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Manavi MA, Mohammad Jafari R, Shafaroodi H, Ejtemaei-Mehr S, Sharifzadeh M, Dehpour AR. Anticonvulsant effects of ivermectin on pentylenetetrazole- and maximal electroshock-induced seizures in mice: the role of GABAergic system and KATP channels. Heliyon 2022; 8:e11375. [PMID: 36387449 PMCID: PMC9647207 DOI: 10.1016/j.heliyon.2022.e11375] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Revised: 10/08/2022] [Accepted: 10/25/2022] [Indexed: 11/06/2022] Open
Abstract
Introduction Ivermectin (IVM) is an antiparasitic medicine that exerts its function through glutamate-gated chloride channels and GABAA receptors predominantly. There is paucity of information on anti-seizure activity of IVM. Moreover, the probable pharmacological mechanisms underlying this phenomenon have not been identified. Materials and methods In this study, pentylenetetrazole (PTZ)-induced clonic seizures and maximal electroshock (MES)-induced tonic-clonic seizure models, respectively in mice was utilized to inquire whether IVM could alter clonic seizure threshold (CST) and seizure susceptibility. To assess the underlying mechanism behind the anti-seizure activity of IVM, we used positive and negative allosteric modulators of GABAA (diazepam and flumazenil, respectively) as well as KATP channel opener and closer (cromakalim and glibenclamide, respectively). Data are provided as mean ± S.E.M. After the performance of the variance homogeneity test, a one-way and two-way analysis of variance was used. Fisher's exact test was performed in case of MES. P-value less than 0.05 considered statistically significant. Results and Discussion: Our data showed that IVM (0.5, 1, 5, and 10 mg/kg, i.p.) increased CST. Furthermore, flumazenil 0.25 mg/kg, i.p. and glibenclamide 1 mg/kg, i.p., could inhibit the anticonvulsant effects of IVM. Supplementary, an ineffective dose of diazepam 0.02 mg/kg, i.p. or cromakalim 10 μg/kg, i.p. were able to enhance the anticonvulsant effects of IVM. Besides, we figure out that the IVM (1 and 5 mg/kg, i.p.) could delay the onset of first clonic seizure and also might decrease the frequency of clonic seizures induced by PTZ (85 mg/kg, i.p.). Finally, IVM could prevent the incidence and death in MES-induced tonic-clonic seizures. Conclusion Based on the obtained results, it can be concluded that IVM may exert anticonvulsant effects against PTZ- and MES-induced seizures in mice that might be mediated by GABAA receptors and KATP channels. Ivermectin exerts anticonvulsant effects on PTZ-induced clonic seizures. Ivermectin prevents MES-induced tonic-clonic seizures in mice. Ivermectin has the most anticonvulsant effects in doses of 1 and 5 mg/kg in mice. These anticonvulsant effects may be mediated through the GABAergic system. ATP-sensitive potassium channels could play a role in these anti-seizure effects.
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Affiliation(s)
- Mohammad Amin Manavi
- Experimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
- Department of Pharmacology and Toxicology, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
| | - Razieh Mohammad Jafari
- Experimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Hamed Shafaroodi
- Department of Pharmacology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Shahram Ejtemaei-Mehr
- Department of Pharmacology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Sharifzadeh
- Department of Pharmacology and Toxicology, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
| | - Ahmad Reza Dehpour
- Experimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
- Department of Pharmacology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
- Corresponding author.
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Ji X, Zeng Y, Wu J. The CB 2 Receptor as a Novel Therapeutic Target for Epilepsy Treatment. Int J Mol Sci 2021; 22:ijms22168961. [PMID: 34445666 PMCID: PMC8396521 DOI: 10.3390/ijms22168961] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Revised: 08/02/2021] [Accepted: 08/10/2021] [Indexed: 02/05/2023] Open
Abstract
Epilepsy is characterized by repeated spontaneous bursts of neuronal hyperactivity and high synchronization in the central nervous system. It seriously affects the quality of life of epileptic patients, and nearly 30% of individuals are refractory to treatment of antiseizure drugs. Therefore, there is an urgent need to develop new drugs to manage and control refractory epilepsy. Cannabinoid ligands, including selective cannabinoid receptor subtype (CB1 or CB2 receptor) ligands and non-selective cannabinoid (synthetic and endogenous) ligands, may serve as novel candidates for this need. Cannabinoid appears to regulate seizure activity in the brain through the activation of CB1 and CB2 cannabinoid receptors (CB1R and CB2R). An abundant series of cannabinoid analogues have been tested in various animal models, including the rat pilocarpine model of acquired epilepsy, a pentylenetetrazol model of myoclonic seizures in mice, and a penicillin-induced model of epileptiform activity in the rats. The accumulating lines of evidence show that cannabinoid ligands exhibit significant benefits to control seizure activity in different epileptic models. In this review, we summarize the relationship between brain CB2 receptors and seizures and emphasize the potential mechanisms of their therapeutic effects involving the influences of neurons, astrocytes, and microglia cells. The unique features of CB2Rs, such as lower expression levels under physiological conditions and high inducibility under epileptic conditions, make it an important target for future research on drug-resistant epilepsy.
