Age-dependent anticonvulsant actions of perampanel and brivaracetam in the methyl-6,7-dimethoxy-4-ethyl-beta-carboline-3-carboxylate (DMCM) model of seizures in developing rats.


Journal

Pharmacological reports : PR
ISSN: 2299-5684
Titre abrégé: Pharmacol Rep
Pays: Switzerland
ID NLM: 101234999

Informations de publication

Date de publication:
Feb 2021
Historique:
received: 07 09 2020
accepted: 31 10 2020
revised: 09 10 2020
pubmed: 20 11 2020
medline: 9 9 2021
entrez: 19 11 2020
Statut: ppublish

Résumé

The antiseizure drugs commonly used as first- and second-line treatments for neonatal seizures display poor efficacy. Thus, drug mechanisms of action that differ from these typical agents might provide better seizure control. Perampanel, an AMPA-receptor antagonist, and brivaracetam, a SV2A ligand, might fill that role. We utilized methyl-6,7-dimethoxy-4-ethyl-beta-carboline-3-carboxylate (DMCM) to evoke seizures in rats to assess the efficacy of perampanel and brivaracetam treatment in clinically relevant doses. In postnatal day (P)10 rats, neither perampanel nor brivaracetam suppressed seizure activity. By contrast, in P21 rats, both drugs decreased the severity of seizures. This effect was evident at the 20 and 40 mg/kg doses of brivaracetam and at the 0.9 and 2.7 mg/kg doses of perampanel. These data indicate that while the efficacy of these drugs may be limited for neonatal seizures, their efficacy increases over early postnatal development.

Sections du résumé

BACKGROUND BACKGROUND
The antiseizure drugs commonly used as first- and second-line treatments for neonatal seizures display poor efficacy. Thus, drug mechanisms of action that differ from these typical agents might provide better seizure control. Perampanel, an AMPA-receptor antagonist, and brivaracetam, a SV2A ligand, might fill that role.
METHODS METHODS
We utilized methyl-6,7-dimethoxy-4-ethyl-beta-carboline-3-carboxylate (DMCM) to evoke seizures in rats to assess the efficacy of perampanel and brivaracetam treatment in clinically relevant doses.
RESULTS RESULTS
In postnatal day (P)10 rats, neither perampanel nor brivaracetam suppressed seizure activity. By contrast, in P21 rats, both drugs decreased the severity of seizures. This effect was evident at the 20 and 40 mg/kg doses of brivaracetam and at the 0.9 and 2.7 mg/kg doses of perampanel.
CONCLUSIONS CONCLUSIONS
These data indicate that while the efficacy of these drugs may be limited for neonatal seizures, their efficacy increases over early postnatal development.

Identifiants

pubmed: 33210244
doi: 10.1007/s43440-020-00189-w
pii: 10.1007/s43440-020-00189-w
pmc: PMC7864869
mid: NIHMS1647948
doi:

Substances chimiques

Anticonvulsants 0
Carbolines 0
Convulsants 0
Nitriles 0
Pyridones 0
Pyrrolidinones 0
methyl 6,7-dimethoxy-4-ethyl-beta-carboline-3-carboxylate 1309288N1J
perampanel H821664NPK
brivaracetam U863JGG2IA

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

296-302

Subventions

Organisme : NINDS NIH HHS
ID : L40 NS103805
Pays : United States
Organisme : American Academy of Pediatrics
ID : Marshall-Klaus Award
Organisme : NCATS NIH HHS
ID : KL2 TR001432
Pays : United States
Organisme : NCATS NIH HHS
ID : TL1 TR001431
Pays : United States
Organisme : National Center for Advancing Translational Sciences (US)
ID : TL1TR001431
Organisme : NCATS NIH HHS
ID : KL2TR001432
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD091994
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS097762
Pays : United States
Organisme : National Institute of Neurological Disorders and Stroke (US)
ID : R01NS097762
Organisme : Eunice Kennedy Shriver National Institute of Child Health and Human Development
ID : R01HD091994

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Auteurs

Marko Culjat (M)

Department of Neonatal-Perinatal Medicine, MedStar Georgetown University Hospital, 3800 Reservoir Road NW, Washington, DC, 20007, USA.
Pharmacology and Physiology, Georgetown University, New Research Building W209B, Washington, DC, 20057, USA.

Megan N Huizenga (MN)

Pharmacology and Physiology, Georgetown University, New Research Building W209B, Washington, DC, 20057, USA.

Patrick A Forcelli (PA)

Pharmacology and Physiology, Georgetown University, New Research Building W209B, Washington, DC, 20057, USA. paf22@georgetown.edu.
Neuroscience, Georgetown University, Washington, DC, USA. paf22@georgetown.edu.
Interdisciplinary Program in Neuroscience, Georgetown University, Washington, DC, USA. paf22@georgetown.edu.

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