RESUMO
OBJECTIVE: Fetal exposure to the anticonvulsant drug valproic acid (VPA), used to treat certain types of epilepsy, increases the risk for birth defects, including neural tube defects, as well as learning difficulties and behavioral problems. Here, we investigated neurotoxic effects of VPA exposure using zebrafish as a model organism. The capacity of folic acid (FA) supplementation to rescue the VPA-induced neuronal and behavioral perturbations was also examined. METHODS: Zebrafish embryos of different transgenic lines with neuronal green fluorescent protein expression were exposed to increasing concentrations of VPA with or without FA supplementation. Fluorescence microscopy was used to visualize alterations in brain structures and neural progenitor cells, as well as motor neurons and neurite sprouting. A twitching behavioral assay was used to examine the functional consequences of VPA and FA treatment. RESULTS: In zebrafish embryos, VPA exposure caused a decrease in the midbrain size, an increase in the midline gap of the hindbrain, and perturbed neurite sprouting of secondary motor neurons, in a concentration-dependent manner. VPA exposure also decreased the fluorescence intensity of neuronal progenitor cells in early developmental stages, indicating fewer cells. Furthermore, VPA exposure significantly altered embryonic twitching activity, causing hyperactivity in dark and hypoactivity in light. Supplementation of FA rescued the VPA-induced smaller midbrain size and hindbrain midline gap defects. FA treatment also increased the number of neuronal progenitor cells in VPA-treated embryos and salvaged neurite sprouting of the secondary motor neurons. FA rescued the VPA-induced alterations in twitching activity in light but not in dark. SIGNIFICANCE: We conclude that VPA exposure induces specific neurotoxic perturbations in developing zebrafish embryos, and that FA reversed most of the identified defects. The results demonstrate that zebrafish is a promising model to study VPA-induced teratogenesis and to screen for countermeasures.
Assuntos
Anticonvulsivantes/toxicidade , Comportamento Animal/efeitos dos fármacos , Ácido Fólico/uso terapêutico , Síndromes Neurotóxicas/prevenção & controle , Síndromes Neurotóxicas/psicologia , Ácido Valproico/toxicidade , Vitaminas/uso terapêutico , Peixe-Zebra , Animais , Animais Geneticamente Modificados , Suplementos Nutricionais , Desenvolvimento Embrionário/efeitos dos fármacos , Larva , Iluminação , Mesencéfalo/anatomia & histologia , Mesencéfalo/efeitos dos fármacos , Neurônios Motores/efeitos dos fármacos , Células-Tronco Neurais/efeitos dos fármacos , Defeitos do Tubo Neural/induzido quimicamente , Neuritos/efeitos dos fármacos , Rombencéfalo/anatomia & histologia , Rombencéfalo/efeitos dos fármacos , Ácido Valproico/antagonistas & inibidoresRESUMO
Sodium valproate (SVP) is a first-line treatment for various forms of epilepsy; however, it can cause severe liver injury. Ginsenoside compound K (G-CK) is the main active ingredient of the traditional herbal medicine ginseng. According to our previous research, SVP-induced elevation of ALT and AST levels, as well as pathological changes of liver tissue, was believed to be significantly reversed by G-CK in LiCl-pilocarpine induced epileptic rats. Thus, we aimed to evaluate the protective effect of G-CK on hepatotoxicity caused by SVP. The rats treated with SVP showed liver injury with evident increases in hepatic index, transaminases activity, alkaline phosphatase level, hepatic triglyceride and lipid peroxidation; significant decreases in plasma albumin level and antioxidant capacity; and obvious changes in histopathological and subcellular structures. All of these changes could be mitigated by co-administration with G-CK. Proteomic analysis indicated that hepcidin, soluble epoxide hydrolase (sEH, UniProt ID P80299), and the peroxisome pathway were involved in the hepatoprotective effect of G-CK. Changes in protein expression of hepcidin and sEH were verified by ELISA and Western blot analysis, respectively. In addition, we observed that the hepatic iron rose in SVP group and decreased in the combination group. In summary, our findings demonstrate the clear hepatoprotective effect of G-CK against SVP-induced hepatotoxicity through the antioxidant effect, regulation of peroxisome pathway relying on sEH (P80299) downregulation, as well as regulation of iron homeostasis dependent on hepcidin upregulation.
Assuntos
Antioxidantes/farmacologia , Doença Hepática Induzida por Substâncias e Drogas/tratamento farmacológico , Ginsenosídeos/farmacologia , Ferro/metabolismo , Peroxissomos/efeitos dos fármacos , Ácido Valproico/toxicidade , Animais , Biomarcadores/sangue , Doença Hepática Induzida por Substâncias e Drogas/etiologia , Homeostase/efeitos dos fármacos , Fígado/efeitos dos fármacos , Fígado/metabolismo , Fígado/patologia , Masculino , Microscopia Eletrônica de Transmissão , Estresse Oxidativo/efeitos dos fármacos , Peroxissomos/metabolismo , Ratos , Ratos Sprague-Dawley , Ácido Valproico/antagonistas & inibidoresRESUMO
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder in children. It is diagnosis by two main behavioral phenotypes i.e. social-communication impairments and repetitive behavior. ASD is complex disorder with unsolved etiology due to multiple genes involvement, epigenetic mechanism and environmental factors. Valproic acid (VPA), a teratogen is known to induce characteristic features related to ASD in rodents. Numerous studies suggest the potential therapeutic effects of peroxisome proliferator-activated receptor-gamma (PPAR-γ) in different brain disorders. This research evaluates the utility of selective agonist of PPAR-γ, pioglitazone in prenatal VPA induced experimental ASD symptomatology in Wistar rats. The prenatal administration of VPA has induced social impairment, repetitive behavior, hyperlocomotion, anxiety and low exploratory activity in rats. Also, prenatal VPA-treated rats have shown higher levels of oxidative stress (increased in thiobarbituric acid reactive species, and decreased in reduced glutathione level) and inflammation (increased in interleukin-6, tumor necrosis factor-alpha and decreased in interleukin-10) in the cerebellum, brainstem and prefrontal cortex. Treatment with pioglitazone significantly attenuated the prenatal VPA-induced social impairment, repetitive behavior, hyperactivity, anxiety and low exploratory activity. Furthermore, pioglitazone also reduced the prenatal VPA-induced oxidative stress and neuroinflammation in aforementioned brain regions. Hence, it may be concluded that pioglitazone may provide neurobehavioral and biochemical benefits in prenatal VPA-induced autistic phenotypes in rats.