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Affiliation(s)
- Xiaoyu Ji
- Brain Function and Disease Laboratory, Shantou University Medical College, Xin-Ling Road #22, Shantou 515041, China;
| | - Yang Zeng
- Medical Education Assessment and Research Center, Shantou University Medical College, Xin-Ling Road #22, Shantou 515041, China;
| | - Jie Wu
- Brain Function and Disease Laboratory, Shantou University Medical College, Xin-Ling Road #22, Shantou 515041, China;
- Correspondence: or
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Zahir M, Shariatzadeh S, Khosravi A, Alshaikh FA, Moradi P, Ghaderi M, Farsinejad P, Louyeh PA, Ilkhani S, Nakhaei P, Taheri A, Fagheh AF, Akhavan-Sigari R. High risk of drug toxicity in social isolation stress due to liver dysfunction: Role of oxidative stress and inflammation. Brain Behav 2021; 11:e2317. [PMID: 34333854 PMCID: PMC8413800 DOI: 10.1002/brb3.2317] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 07/12/2021] [Accepted: 07/15/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Previous studies have shown that social isolation stress (SIS) could associate with several systemic diseases; however, the role of SIS on liver dysfunction has yet to be established. This study aimed to investigate the effect of SIS on liver function and possible drug toxicity through liver inflammation and oxidative stress. METHODS Male Naval Medical Research Institute mice in two groups of SIS and control were treated with typical anti-depressant and anxiolytic agents including fluoxetine, norfluoxetine, desipramine, and imipramine in both groups. Then blood concentrations (or their active metabolites) of these drugs were assessed. Liver function test, including aspartate transaminase (AST), alanine aminotransferase (ALT), total bilirubin, and conjugated bilirubin), oxidative activity, inflammatory cytokines, and the gene expression of cytochrome P450 enzymes were assessed. RESULTS We observed that the liver enzymes including AST and ALT was slightly higher in SIS animals. The blood concentrations of fluoxetine, norfluoxetine, desipramine, and imipramine were significantly higher in SIS animals. The gene expression of CYP1A2, CYP2A6, CYP2C9, CYP2C29, and CYP2D were significantly decreased in SIS animals. Our results showed that SIS animals had significantly higher level of tumor necrosis factor-α, interleukin-1β, and interleukin-6. SIS could significantly decrease the activity of antioxidant agent (Glutathione). CONCLUSION We hypothesized that SIS could induce liver dysfunction and decrease the rate of drug clearance through liver inflammation and oxidative stress; therefore, the blood concentration of anti-depressant/anxiolytic agents should closely monitor in SIS due to the high toxicity of these agents.
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Affiliation(s)
- Maziar Zahir
- Tehran University of Medical Sciences, Tehran, Iran
| | - Siavash Shariatzadeh
- Department of Pharmacology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | | | - Parichehr Moradi
- Biomedical Engineering Department, University of Isfahan, Isfahan, Iran
| | | | - Parsa Farsinejad
- Department of Pharmacology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Saba Ilkhani
- Department of Pharmacology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Pooria Nakhaei
- Department of Pharmacology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Amin Taheri
- Tehran University of Medical Sciences, Tehran, Iran
| | | | - Reza Akhavan-Sigari
- Department of Neurosurgery, University Medical Center Tuebingen, Tuebingen, Germany
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Haj-Mirzaian A, Khosravi A, Haj-Mirzaian A, Rahbar A, Ramezanzadeh K, Nikbakhsh R, Pirri F, Talari B, Ghesmati M, Nikbakhsh R, Dehpour AR. The potential role of very small embryonic-like stem cells in the neuroinflammation induced by social isolation stress: Introduction of a new paradigm. Brain Res Bull 2020; 163:21-30. [DOI: 10.1016/j.brainresbull.2020.07.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 06/12/2020] [Accepted: 07/08/2020] [Indexed: 12/30/2022]
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Nikbakhsh R, Nikbakhsh R, Radmard M, Tafazolimoghadam A, Haj-Mirzaian A, Pirri F, Noormohammady P, Sabouri M, Shababi N, Ziai SA, Dehpour AR. The possible role of nitric oxide in anti-convulsant effects of Naltrindole in seizure-induced by social isolation stress in male mice. Biomed Pharmacother 2020; 129:110453. [DOI: 10.1016/j.biopha.2020.110453] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 06/11/2020] [Accepted: 06/23/2020] [Indexed: 01/06/2023] Open
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Abstract
The contribution of an impaired astrocytic K+ regulation system to epileptic neuronal hyperexcitability has been increasingly recognized in the last decade. A defective K+ regulation leads to an elevated extracellular K+ concentration ([K+]o). When [K+]o reaches peaks of 10-12 mM, it is strongly associated with seizure initiation during hypersynchronous neuronal activities. On the other hand, reactive astrocytes during a seizure attack restrict influx of K+ across the membrane both passively and actively. In addition to decreased K+ buffering, aberrant Ca2+ signaling and declined glutamate transport have also been observed in astrogliosis in epileptic specimens, precipitating an increased neuronal discharge and induction of seizures. This review aims to provide an overview of experimental findings that implicated astrocytic modulation of extracellular K+ in the mechanism of epileptogenesis.
