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1.
Medical Principles and Practice. 2016; 25 (5): 423-428
in English | IMEMR | ID: emr-187023

ABSTRACT

Objective: The aim of this study was to elucidate any electrophysiological changes that may contribute to the development of neuropathic pain during treatment with the anticancer drug paclitaxel, particularly in the micro-aminobutyric acid [GABA] system


Materials and Methods: One hundred and eight Sprague-Dawley rats were used [untreated control: 43; vehicle-treated: 21, and paclitaxel-treated: 44]. Paclitaxel [8 mg/kg] was administered intraperitoneally on 2 alternate days to induce mechanical allodynia. The rats were sacrificed 7 days after treatment to obtain slices of the anterior cingulate cortex [ACC], a brain region involved in the central processing of pain. Field excitatory postsynaptic potentials [fEPSPs] were recorded in layer II/III of ACC slices, and stimulus-response curves were constructed. The observed effects were pharmacologically characterized by bath application of GABA and appropriate drugs to the slices


Results: The paclitaxel-treated rats developed mechanical allodynia [i.e. reduced withdrawal threshold to mechanical stimuli]. Slices from paclitaxel-treated rats produced a significantly higher maximal response [Emax] than those from untreated rats [p < 0.001]. Bath application of GABA [0.4 microM] reversed this effect and returned the excitability to a level similar to control. Pretreatment of the slices with the GABAB receptor blocker CGP 55845 [50 microM] increased Emax in slices from untreated rats [p < 0.01] but not from paclitaxel-treated rats


Conclusion: In this study, there was a GABA deficit in paclitaxel-treated rats compared to untreated ones. Such a deficit could contribute to the pathophysiology of paclitaxel-induced neuropathic pain [PINP]. Thus, the GABAergic system might be a potential therapeutic target for managing PINP

2.
Medical Principles and Practice. 2013; 22 (4): 340-345
in English | IMEMR | ID: emr-127308

ABSTRACT

To test the hypothesis that a triazolyloxazolidinone [PH084] has anticonvulsant activity by examining its effects on in vitro seizure models in the rat hippocampus. Whole-cell synaptic currents, action potentials and extracellular population spikes [PS] were recorded in the cell body area of rat hippocampal CA1 region in acutely prepared slices. Chemical [picrotoxin [100 micro m] and zero magnesium] and electrical seizures were induced and the effect of PH084 [10 micro M] was tested on cellular responses, multiple spikes and spontaneous bursting frequencies. PH084 depressed evoked excitatory postsynaptic currents, action potential firing frequency and PS amplitude. All of these responses did not recover to baseline after 15-20 min washout of PH084. Perfusion with zero magnesium ion [Mg[2+]]-containing buffer converted a single PS to multiple PS [mPS] accompanied by spontaneous burst. PH084 suppressed the mPS and the spontaneous burst frequency and it also suppressed the picrotoxin-induced mPS number. However, it did not affect the frequency of stimulus train-induced after discharge or bursts. Furthermore, 8-10 min pretreatment with PH084 did not affect the ability of zero Mg[2+] buffer, picrotoxin or stimulus train to induce epileptiform activity. Thus, while PH084 may have potential for anticonvulsant activity against chemically induced seizures, it has little or no potential against electrically induced seizures or in preventing epileptiform discharge


Subject(s)
Animals, Laboratory , Oxazolidinones , Anticonvulsants , Hippocampus
3.
KMJ-Kuwait Medical Journal. 2010; 42 (1): 3-14
in English | IMEMR | ID: emr-171907

ABSTRACT

Dementia of the Alzheimer's type is a disease associated with age. As the life expectancy of the world population increases, the incidence of dementia is predicted to increase. Currently, very few medications are available that can be used to mitigate the symptoms of the disease. This symptomatic therapy is not optimal and is associated with variable outcomes and side effects. Furthermore, none of these drugs have been clearly proven to stop or prevent the development of the disease. To begin to seriously address the current poor situation of pharmacotherapeutic management of these devastating diseases, more research is required to understand the pathological changes associated with dementia and to rationally design, synthesize and test compounds with potential for more efficacy and fewer side effects and possibly, disease modifying actions. The ideal compounds would be those which, in addition to providing symptomatic relief, also slow down disease progression with minimal side effects


Subject(s)
Humans , Alzheimer Disease/epidemiology , Alzheimer Disease/physiopathology , Dementia
4.
Medical Principles and Practice. 2008; 17 (5): 365-372
in English | IMEMR | ID: emr-89003

ABSTRACT

We tested if E139, an anticonvulsant enaminone, interacts with norepinephrine [NE] to suppress population responses and chemically induced in vitro seizures in the rat hippocampus. Evoked field population spikes [PS] were recorded in the hippocampal CA1 area, and in vitro seizures were generated chemically using the zero Mg[2+]model. Low concentrations of E139 [/= 100 microM] enhanced them. For example, E139 [10 microM] depressed the PS amplitude by -23.9 +/- 2.3%, while 1 mM caused an enhancement. NE also depressed the PS by -34.5 +/- 6.0% and prevented E139 from subsequently depressing the PS amplitude. UK 14304, a selective alpha2-adrenoceptor agonist, also depressed the PS amplitude by -32.6 +/- 9.4% and occluded E139 suppression. NE suppression of PS was blocked by phentolamine and yohimbine which also blocked the effect of E139. Prazosin, a selective alpha1-adrenoceptor antagonist, did not block NE [-24.8 +/- 6.9%] or E139 [-29.7 +/- 6.1%] effects. Zero Mg[2+] buffer transformed a single PS to multiple spikes [MS; 3-8 spikes] and also induced spontaneous bursts [SB; 5-20/min]. NE suppressed the number of MS from 5.6 +/- 0.3 to 3.8 +/- 0.2. At its peak effect, E139 was able to further suppress the number of MS to 3.0 +/- 0.3. Yohimbine did not change the number of MS but blocked the NE- and E139-induced suppression of MS. SB frequency was suppressed by NE [-60.8 +/- 11.7%] which occluded E139 effects. Finally, SB were reversibly abolished by yohimbine [-94.5 +/- 11.7%]. E139 suppressed population responses and in vitro epileptiform activity by both adrenergic and non-adrenergic mechanisms


Subject(s)
Animals, Laboratory , Hippocampus , Norepinephrine , Anticonvulsants , Drug Interactions , Rats , Phentolamine , Yohimbine , Prazosin , Magnesium
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