Assuntos
Anticonvulsivantes/toxicidade , Transtorno do Espectro Autista/prevenção & controle , Transtorno do Espectro Autista/psicologia , Hipoglicemiantes/farmacologia , Pioglitazona/farmacologia , Efeitos Tardios da Exposição Pré-Natal/prevenção & controle , Efeitos Tardios da Exposição Pré-Natal/psicologia , Ácido Valproico/antagonistas & inibidores , Ácido Valproico/toxicidade , Animais , Ansiedade/induzido quimicamente , Ansiedade/psicologia , Transtorno do Espectro Autista/induzido quimicamente , Química Encefálica/efeitos dos fármacos , Citocinas/metabolismo , Comportamento Exploratório/efeitos dos fármacos , Feminino , Masculino , Atividade Motora/efeitos dos fármacos , Estresse Oxidativo/efeitos dos fármacos , Gravidez , Ratos , Ratos Wistar , Comportamento SocialRESUMO
Medication therapy is the first line of treatment in the management of epilepsy. Fetal exposure to valproic acid (VPA), an antiepileptic drug, poses an elevated risk of teratogenicity in early pregnancy. Some studies have reported that monocarboxylate transporters (MCTs) may be involved in the placental transport of VPA. However, it has not been determined which MCTs contribute to VPA transport into the placenta. Therefore, the aim of this study was to determine how MCTs contribute to VPA transport into the placenta using the human placenta choriocarcinoma cell line JEG-3. VPA uptake was investigated using JEG-3 cells and radiolabeled VPA. MCT expression in JEG-3 cells was detected using RT-PCR and western blotting. Knockdown of MCTs was carried out using siRNAs. VPA uptake into JEG-3 cells was pH- and concentration-dependent, and described by using the Michaelis-Menten equation (Km = 0.95 ± 0.17 mM; Vmax = 19.3 ± 1.21 nmol/mg protein/15 s). MCT1 and MCT4 expression was found in JEG-3 cells, and typical MCT inhibitors significantly inhibited VPA uptake into JEG-3 cells. However, knockdown of MCT1 and MCT4 did not alter VPA uptake. In conclusion, VPA transport is mediated by a proton-dependent transporter in JEG-3 cells, but not by MCT1 and MCT4.
Assuntos
Transportadores de Ácidos Monocarboxílicos , Proteínas Musculares , Prótons , Simportadores , Ácido Valproico/metabolismo , Transporte Biológico , Linhagem Celular Tumoral , Humanos , Concentração de Íons de Hidrogênio , Transportadores de Ácidos Monocarboxílicos/antagonistas & inibidores , Transportadores de Ácidos Monocarboxílicos/genética , Transportadores de Ácidos Monocarboxílicos/metabolismo , Proteínas Musculares/antagonistas & inibidores , Proteínas Musculares/genética , Proteínas Musculares/metabolismo , RNA Interferente Pequeno/farmacologia , Simportadores/antagonistas & inibidores , Simportadores/genética , Simportadores/metabolismo , Ácido Valproico/antagonistas & inibidoresRESUMO
OBJECTIVE: To investigate the effect of sodium valproate (VPA) on activation of miR-34c-5p/ATG4B signaling pathway and autophagy in SH-SY5Y cells. METHODS: Routinely cultured SH-SY5Y cells were treated with VPA at different doses for 24 h, and the changes in the mRNA levels of ATG4B and miR-34c-5p and the protein expression of ATG4B were assessed using qRTPCR and immunoblotting, respectively. The effect of transfection with a plasmid containing ATG4B promoter on the promoter activity of ATG4B in VPA-treated SH-SY5Y cells was assessed using the reporter gene assay. The stability of ATG4B mRNA was analyzed with qPCR in SH-SY5Y cells treated with VPA alone or with VPA combined with the transcription inhibitor actinomycin D. The expression level of miR-34c-5p was detected using qPCR in SH-SY5Y cells treated with VPA alone or with VPA combined with miR-34c-5p mimics or antagonist, and the role of miR-34c-5p in VPA-induced ATG4B down-regulation was evaluated. The changes in the level of autophagy were evaluated by detecting LC3-â ¡ expression in the cells after treatment with VPA or VPA combined with miR-34c-5p antagonist. RESULTS: VPA dose-dependently down-regulated the expression of ATG4B at both the mRNA and protein levels in SH-SY5Y cells. VPA treatment did not significantly affect the promoter activity of ATG4B, but obviously lowered the mRNA stability of ATG4B in SH-SY5Y cells. VPA treatment up-regulated the expression of miR-34c-5p, and the miR-34c-5p antagonist reversed VPA-induced down-regulation of ATG4B in SH-SY5Y cells. VPA also down-regulated the expression level of LC3-â ¡ in SH-SY5Y cells. CONCLUSIONS: VPA suppresses autophagy in SH-SY5Y cells possibly via activating miR-34c-5p/ATG4B signaling pathway.
