Jackson H C, Hansen H C, Kristiansen M, Suzdak P D, Klitgaard H, Judge M E, Swedberg M D
Novo Nordisk A/S, Novo Nordisk Park, Mål-v, Denmark.
Eur J Pharmacol. 1996 Jul 11;308(1):21-30. doi: 10.1016/0014-2999(96)00263-4.
The anticonvulsant effects of NNC 14-0185 (3-(3-cyclopropyl-5-isoxazolyl)-6-fluoro-5-morpholino-imidazo[1,5- a] quinazoline) and NNC 14-0189 (3-(5-cyclopropyl-1,2, 4-oxadiazol-3-yl)-7-fluoro-5-(4-methyl-1-piperazinyl)-imidazo[1,5- a] quinazoline) in mice and rats were evaluated and compared with those of diazepam, clonazepam and the novel beta-carboline, abecarnil. Following i.p. administration, NNC 14-0185 and NNC 14-0189 prevented audiogenic seizures in DBA/2 mice and the clonic convulsions induced in mice by pentylenetetrazole, DMCM (methyl 6, 7-dimethoxy-4-ethyl-beta-carboline-3-carboxylate), 3-mercaptopropionic acid and a low dose of bicuculline. NNC 14-0185 and NNC 14-0189 prevented seizures induced by pentylenetetrazole in rats and were also effective anticonvulsants in amygdala-kindled rats. In general, the anticonvulsant potencies of NNC 14-0185 and NNC 14-0189 were comparable to those of the reference benzodiazepines. However, like abecarnil, they were not effective against the seizures induced in mice by maximal electroshock and a high dose of bicuculline. The anticonvulsant effects of NNC 14-0185 and NNC 14-0189 against pentylenetetrazole-induced seizures were apparent within 5 min of i.p. injection and persisted for at least 2 h. These effects appeared to be mediated by benzodiazepine receptors since they were inhibited by concurrent administration of flumazenil. Both NNC 14-0185 and NNC 14-0189 showed greater separation between their anticonvulsant and muscle relaxant effects (measured as impaired rotarod performance) than did diazepam. In this respect, their therapeutic windows were similar (NNC 14-0185) to or better (NNC 14-0189) than that of abecarnil. Tolerance did not develop to the anticonvulsant effects of NNC 14-0185 and NNC 14-0189 over a 4-day test. In comparison, the anticonvulsant effects of diazepam and abecarnil were attenuated by repeated drug administration. Thus, NNC 14-0185 and NNC 14-0189 have a promising anticonvulsant and side-effect profile in comparison with diazepam, clonazepam and abecarnil. The potential use of these compounds in the treatment of epilepsy should be explored further.
评估了NNC 14 - 0185(3 - (3 - 环丙基 - 5 - 异恶唑基) - 6 - 氟 - 5 - 吗啉代 - 咪唑并[1,5 - a]喹唑啉)和NNC 14 - 0189(3 - (5 - 环丙基 - 1,2,4 - 恶二唑 - 3 - 基) - 7 - 氟 - 5 - (4 - 甲基 - 1 - 哌嗪基) - 咪唑并[1,5 - a]喹唑啉)对小鼠和大鼠的抗惊厥作用,并与地西泮、氯硝西泮及新型β - 咔啉阿贝卡尼进行比较。腹腔注射后,NNC 14 - 0185和NNC 14 - 0189可预防DBA/2小鼠的听源性惊厥以及戊四氮、DMCM(6,7 - 二甲氧基 - 4 - 乙基 - β - 咔啉 - 3 - 羧酸甲酯)、3 - 巯基丙酸和低剂量荷包牡丹碱诱导的小鼠阵挛性惊厥。NNC 14 - 0185和NNC 14 - 0189可预防大鼠戊四氮诱导的惊厥,并且对杏仁核点燃大鼠也是有效的抗惊厥药。总体而言,NNC 14 - 0185和NNC 14 - 0189的抗惊厥效力与参考苯二氮䓬类药物相当。然而,与阿贝卡尼一样,它们对最大电休克和高剂量荷包牡丹碱诱导的小鼠惊厥无效。NNC 14 - 0185和NNC 14 - 0189对戊四氮诱导惊厥的抗惊厥作用在腹腔注射后5分钟内明显,并持续至少2小时。这些作用似乎是由苯二氮䓬受体介导的,因为同时给予氟马西尼可抑制这些作用。与地西泮相比,NNC 14 - 0185和NNC 14 - 0189在抗惊厥和肌肉松弛作用(以转棒试验性能受损衡量)之间表现出更大的差异。在这方面,它们的治疗窗与阿贝卡尼相似(NNC 14 - 0185)或更好(NNC 14 - 0189)。在为期4天的试验中,未对NNC 14 - 0185和NNC 14 - 0189的抗惊厥作用产生耐受性。相比之下,地西泮和阿贝卡尼的抗惊厥作用会因重复给药而减弱。因此,与地西泮、氯硝西泮和阿贝卡尼相比,NNC 14 - 0185和NNC 14 - 0189具有有前景的抗惊厥和副作用特征。应进一步探索这些化合物在癫痫治疗中的潜在用途。