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苯二氮䓬受体配体在小鼠不同癫痫模型中的抗惊厥耐受性和撤药特性的长期研究。II. 新型咪唑并喹唑啉类化合物NNC 14-0185和NNC 14-0189。

Long-term studies on anticonvulsant tolerance and withdrawal characteristics of benzodiazepine receptor ligands in different seizure models in mice. II. The novel imidazoquinazolines NNC 14-0185 and NNC 14-0189.

作者信息

Löscher W, Rundfeldt C, Hönack D, Ebert U

机构信息

Department of Pharmacology, Toxicology and Pharmacy, School of Veterinary Medicine, Hannover, Germany.

出版信息

J Pharmacol Exp Ther. 1996 Nov;279(2):573-81.

PMID:8930159
Abstract

We have reported recently that seizure model and experimental protocol may influence the anticonvulsant tolerance and the withdrawal characteristics of benzodiazepine (BDZ) receptor ligands so that predictions on tolerance and dependence liability of novel drugs should be based on a battery of chronic experiments. In the present study, we evaluated two novel BDZ receptor ligands, i.e., 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)-imidazol[1 , 5-a]quinazoline¿, which seem to act as partial agonists at BDZ receptors, in two seizure models by using different experimental approaches to assess the tolerance and dependence liability. In one approach, mice were chronically treated with either NNC 14-0185 or NNC 14-0189 for 4 weeks at doses which were about equipotent to increase the threshold for myoclonic seizures induced by pentylenetetrazole. Anticonvulsant activity was determined several times during the period of chronic treatment as well as up to 2 weeks after termination of treatment in the same group of animals per drug. The threshold for electroshock-induced tonic seizures was used as a second seizure model in separate groups of mice. In another approach, the drug treatment protocols were the same, but the seizures were induced only twice during the 4-week period of treatment to reduce the number of trials which could lead to "learned" tolerance. In additional groups of mice, the seizure thresholds were only determined before and after the period of treatment to assess whether repeated seizure induction during chronic treatment affect the development of dependence. Only moderate tolerance was seen with the two drugs in the pentylenetetrazole seizure threshold experiments and with NNC 14-0185 in the electroshock-induced tonic seizure threshold experiments, whereas NNC 14-0189 did not lose any activity in the latter model during chronic treatment. There was no indication for a significant involvement of learned tolerance during repeated drug testing. With respect to the withdrawal symptoms, i.e., measures of physical dependence-inducing properties of the two drugs, moderate but significant decreases in the seizure threshold were seen in the withdrawal period. Both in terms of tolerance- and dependence-inducing properties and adverse effects seen during chronic treatment in mice, NNC 14-0185 and NNC 14-0189 seem to offer clear advantages compared to the more traditional BDZ receptor ligands.

摘要

我们最近报道,癫痫发作模型和实验方案可能会影响抗惊厥耐受性以及苯二氮䓬(BDZ)受体配体的撤药特征,因此对新药耐受性和依赖性倾向的预测应基于一系列慢性实验。在本研究中,我们评估了两种新型BDZ受体配体,即NNC 14 - 0185(3 -(3 - 环丙基 - 5 - 异恶唑基)- 6 - 氟 - 5 - 吗啉代 - 咪唑[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[1,5 - a]喹唑啉),它们似乎在BDZ受体上作为部分激动剂起作用。我们采用不同的实验方法在两种癫痫发作模型中评估这两种配体的耐受性和依赖性倾向。在一种方法中,小鼠分别用NNC 14 - 0185或NNC 14 - 0189以约等效剂量慢性治疗4周,这些剂量可提高戊四氮诱导的肌阵挛性癫痫发作阈值。在慢性治疗期间以及每种药物在同一组动物中治疗终止后长达2周的时间内,多次测定抗惊厥活性。电击诱导的强直性癫痫发作阈值在另一组小鼠中用作第二种癫痫发作模型。在另一种方法中,药物治疗方案相同,但在4周治疗期间仅诱导癫痫发作两次,以减少可能导致“习得性”耐受性的试验次数。在另外几组小鼠中,仅在治疗期前后测定癫痫发作阈值,以评估慢性治疗期间反复诱导癫痫发作是否会影响依赖性的发展。在戊四氮癫痫发作阈值实验中,两种药物仅表现出中度耐受性,在电击诱导的强直性癫痫发作阈值实验中,NNC 14 - 0185表现出中度耐受性,而在后者模型中,NNC 14 - 0189在慢性治疗期间未丧失任何活性。在重复药物测试期间,没有迹象表明存在显著的习得性耐受性。关于撤药症状,即两种药物诱导身体依赖性的特性的测量,在撤药期观察到癫痫发作阈值有中度但显著的降低。就耐受性和依赖性诱导特性以及小鼠慢性治疗期间出现的不良反应而言,与更传统的BDZ受体配体相比,NNC 14 - 0185和NNC 14 - 0189似乎具有明显优势。

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Mechanism-based modeling of functional adaptation upon chronic treatment with midazolam.
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