Assuntos
Proteínas Relacionadas à Autofagia/metabolismo , Autofagia/efeitos dos fármacos , Cisteína Endopeptidases/metabolismo , MicroRNAs/metabolismo , Ácido Valproico/farmacologia , Proteínas Relacionadas à Autofagia/genética , Linhagem Celular , Cisteína Endopeptidases/genética , Dactinomicina/farmacologia , Regulação para Baixo , Genes Reporter , Humanos , MicroRNAs/antagonistas & inibidores , Proteínas Associadas aos Microtúbulos/metabolismo , RNA Mensageiro/metabolismo , Transdução de Sinais/efeitos dos fármacos , Transfecção , Ácido Valproico/administração & dosagem , Ácido Valproico/antagonistas & inibidoresRESUMO
Valproic acid (VPA) is a widely used antiepileptic drug (AED). When carbapenems are concomitantly used with VPA, the serum levels of VPA may decrease and aggravate seizures. The aim of this study was to evaluate the risk factors associated with decreased serum VPA levels and clinical outcome in patients being treated with a combination of carbapenems and VPA. Fifty-four adult patients who were treated with VPA for epileptic seizures concomitant with carbapenems for the treatment of infections were evaluated in this study. Serum VPA levels were measured before and during combination therapy with VPA and carbapenems, and the change in serum VPA levels was calculated. The risk factors related to the decrease in serum VPA levels and clinical outcomes were evaluated. Our results show that VPA concentrations were reduced to subtherapeutic levels after the introduction of carbapenems. The reduction in VPA concentrations was found within 24 hours of the start of treatment with carbapenems. VPA levels continuously declined while the combination of treatments was used, which aggravated epileptic seizures in 48% of the patients. Renal disease and enzyme-inducing AEDs were risk factors that contributed to the severity of reduced serum VPA levels during combined treatment with carbapenems. This study suggests that clinicians need to be aware of the reduction of VPA concentrations to subtherapeutic levels and the aggravation of seizures while patients are treated with a combination of carbapenems and VPA.
Assuntos
Antibacterianos , Anticonvulsivantes/farmacocinética , Infecções Bacterianas/tratamento farmacológico , Carbapenêmicos , Epilepsia/tratamento farmacológico , Ácido Valproico/farmacocinética , Adulto , Idoso , Idoso de 80 Anos ou mais , Antibacterianos/administração & dosagem , Antibacterianos/química , Anticonvulsivantes/sangue , Infecções Bacterianas/complicações , Infecções Bacterianas/microbiologia , Carbapenêmicos/administração & dosagem , Carbapenêmicos/química , Contraindicações , Antagonismo de Drogas , Quimioterapia Combinada , Epilepsia/complicações , Epilepsia/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Ácido Valproico/antagonistas & inibidores , Ácido Valproico/sangueRESUMO
BACKGROUND: Cytisine (CYT) is a partial agonist of brain α4ß2 nicotinic acetylcholine receptors widely used in Central/Eastern Europe for smoking cessation. OBJECTIVES: This study evaluated the effect of CYT on the ability of classical and novel antiepileptic drugs to prevent seizures evoked by the 6-Hz test, a model of psychomotor seizures in mice thought as a model of drug-resistant seizures. RESULTS: CYT administered intraperitoneally (i.p.) in a dose of 2 mg kg-1 significantly inhibited the anticonvulsant activity of lacosamide, levetiracetam, and pregabalin, increasing their median effective doses 50 (ED50) values from 6.88 to 10.52 mg kg-1 (P < 0.05) for lacosamide, from 22.08 to 38.26 mg kg-1 (P < 0.05) for levetiracetam, and from 40.48 to 64.61 mg kg-1 (P < 0.01) for pregabalin, respectively. There were no significant changes in total brain concentrations of lacosamide, levetiracetam, and pregabalin following CYT i.p. administration. CYT administered in a dose of 2 mg kg-1 failed to change the protective action of clobazam, clonazepam, phenobarbital, tiagabine, and valproate in the 6-Hz test. Neither CYT (2 mg kg-1) alone nor its combination with the anticonvulsant drugs (at their ED50 values from the 6-Hz test) affected motor coordination; skeletal muscular strength and long-term memory, as determined in the chimney; and grip strength and passive avoidance tests, respectively. CONCLUSION: CYT-evoked alterations in the protection provided by some antiepileptic drugs against seizures can be of serious concern for epileptic smokers, who might demonstrate therapeutic failure to lacosamide, levetiracetam, and pregabalin, resulting in possible breakthrough seizure attacks.
Assuntos
Alcaloides/toxicidade , Anticonvulsivantes/uso terapêutico , Eletrochoque/efeitos adversos , Agonistas Nicotínicos/toxicidade , Convulsões/tratamento farmacológico , Animais , Anticonvulsivantes/farmacologia , Azocinas/toxicidade , Relação Dose-Resposta a Droga , Levetiracetam , Masculino , Memória de Longo Prazo/efeitos dos fármacos , Memória de Longo Prazo/fisiologia , Camundongos , Fenobarbital/antagonistas & inibidores , Fenobarbital/farmacologia , Fenobarbital/uso terapêutico , Piracetam/análogos & derivados , Piracetam/antagonistas & inibidores , Piracetam/farmacologia , Piracetam/uso terapêutico , Quinolizinas/toxicidade , Convulsões/etiologia , Convulsões/psicologia , Ácido Valproico/antagonistas & inibidores , Ácido Valproico/farmacologia , Ácido Valproico/uso terapêuticoRESUMO
Docosahexaenoic acid (22:6n-3; DHA) is known to play a critical role in postnatal brain development. However, there have been no studies investigating the preventive effect of DHA on prenatal valproic acid (VPA)-induced behavioral and molecular alterations in offspring. The present study was to evaluate the neuroprotective effects in offspring using maternal feeding of DHA to rats exposed to VPA in pregnancy. In the present study, rats were exposed to VPA on day 12.5 of pregnancy; DHA was administered at the dosages of 100, 300 and 500 mg/kg/day for 3 weeks from day 1 to 21 of pregnancy. The results showed that maternal feeding of DHA to the prenatal exposed to VPA (1) prevented VPA-induced learning and memory impairment but did not change social-related behavior, (2) increased total DHA content in offspring plasma and hippocampus, (3) rescued VPA-induced neuronal loss and apoptosis of pyramidal cells in hippocampal CA1, (4) influenced the content of malondialdehyde and glutathione and the activities of superoxide dismutase and glutathione in the hippocampus, (5) altered levels of apoptosis-related proteins (Bcl-2, Bax and caspase-3) and inhibited the activity of caspase-3 in offspring hippocampus and (6) enhanced relative levels of p-CaMKII and p-CREB proteins in the hippocampus. These findings suggest that maternal feeding with DHA may prevent prenatal VPA-induced impairment of learning and memory, normalize several different molecules associated with oxidative stress and apoptosis in the hippocampus of offspring, and exert preventive effects on prenatal VPA-induced brain dysfunction.