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Affiliation(s)
- Fushun Wang
- Department of Neurosurgery, Baylor Scott & White Health, Temple, TX, USA; Institute of Brain and Psychological Science, Sichuan Normal University, Chengdu, Sichuan Province, China
| | - Xiaoming Qi
- Department of Neurosurgery, Baylor Scott & White Health, Temple, TX, USA
| | - Jun Zhang
- Department of Neurosurgery, PLA General Hospital, Beijing, China
| | - Jason H Huang
- Department of Neurosurgery, Baylor Scott & White Health; Department of Surgery, Texas A&M University College of Medicine, Temple, TX, USA
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Jin Y, Yao X, Sun L, Yang W, Cui R, Li B. Recent Advances in Epilepsy. Curr Neuropharmacol 2019; 17:914-915. [PMID: 31580242 PMCID: PMC7052831 DOI: 10.2174/1570159x1710190911122554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Yang Jin
- Jilin Provincial Key Laboratory on Molecular and Chemical Genetic, The Second Hospital of Jilin University, Ziqiang Street No. 218. Changchun, 130041, China
| | - Xiaoxiao Yao
- Jilin Provincial Key Laboratory on Molecular and Chemical Genetic, The Second Hospital of Jilin University, Ziqiang Street No. 218. Changchun, 130041, China
| | - Lihua Sun
- Department of Anesthesia, The Second Hospital of Jilin University, Ziqiang Street No. 218. Changchun, 130041, China
| | - Wei Yang
- Jilin Provincial Key Laboratory on Molecular and Chemical Genetic, The Second Hospital of Jilin University, Ziqiang Street No. 218. Changchun, 130041, China
| | - Ranji Cui
- Central Laboratory, The Second Hospital of Jilin University, Ziqiang Street No. 218. Changchun, 130041, China
| | - Bingjin Li
- Jilin Provincial Key Laboratory on Molecular and Chemical Genetic, The Second Hospital of Jilin University, Ziqiang Street No. 218. Changchun, 130041, China
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Mohammadi F, Shakiba S, Mehrzadi S, Afshari K, Rahimnia AH, Dehpour AR. Anticonvulsant effect of melatonin through ATP‐sensitive channels in mice. Fundam Clin Pharmacol 2019; 34:148-155. [DOI: 10.1111/fcp.12490] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2019] [Revised: 05/07/2019] [Accepted: 06/11/2019] [Indexed: 12/14/2022]
Affiliation(s)
- Fatemeh Mohammadi
- Brain and Spinal Cord Injury Research Center Neuroscience Institute Tehran University of Medical Sciences Tehran Iran
| | - Saeed Shakiba
- Brain and Spinal Cord Injury Research Center Neuroscience Institute Tehran University of Medical Sciences Tehran Iran
- Experimental Medicine Research Center Tehran University of Medical Sciences Tehran Iran
- Department of Pharmacology School of Medicine Tehran University of Medical Sciences Tehran Iran
| | - Saeed Mehrzadi
- Razi Drug Research Center Iran University of Medical Sciences Shahid Hemmat Highway Tehran 1449614535 Iran
| | - Khashayar Afshari
- Brain and Spinal Cord Injury Research Center Neuroscience Institute Tehran University of Medical Sciences Tehran Iran
- Experimental Medicine Research Center Tehran University of Medical Sciences Tehran Iran
- Department of Pharmacology School of Medicine Tehran University of Medical Sciences Tehran Iran
| | - Amir Hossein Rahimnia
- Brain and Spinal Cord Injury Research Center Neuroscience Institute Tehran University of Medical Sciences Tehran Iran
- Experimental Medicine Research Center Tehran University of Medical Sciences Tehran Iran
- Department of Pharmacology School of Medicine Tehran University of Medical Sciences Tehran Iran
| | - Ahmad Reza Dehpour
- Brain and Spinal Cord Injury Research Center Neuroscience Institute Tehran University of Medical Sciences Tehran Iran
- Experimental Medicine Research Center Tehran University of Medical Sciences Tehran Iran
- Department of Pharmacology School of Medicine Tehran University of Medical Sciences Tehran Iran
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