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角膜点燃小鼠的验证:人类部分性癫痫的一种敏感筛选模型。

Validation of corneally kindled mice: a sensitive screening model for partial epilepsy in man.

作者信息

Matagne A, Klitgaard H

机构信息

UCB S.A. Pharma Sector, Preclinical CNS Research, Chemin du Foriest, Braine-l'Alleud, Belgium.

出版信息

Epilepsy Res. 1998 Jun;31(1):59-71. doi: 10.1016/s0920-1211(98)00016-3.

DOI:10.1016/s0920-1211(98)00016-3
PMID:9696301
Abstract

Epileptogenesis induced by electrical kindling of rats appears to be superior to the acute maximal electroshock seizure (MES) test in normal animals in predicting the efficacy and adverse effect potential of drugs in patients with partial epilepsy. Unfortunately, inclusion of such kindling models in primary screening is hampered by the laborious and expensive procedure of stimulation and recording with implanted brain electrodes. Furthermore the size of the rats excludes their use in initial testing where compound availability is often limited for the 'first batch synthesis'. The present study demonstrates that chronic electrical stimulation with corneal electrodes in mice can rapidly yield large numbers of kindled animals with a seizure phenomenology reflecting partial seizures in man. A pharmacological characterisation showed that corneally kindled mice can be used repeatedly for several drug experiments with reproducible results. The seizure protection and adverse effect potential obtained with proven antiepileptic drugs were similar to the effects observed in amygdala kindled rats and their corresponding clinical profile in partial epilepsy. Protection was obtained with vigabatrin and levetiracetam in this new model despite their lack of anticonvulsant activity in the acute MES test. Furthermore, in agreement with clinical findings with NMDA antagonists, MK-801 revealed more severe adverse effects in corneally kindled mice than in normal animals. These results suggest that corneal kindling of mice represents a sensitive and valid screening model for the identification of new therapies for partial epilepsy in man.

摘要

在预测药物对部分性癫痫患者的疗效和潜在不良反应方面,大鼠电点燃诱导的癫痫发生在正常动物中似乎优于急性最大电休克惊厥(MES)试验。不幸的是,由于植入脑电极进行刺激和记录的过程繁琐且昂贵,在初筛中纳入此类点燃模型受到了阻碍。此外,大鼠的体型使其无法用于初始测试,因为在“首批合成”时化合物的供应量往往有限。本研究表明,用角膜电极对小鼠进行慢性电刺激能够快速产生大量点燃动物,其癫痫发作现象学反映了人类的部分性癫痫发作。药理学特征表明,角膜点燃的小鼠可反复用于多项药物实验,结果具有可重复性。已证实的抗癫痫药物在该模型中获得的癫痫发作保护作用和潜在不良反应与在杏仁核点燃大鼠中观察到的效应及其在部分性癫痫中的相应临床特征相似。尽管加巴喷丁和左乙拉西坦在急性MES试验中缺乏抗惊厥活性,但在这个新模型中它们仍具有保护作用。此外,与NMDA拮抗剂的临床研究结果一致,MK-801在角膜点燃的小鼠中显示出比正常动物更严重的不良反应。这些结果表明,小鼠角膜点燃是一种用于识别人类部分性癫痫新疗法的敏感且有效的筛选模型。

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