Assuntos
Anticonvulsivantes/efeitos adversos , Ácidos Docosa-Hexaenoicos/uso terapêutico , Deficiências da Aprendizagem/prevenção & controle , Fenômenos Fisiológicos da Nutrição Materna , Transtornos da Memória/prevenção & controle , Efeitos Tardios da Exposição Pré-Natal , Ácido Valproico/efeitos adversos , Animais , Anticonvulsivantes/química , Comportamento Animal/efeitos dos fármacos , Região CA1 Hipocampal/efeitos dos fármacos , Região CA1 Hipocampal/metabolismo , Região CA1 Hipocampal/patologia , Suplementos Nutricionais , Ácidos Docosa-Hexaenoicos/administração & dosagem , Ácidos Docosa-Hexaenoicos/metabolismo , Feminino , Deficiências da Aprendizagem/induzido quimicamente , Deficiências da Aprendizagem/metabolismo , Deficiências da Aprendizagem/patologia , Masculino , Aprendizagem em Labirinto/efeitos dos fármacos , Transtornos da Memória/induzido quimicamente , Transtornos da Memória/metabolismo , Transtornos da Memória/patologia , Proteínas do Tecido Nervoso/metabolismo , Neurônios/efeitos dos fármacos , Neurônios/metabolismo , Neurônios/patologia , Fármacos Neuroprotetores/uso terapêutico , Fosforilação/efeitos dos fármacos , Gravidez , Processamento de Proteína Pós-Traducional/efeitos dos fármacos , Ratos Wistar , Comportamento Social , Ácido Valproico/antagonistas & inibidoresRESUMO
BACKGROUND: The marble burying test is used to measure repetitive and anxiety-related behaviour in rodents. The number of marbles that animals bury are count data (non-negative integers), which are bounded below by zero and above by the number of marbles present. Count data are often analysed using normal linear models, which include the t-test and analysis of variance (ANOVA) as special cases. Linear models assume that the data are unbounded and that the variance is constant across groups. These requirements are rarely met with count data, leading to 95% confidence intervals that include impossible values (less than zero or greater than the number of marbles present), misleading p-values, and impossible predictions. Transforming the data or using nonparametric methods are common alternatives but transformations do not perform well when many zero values are present and nonparametric methods have several drawbacks. FINDINGS: The problems with using normal linear models to analyse marble burying data are demonstrated and generalised linear models (GLMs) are introduced as more appropriate alternatives. CONCLUSIONS: GLMs have been specifically developed to deal with count and other types of non-Gaussian data, are straightforward to use and interpret, and will lead to more sensible inferences.
Assuntos
Ansiedade/diagnóstico , Transtorno Autístico/diagnóstico , Modelos Lineares , Transtorno Obsessivo-Compulsivo/diagnóstico , Análise de Variância , Animais , Ansiedade/induzido quimicamente , Ansiedade/tratamento farmacológico , Ansiedade/fisiopatologia , Transtorno Autístico/induzido quimicamente , Transtorno Autístico/tratamento farmacológico , Transtorno Autístico/fisiopatologia , Comportamento Animal/efeitos dos fármacos , Carbonato de Cálcio , Modelos Animais de Doenças , Camundongos , Transtorno Obsessivo-Compulsivo/induzido quimicamente , Transtorno Obsessivo-Compulsivo/tratamento farmacológico , Transtorno Obsessivo-Compulsivo/fisiopatologia , Piridinas/farmacologia , Distribuições Estatísticas , Ácido Valproico/efeitos adversos , Ácido Valproico/antagonistas & inibidoresRESUMO
VPA (valproic acid), a short-chain fatty acid that is a HDAC (histone deacetylase) inhibitor, is known to suppress adipogenesis. In the present study, we identified the molecular mechanism of VPA-mediated suppression of adipogenesis in adipocytes. VPA suppressed the accumulation of intracellular triacylglycerol. The expression levels of PPARγ (peroxisome-proliferator-activated receptor γ) and C/EBPα (CCAAT/enhancer-binding protein α), which are key regulators of adipogenesis, as well as the expression of SCD (stearoyl-CoA desaturase), were decreased by the treatment with VPA. Moreover, glycerol release was decreased in the VPA-treated cells, even though the transcription levels of ATGL (adipose triacylglycerol lipase), HSL (hormone-sensitive lipase) and MGL (monoacylglycerol lipase), all of which are involved in lipolysis, were elevated by the treatment with VPA. It is noteworthy that the expression level of FAS (fatty acid synthase) was significantly suppressed when the cells were cultured in medium containing VPA. Furthermore, VPA-mediated suppression of the accumulation of the intracellular triacylglycerols was prevented by the treatment with palmitic acid, a major product of FAS. The results of promoter-luciferase and chromatin immunoprecipitation assays demonstrated that USF1(upstream stimulating factor 1) bound to the E-box of the promoter region of the FAS gene. In addition, the expression of USF1 was decreased by the treatment with VPA. siRNA-mediated knockdown of the expression of the USF1 gene repressed adipogenesis along with the decreased expression of the FAS gene. The overexpression of USF1 enhanced both adipogenesis and the expression of FAS in VPA-treated cells. These results indicate that VPA suppressed adipogenesis through the down-regulation of USF1-activated fatty acid synthesis in adipocytes.
