Inhibition of the Sodium Calcium Exchanger Suppresses Alcohol Withdrawal-Induced Seizure Susceptibility.

Inhibition of the Sodium Calcium Exchanger Suppresses Alcohol Withdrawal-Induced Seizure Susceptibility.
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DOI:
10.3390/brainsci11020279
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发表时间:
2021-02-23
期刊:
影响因子:
3.3
通讯作者:
N'Gouemo P
N'Gouemo P
中科院分区:
医学4区
文献类型:
--
作者:
Newton J;Akinfiresoye LR;N'Gouemo P

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钙离子内流在癫痫发作的病理生理过程中起着重要作用,包括声诱发的酒精戒断诱发的癫痫发作(AWSs)。一种感兴趣的Ca 2+内流途径是Na+/Ca 2+交换器(NCX),当以其反向模式(NCXrev)活性操作时,其可以促进Ca 2+进入神经元,可能增加神经元兴奋性,从而导致癫痫易感性增强。在这里,我们通过量化SN-6和KB-R7943(分别为亚型1(NCX 1 rev)和3(NCX 3rev)的强效阻断剂)的作用,探讨了NCXrev活性对AWS易感性的影响。使用雄性成年Sprague-Dawley大鼠。声诱发的AWSs由失控性发作(WRSs)演变为全身强直阵挛性发作(GTCS)组成。定量显示,相对低剂量的急性SN-6治疗抑制了AWS的GTCS(但不是WRS)组分的发生,并显著降低了癫痫发作的严重程度。然而,以相对高的剂量施用KB-R7943仅降低GTCS的发生率。这些发现表明,抑制NCX 1 rev活性是抑制酒精戒断诱导的GTCS的假定机制。
Calcium influx plays important roles in the pathophysiology of seizures, including acoustically evoked alcohol withdrawal-induced seizures (AWSs). One Ca2+ influx route of interest is the Na+/Ca2+ exchanger (NCX) that, when operating in its reverse mode (NCXrev) activity, can facilitate Ca2+ entry into neurons, possibly increasing neuronal excitability that leads to enhanced seizure susceptibility. Here, we probed the involvement of NCXrev activity on AWS susceptibility by quantifying the effects of SN-6 and KB-R7943, potent blockers of isoform type 1 (NCX1rev) and 3 (NCX3rev), respectively. Male, adult Sprague–Dawley rats were used. Acoustically evoked AWSs consisted of wild running seizures (WRSs) that evolved into generalized tonic–clonic seizures (GTCSs). Quantification shows that acute SN-6 treatment at a relatively low dose suppressed the occurrence of the GTCSs (but not WRSs) component of AWSs and markedly reduced the seizure severity. However, administration of KB-R7943 at a relatively high dose only reduced the incidence of GTCSs. These findings demonstrate that inhibition of NCX1rev activity is a putative mechanism for the suppression of alcohol withdrawal-induced GTCSs.
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