses < or = 3.0 mg/kg (Expts. 2-5). Paradoxically, L-NAME but not 7-NI significantly reduced the CD50 of picrotoxin, which was approximately 2 mg/kg in control mice (Expt. 4), revealing inhibitor-specific interactions with the dose of the convulsant. Finally, we determined in rats that the effects of L-NAME on kainate-induced seizures vary as a function of genetic factors: L-NAME significantly potentiated kainate-induced convulsions in Sprague-Dawley rats but not in Wistar rats (Expt. 6).
尽管大多数研究表明一氧化氮合酶(NOS)抑制剂具有促惊厥作用,但相当一部分研究结果却相反(即NOS抑制剂具有抗惊厥作用)。因此,内源性一氧化氮(NO)在癫痫发作表达中的作用尚不清楚。在本系列实验中,我们评估了影响NOS抑制剂促惊厥和抗惊厥作用的因素。在接受全身性注射红藻氨酸或匹鲁卡品的小鼠中,我们证实了以下假设:NOS抑制剂的作用因癫痫发作模型而异:7-硝基吲唑(7-NI)缩短了红藻氨酸诱导的惊厥潜伏期并增加了惊厥严重程度(实验1),而在剂量≥3.5mg/kg全身性给予匹鲁卡品时,7-NI和N(ω)-硝基-L-精氨酸甲酯(L-NAME)均略微延迟了阵挛,但在剂量≤3.0mg/kg时则没有(实验2-5)。矛盾的是,L-NAME而非7-NI显著降低了匹鲁卡品的半数惊厥剂量(CD50),对照小鼠的该剂量约为2mg/kg(实验4),揭示了抑制剂与惊厥剂剂量之间的特异性相互作用。最后,我们在大鼠中确定,L-NAME对红藻氨酸诱导的癫痫发作的影响因遗传因素而异:L-NAME显著增强了Sprague-Dawley大鼠中红藻氨酸诱导的惊厥,但对Wistar大鼠则没有影响(实验6)。