Assuntos
Adipócitos Brancos/efeitos dos fármacos , Adipogenia/efeitos dos fármacos , Regulação para Baixo/efeitos dos fármacos , Ácido Graxo Sintase Tipo I/antagonistas & inibidores , Inibidores de Histona Desacetilases/farmacologia , Fatores Estimuladores Upstream/antagonistas & inibidores , Ácido Valproico/farmacologia , Células 3T3-L1 , Adipócitos Brancos/citologia , Adipócitos Brancos/metabolismo , Animais , Proteína alfa Estimuladora de Ligação a CCAAT/antagonistas & inibidores , Proteína alfa Estimuladora de Ligação a CCAAT/genética , Proteína alfa Estimuladora de Ligação a CCAAT/metabolismo , Ácido Graxo Sintase Tipo I/química , Ácido Graxo Sintase Tipo I/genética , Ácido Graxo Sintase Tipo I/metabolismo , Ácidos Graxos/biossíntese , Ácidos Graxos não Esterificados/metabolismo , Genes Reporter/efeitos dos fármacos , Camundongos , PPAR gama/antagonistas & inibidores , PPAR gama/genética , PPAR gama/metabolismo , Ácido Palmítico/metabolismo , Regiões Promotoras Genéticas/efeitos dos fármacos , Interferência de RNA , RNA Interferente Pequeno , Proteínas Recombinantes/química , Proteínas Recombinantes/metabolismo , Estearoil-CoA Dessaturase/antagonistas & inibidores , Estearoil-CoA Dessaturase/genética , Estearoil-CoA Dessaturase/metabolismo , Triglicerídeos/biossíntese , Fatores Estimuladores Upstream/genética , Fatores Estimuladores Upstream/metabolismo , Ácido Valproico/antagonistas & inibidoresRESUMO
BACKGROUND AND OBJECTIVE: Sodium valproate is a widely prescribed broad-spectrum antiepileptic drug. It shows high inter-individual variability in pharmacokinetics and pharmacodynamics and has a narrow therapeutic range. We evaluated the effects of polymorphic uridine diphosphate glucuronosyltransferase (UGT)1A6 (541A>G, 552A>C) metabolizing enzyme on the pharmacokinetics of sodium valproate in the patients with epilepsy who showed toxicity to therapy. METHODS: Genotype analysis of the patients was made with polymerase chain-restriction fragment length polymorphism (RFLP) with sequencing. Plasma drug concentrations were measured with reversed phase high-performance liquid chromatography (HPLC) and concentration-time data were analyzed by using a non-compartmental approach. RESULTS: The results of this study suggested a significant genotypic as well as allelic association with valproic acid toxicity for UGT1A6 (541A>G) or UGT1A6 (552A>C) polymorphic enzymes. The elimination half-life (t ½ = 40.2 h) of valproic acid was longer and the clearance rate (CL = 917 ml/h) was lower in the poor metabolizers group of UGT1A6 (552A>C) polymorphism who showed toxicity than in the intermediate metabolizers group (t ½ = 35.5 h, CL = 1,022 ml/h) or the extensive metabolizers group (t ½ = 25.4 h, CL = 1,404 ml/h). CONCLUSION: Our findings suggest that the UGT1A6 (552A>C) genetic polymorphism plays a significant role in the steady state concentration of valproic acid, and it thereby has an impact on the toxicity of the valproic acid used in the patients with epilepsy.
Assuntos
Anticonvulsivantes/farmacocinética , Epilepsia/tratamento farmacológico , Glucuronosiltransferase/genética , Ácido Valproico/farmacocinética , Adolescente , Adulto , Anticonvulsivantes/efeitos adversos , Anticonvulsivantes/sangue , Criança , Epilepsia/genética , Epilepsia/metabolismo , Epilepsia/patologia , Feminino , Variação Genética , Genótipo , Humanos , Índia , Masculino , Polimorfismo de Nucleotídeo Único , Ácido Valproico/antagonistas & inibidores , Ácido Valproico/sangue , Adulto JovemRESUMO
BACKGROUND AND PURPOSE: Enhanced angiogenesis facilitates neurovascular remodeling processes and promotes brain functional recovery after stroke. Previous studies from our laboratory demonstrated that valproate (VPA), a histone deacetylase inhibitor, protects against experimental brain ischemia. The present study investigated whether VPA could enhance angiogenesis and promote long-term functional recovery after ischemic stroke. METHODS: Male rats underwent middle cerebral artery occlusion for 60 minutes followed by reperfusion for up to 14 days. Assessed parameters were: locomotor function through the Rotarod test; infarct volume through T2-weighted MRI; microvessel density through immunohistochemistry; relative cerebral blood flow through perfusion-weighted imaging; protein levels of proangiogenic factors through Western blotting; and matrix metalloproteinase-2/9 activities through gelatin zymography. RESULTS: Postischemic VPA treatment robustly improved the Rotarod performance of middle cerebral artery occlusion rats on Days 7 and 14 after ischemia and significantly reduced brain infarction on Day 14. Concurrently, VPA markedly enhanced microvessel density, facilitated endothelial cell proliferation, and increased relative cerebral blood flow in the ipsilateral cortex. The transcription factor hypoxia-inducible factor-1α and its downstream proangiogenic factors, vascular endothelial growth factor and matrix metalloproteinase-2/9, were upregulated after middle cerebral artery occlusion and significantly potentiated by VPA in the ipsilateral cortex. Acetylation of histone-H3 and H4 was robustly increased by chronic VPA treatment. The beneficial effects of VPA on Rotarod performance and microvessel density were abolished by hypoxia-inducible factor-1α inhibition. CONCLUSIONS: Chronic VPA treatment enhances angiogenesis and promotes functional recovery after brain ischemia. These effects may involve histone deacetylase inhibition and upregulation of hypoxia-inducible factor-1α and its downstream proangiogenic factors vascular endothelial growth factor and matrix metalloproteinase-2/9.
Assuntos
Anticonvulsivantes/farmacologia , Isquemia Encefálica/tratamento farmacológico , Neovascularização Fisiológica/efeitos dos fármacos , Acidente Vascular Cerebral/tratamento farmacológico , Ácido Valproico/farmacologia , Animais , Anticonvulsivantes/antagonistas & inibidores , Western Blotting , Isquemia Encefálica/patologia , Infarto Cerebral/tratamento farmacológico , Infarto Cerebral/patologia , Subunidade alfa do Fator 1 Induzível por Hipóxia/antagonistas & inibidores , Imuno-Histoquímica , Infarto da Artéria Cerebral Média/tratamento farmacológico , Infarto da Artéria Cerebral Média/patologia , Locomoção , Imageamento por Ressonância Magnética , Masculino , Metaloproteinase 2 da Matriz/metabolismo , Metaloproteinase 9 da Matriz/metabolismo , Equilíbrio Postural/efeitos dos fármacos , Ratos , Ratos Sprague-Dawley , Recuperação de Função Fisiológica/efeitos dos fármacos , Acidente Vascular Cerebral/patologia , Ácido Valproico/antagonistas & inibidoresAssuntos
Acetilcisteína/farmacologia , Anticonvulsivantes/antagonistas & inibidores , Anticonvulsivantes/toxicidade , Antioxidantes/farmacologia , Ácido Ascórbico/farmacologia , Ácido Fólico/farmacologia , Teratogênicos , Ácido Valproico/antagonistas & inibidores , Ácido Valproico/toxicidade , Vitaminas/farmacologia , AnimaisRESUMO
PURPOSE: The aim of this study is to elucidate the preventive effect of folic acid (FA) on teratogenic effects of valporic acid (VA) in early stage chick embryos on neural tube development. MATERIALS AND METHODS: One hundred and fifty specific pathogen-free (SPF) chick eggs were used to investigate the neurulation in five groups. Group A was the control group. Group B was injected 0.02 ml of saline (0.9% NaCl) and was used for sham group. VA (0.72 mg) in 0.02 ml saline was injected in Group C, and 0.342 mcg of FA in 0.02 ml NaCl were administered to the embryos in Group D. VA (0.72 mg) + 0.342 mcg of FA in 0.02 ml saline were administered simultaneously to the eggs in Group E. At the end of 72 h, all embryos were extracted from eggs and were fixed, and for histological analyses hematoxylin and eosine was used, for detection of apoptotic cells terminal deoxyribonucleotide transferase-mediated dUTP-X nick end labeling (TUNEL) was used and for distribution of P53, bcl-2 and caspase-3, caspase-6, caspase-8 and caspase-9 immunoperoxidase techniques were used. RESULTS: While there were no neural tube defects in the embryos of groups A, B and D, eight embryos died in group C and there were 12 embryos with retarded embryological development. In contrast to that, no death was observed in group E, but only eight embryos were detected with maldevelopmental delay stage. CONCLUSION: These results suggested that VA may induce apoptotic mechanisms but not through the p53 pathway. In addition, FA effectively prevents the teratogenic influence of VA on chick embryo at neurulation stages by stopping cascade of apoptosis before caspase 3 expression.
Assuntos
Ácido Fólico/administração & dosagem , Sistema Nervoso/efeitos dos fármacos , Sistema Nervoso/embriologia , Neurulação/efeitos dos fármacos , Ácido Valproico/antagonistas & inibidores , Ácido Valproico/toxicidade , Animais , Anticonvulsivantes/antagonistas & inibidores , Anticonvulsivantes/toxicidade , Embrião de Galinha , Desenvolvimento Embrionário/efeitos dos fármacos , Desenvolvimento Embrionário/fisiologia , Defeitos do Tubo Neural/induzido quimicamente , Defeitos do Tubo Neural/prevenção & controle , Neurulação/fisiologiaRESUMO
The teratogenicity of antiepilepsy drug valproic acid (VPA) mostly is found in genetic and somatic levels, causing teratogenesis involving neurotubular defects (NTDs), anencephaly, lumbosacral meningomyelocele, and leg dysfunction due to spina bifida aperta. A diversity of nutraceutics have been tried to alleviate the risk of VPA-teratogenicity. The effect was varying. In order to promote the preventive prescription, to find out its action mechanism can be rather crucial. We used chicken embryo model to try the effect of folic acid (FA), ascorbic acid (AA), and N-acetyl cysteine (NAC). VPA at 30mM showed the higher malformation rate (66.7%) with the least mortality (22.2%). Pathological findings indicated that the cervical muscle was more susceptible to VPA injury than the ankle muscle. VPA downregulated levels of superoxide dismutase (SOD), glutathione (GSH), histone deacetylase (HDAC) and folate, and upregulated H(2)O(2) and homocysteine. FA, AA, and NAC significantly upregulated SOD, but only AA alone activated GSH. AA and NAC downregulated H(2)O(2), while FA was totally ineffective. All three nutraceutics comparably rescued HDAC with simultaneously suppressed homocysteine accumulation and folate re-elevation, although less effectively by NAC. Based on these data, we conclude VPA possesses "Multiple Point Action Mechanism". In addition to affecting the cited transcription and translation levels, we hypothesize that VPA competitively antagonize the glutamic acid to couple with pteroic acid in biosynthesis of dihydrofolic acid (DHFA). H(2)O(2) directly destroyed the NADPH reducing system at dihydrofolate reductase (DHFR) and methylene tetrahydrofolate reductase (MTHFR) levels, while completely restored by AA, an implication in preservation of intact apoenzymes. In addition, the GSH-GSSG system is sandwiched between the reducing systems NADPH/NADP and DHA-AA, its net balance is highly dependent on in situ in vivo Redox state, hence folic acid transformation is varying. To rescue the VPA-induced teratogenicity, simultaneous multiple prescriptions are suggested.
Assuntos
Acetilcisteína/farmacologia , Anticonvulsivantes/antagonistas & inibidores , Anticonvulsivantes/toxicidade , Antioxidantes/farmacologia , Ácido Ascórbico/farmacologia , Ácido Fólico/farmacologia , Teratogênicos , Ácido Valproico/antagonistas & inibidores , Ácido Valproico/toxicidade , Vitaminas/farmacologia , Acetilcisteína/sangue , Animais , Ácido Ascórbico/sangue , Embrião de Galinha , Cromatografia Líquida de Alta Pressão , Ácido Fólico/sangue , Deformidades do Pé/induzido quimicamente , Glutationa/metabolismo , Membro Posterior/anormalidades , Histona Desacetilases/metabolismo , Homocisteína/metabolismo , Peróxido de Hidrogênio/metabolismo , Articulações/anormalidades , Articulações/patologia , Músculo Esquelético/anormalidades , Músculo Esquelético/patologia , Neovascularização Fisiológica/efeitos dos fármacos , Superóxido Dismutase/metabolismo , Inclusão do Tecido , Vitaminas/sangueRESUMO
Valproate produces analgesia in animals and humans, however, its mechanisms of action are yet unknown. The present study examined effects of repeated administration of valproate on behavioral hypersensitivity and expression of glutamate transporter-1 (GLT-1) and glutamate-aspartate transporter (GLAST) in the spinal dorsal horn in rats after L5-L6 spinal nerve ligation (SNL). SNL significantly reduced mechanical withdrawal threshold and expression of GLT-1 and GLAST in the spinal dorsal horn. Repeated oral administration of valproate reduced hypersensitivity, restored down-regulated expression of GLT-1 and GLAST in the spinal dorsal horn, and enhanced analgesia from the glutamate transporter activator riluzole. This analgesia from valproate was blocked by the selective GLT-1 blocker dihydrokainic acid (DHK). These data suggest that valproate restores down-regulated expression of glutamate transporters in the spinal cord to presumably reduce glutamate signaling and to reduce hypersensitivity after nerve injury, and that combination of valproate with riluzole produces enhanced analgesia which relies on the spinal glutamate transporters.
Assuntos
Transportador 1 de Aminoácido Excitatório/biossíntese , Transportador 2 de Aminoácido Excitatório/biossíntese , Hiperalgesia/metabolismo , Traumatismos dos Nervos Periféricos/metabolismo , Ácido Valproico/farmacologia , Analgésicos/administração & dosagem , Analgésicos/antagonistas & inibidores , Analgésicos/farmacologia , Analgésicos/uso terapêutico , Animais , Modelos Animais de Doenças , Quimioterapia Combinada , Transportador 2 de Aminoácido Excitatório/antagonistas & inibidores , Hiperalgesia/tratamento farmacológico , Ácido Caínico/análogos & derivados , Ácido Caínico/farmacologia , Limiar da Dor/efeitos dos fármacos , Traumatismos dos Nervos Periféricos/tratamento farmacológico , Ratos , Ratos Sprague-Dawley , Riluzol/administração & dosagem , Riluzol/farmacologia , Riluzol/uso terapêutico , Medula Espinal/efeitos dos fármacos , Medula Espinal/metabolismo , Regulação para Cima , Ácido Valproico/administração & dosagem , Ácido Valproico/antagonistas & inibidores , Ácido Valproico/uso terapêuticoRESUMO
The present study was designed to examine the potential preventive effect of curcumin (CMN; CAS 458-37-7), rosiglitazone (RGN; CAS 155141-29-0), N-acetylcysteine (NAC; CAS 616-91-1), resveratrol (RSV; CAS 501-36-0), and losartan (LOS; CAS 114798-26-4) on sodium valproate-induced hepatotoxicity. Sodium valproate (SVP; CAS 1069-66-5) was given at a dose of 250 mg/kg i. p. 3 times daily for one week. The tested compounds were given simultaneously with SVP for one week. The results demonstrate that CMN, RGN and NAC treatment can confer protection from SVP-induced hepatotoxicity. The second part of the study includes an evaluation of the effect of CMN, RGN and NAC on the anticonvulsant activity of SVP against pentetrazole-induced seizures in mice. The results demonstrate that CMN, RGN and NAC do not affect the anticonvulsant activity of SVP. Combined administration of either of CMN, RGN and NAC with valproate appears to be beneficial in reducing valproate-induced hepatotoxicity.
Assuntos
Acetilcisteína/uso terapêutico , Anticonvulsivantes/toxicidade , Doença Hepática Induzida por Substâncias e Drogas/prevenção & controle , Curcumina/uso terapêutico , Sequestradores de Radicais Livres/uso terapêutico , Hipoglicemiantes/uso terapêutico , Tiazolidinedionas/uso terapêutico , Ácido Valproico/toxicidade , Animais , Anticonvulsivantes/antagonistas & inibidores , Anticonvulsivantes/uso terapêutico , Peso Corporal/efeitos dos fármacos , Doença Hepática Induzida por Substâncias e Drogas/patologia , Convulsivantes , Ingestão de Alimentos/efeitos dos fármacos , Fígado Gorduroso/induzido quimicamente , Fígado Gorduroso/patologia , Fígado Gorduroso/prevenção & controle , Fígado/patologia , Testes de Função Hepática , Masculino , Camundongos , Pentilenotetrazol , Ratos , Ratos Sprague-Dawley , Rosiglitazona , Convulsões/induzido quimicamente , Convulsões/prevenção & controle , Ácido Valproico/antagonistas & inibidores , Ácido Valproico/uso terapêuticoRESUMO
BACKGROUND: Difficulty modeling complex behavioral phenotypes in rodents (e.g., language) has hindered pathophysiological investigation and treatment development for autism spectrum disorders. Recent human neuroimaging studies, however, have identified functional biomarkers that can be more directly related to the abnormal neural dynamics of autism spectrum disorders. This study assessed the translational potential of auditory evoked-response endophenotypes of autism in parallel mouse and human studies of autism. METHODS: Whole-cortex magnetoencephalography was recorded in 17 typically developing and 25 autistic children during auditory pure-tone presentation. Superior temporal gyrus activity was analyzed in time and frequency domains. Auditory evoked potentials were recorded in mice prenatally exposed to valproic acid (VPA) and analyzed with analogous methods. RESULTS: The VPA-exposed mice demonstrated selective behavioral alterations related to autism, including reduced social interactions and ultrasonic vocalizations, increased repetitive self-grooming, and prepulse inhibition deficits. Autistic subjects and VPA-exposed mice showed a similar 10% latency delay in the N1/M100 evoked response and a reduction in γ frequency (30-50 Hz) phase-locking factor. Electrophysiological measures were associated with mouse behavioral deficits. In mice, γ phase-locking factor was correlated with expression of the autism risk gene neuroligin-3 and neural deficits were modulated by the mGluR5-receptor antagonist MPEP. CONCLUSIONS: Results demonstrate a novel preclinical approach toward mechanistic understanding and treatment development for autism.
Assuntos
Percepção Auditiva/fisiologia , Transtorno Autístico/fisiopatologia , Ondas Encefálicas/fisiologia , Potenciais Evocados Auditivos/fisiologia , Animais , Animais Recém-Nascidos , Comportamento Animal/efeitos dos fármacos , Comportamento Animal/fisiologia , Biomarcadores , Moléculas de Adesão Celular Neuronais/biossíntese , Córtex Cerebral/fisiopatologia , Criança , Modelos Animais de Doenças , Endofenótipos , Potenciais Evocados Auditivos/genética , Feminino , Humanos , Magnetoencefalografia/métodos , Masculino , Proteínas de Membrana/biossíntese , Camundongos , Camundongos Endogâmicos C57BL , Proteínas do Tecido Nervoso/biossíntese , Gravidez , Efeitos Tardios da Exposição Pré-Natal/fisiopatologia , Piridinas/farmacologia , Lobo Temporal/fisiopatologia , Ácido Valproico/efeitos adversos , Ácido Valproico/antagonistas & inibidoresRESUMO
Si bien la predisposición a desarrollar esquizofrenia ha sido, en parte, atribuida a un componente genético, la evidencia experimental de los últimos años sugiere que este trastorno puede ser el resultado de una aberración epigenética. De ahí que a las hipótesis hiperdopaminérgica e hipoglutamatérgica, se le sume la hipótesis epigenética de la esquizofrenia. Esta última propone que la fisiopatología de la enfermedad se sostiene en cambios en la expresión génica por una estructura aberrante de la cromatina, más que por cambios en la secuencia del ADN. De los múltiples blancos moleculares propuestos en la etiología de la enfermedad, cobra particular importancia la enzima ácido glutámico descarboxilasa, encargada de sintetizar el ácido γ - amino butírico (GABA), en especial la isoforma de 67 kDa, y la reelina, cuyos genes codificantes parecen estar hipermetilados en pacientes con esquizofrenia cuando se los compara con individuos sanos. Esto determina un menor nivel de expresión de la enzima y niveles disminuidos de GABA, lo que involucra íntimamente a este neurotransmisor en el desarrollo de la esquizofrenia.
Although the tendency to develop shizophrenia has partly been ascribed to a genetic component, experimental evidence gathered in recent years suggests that this disorder may be the producto of an epigenetic aberration. Hence, the hyperdopaminergic and hupoglutamatergic hypotheses add on the epigenetic hypothesis for shizophrenial. The latter proposes that the physiopathology of schizophrenia stems from changes in the gene expression, into an aberrant structure of the chromatin, rather than from DNA sequence variations. Oif the multiple molecular targets proposed in the etiology of shizophrenia, one which acquires particular significance is the enzyme, glutamic acid decarboxylase, which synthesizes Y-aminobutyric acid (GABA), especially 67-kDa isoform and reelin, whose codifying genes seem to be hypermethylated in patients with schizophrenia, as compared with healthy individuals. This determines a lower level of expression of the enzyme, as well as rduced GABA levels, which evidences the close relationship betweeen this neurotransmissor and the development of schizophrenia.
Assuntos
Camundongos , Ácido Valproico/antagonistas & inibidores , DNA , Epigênese Genética/genética , Esquizofrenia/genética , Esquizofrenia/terapia , GABAérgicos , Histonas/genética , Metionina/administração & dosagem , Neurópilo/patologia , Regulação da Expressão Gênica/fisiologiaRESUMO
One dithiolthione and two new methanethiosulfonate derivatives of valproic acid (VPA) were synthesized and tested in vitro as histone deacetylase (HDAC) inhibitors. The new molecules, as well as their sulfurated moieties, exhibited a much stronger inhibition of HDAC enzymatic and antiproliferative activities and histone hyperacetylation than VPA. ACS 2 is the most interesting compound among the new VPA derivatives and its sulfurated moiety, 5-(4-hydroxyphenyl)-3H-1,2-dithiole-3-thione, also known to be a metabolite of anethole trithione, seems to contribute significantly to its activity. This is the first time that HDAC inhibitory activity is described for dithiolethiones and thiosulfonates.