Your browser doesn't support javascript.
loading
: 20 | 50 | 100
1 - 20 de 24
1.
J Pharmacol Toxicol Methods ; 126: 107496, 2024.
Article En | MEDLINE | ID: mdl-38432527

An adverse effect of drug candidates, seizure is a serious issue in drug development. Improving evaluation systems for seizure liability is crucial for selecting good candidates. Firstly, in vitro electrophysiological measurement by a multielectrode array system in rat hippocampal brain slices was employed to confirm an increase in electrically evoked population spike (PS) area, the occurrence of multiple population spikes (MPSs), and thereby the seizure liability of five positive control chemicals: picrotoxin, 4-aminopyridine, pentylenetetrazole, penicillin G, and chlorpromazine. Aspirin, a negative control, did not affect PS area or generate MPSs. Furthermore, baclofen, an anticonvulsant drug, decreased PS area and inhibited the increase in PS area or occurrence of MPSs induced by picrotoxin. A comparative study of seizure liability among carbapenem antibiotics revealed that tienam > carbenin > omegacin and finibax. Despite leading to a strong decrease in PS area, physostigmine, cisplatin, and paroxetine still produced MPSs. Therefore, the increase in PS area or the occurrence of the MPS are considered significant evaluation parameters for seizure liability. In contrast, the in vitro electrophysiological measurement could not detect the seizure liability of diphenhydramine or fluvoxamine. A follow-up study of in vivo mouse behavioral change induced by intracerebroventricular administration of these drugs clearly detected convulsions. The in vitro electrophysiological study using hippocampal brain slices combined with in vivo behavior observation study of drug candidates administered by intracerebroventricular injection can implement to assess the seizure liability of even small amounts, especially in the early stages of drug development.


Behavior Observation Techniques , Seizures , Rats , Mice , Animals , Picrotoxin/adverse effects , Follow-Up Studies , Seizures/chemically induced , Electrophysiology , Hippocampus , Brain
2.
Biomed Pharmacother ; 173: 116352, 2024 Apr.
Article En | MEDLINE | ID: mdl-38417289

Salvia amarissima Ortega is a plant used in traditional medicine to treat CNS's affections. Despite its depressant properties in anxiety and fibromyalgia, there is no scientific evidence about its capability to control seizure activity. This study aimed to investigate the effects of the S. amarissima aqueous extract (SAAE) and its metabolite amarisolide A (AMA) on the electrocorticographic (ECoG) activity. The ECoG profiles were previously and concurrently analyzed to the pentylenetetrazole (85 mg/kg, i.p.)-induced seizure behavior after thirty min of the administration of several doses of the SAAE (1, 10, 30, and 100 mg/kg, i.p.) and two doses of AMA (0.5 and 1 mg/kg, i.p.). A dosage of AMA (1 mg/kg,i.p.) was selected to explore a possible mechanism of action by using antagonists of inhibitory receptors such as GABAA (picrotoxin, 1 mg/kg, i.p.) or 5-HT1A of serotonin (WAY100635, 1 mg/kg, i.p.). Significant changes in the frequency bands and the spectral power were observed after the treatment alone. Additionally, SAAE and AMA produced significant and dose-dependent anticonvulsant effects by reducing the incidence and severity of seizures and increasing latency or survival. Both antagonists prevented the effects of AMA in the severity score of seizures and survival during the tonic-clonic seizures. In conclusion, our preclinical data support that S. amarissima possesses anticonvulsant properties, in part due to the presence of amarisolide A, mediated by different inhibitory mechanisms of action. Our scientific evidence suggests that this Salvia species and amarisolide A are potential neuroprotective alternatives to control seizures in epilepsy therapy.


Anticonvulsants , Salvia , Mice , Animals , Anticonvulsants/pharmacology , Anticonvulsants/therapeutic use , Seizures/chemically induced , Seizures/drug therapy , Seizures/prevention & control , Pentylenetetrazole , Picrotoxin/adverse effects , Water , Dose-Response Relationship, Drug , Plant Extracts/adverse effects
3.
Chin J Nat Med ; 15(8): 584-596, 2017 Aug.
Article En | MEDLINE | ID: mdl-28939021

Stress and emotion are associated with several illnesses from headaches to heart diseases and immune deficiencies to central nervous system. Terminalia arjuna has been referred as traditional Indian medicine for several ailments. The present study aimed to elucidate the effect of T. arjuna bark extract (TA) against picrotoxin-induced anxiety. Forty two male Balb/c mice were randomly divided into six experimental groups (n = 7): control, diazepam (1.5 mg·kg-1), picrotoxin (1 mg·kg-1) and three TA treatemt groups (25, 50, and 100 mg/kg). Behavioral paradigms and PCR studies were performed to determine the effect of TA against picrotoxin-induced anxiety. The results showed that TA supplementation increased locomotion towards open arm (EPM) and illuminated area (light-dark box test), and increased rearing frequency (open field test) in a dose dependent manner, compared to picrotoxin (P < 0.05). Furthermore, TA increased number of licks and shocks in Vogel's conflict. PCR studies showed an up-regulation of several genes, such as BDNF, IP3, D2L, CREB, GABAA, SOD, GPx, and GR in TA administered groups. In conclusion, alcoholic extract of TA bark showed protective activity against picrotoxin in mice by modulation of genes related to synaptic plasticity, neurotransmitters, and antioxidant enzymes.


Antioxidants/metabolism , Anxiety Disorders/drug therapy , Dopamine Agents/administration & dosage , GABA Agents/administration & dosage , Picrotoxin/adverse effects , Plant Extracts/administration & dosage , Serotonin Agents/administration & dosage , Terminalia/chemistry , Animals , Anxiety Disorders/genetics , Anxiety Disorders/metabolism , Anxiety Disorders/psychology , Brain-Derived Neurotrophic Factor/genetics , Brain-Derived Neurotrophic Factor/metabolism , Glutathione Peroxidase/genetics , Glutathione Peroxidase/metabolism , Humans , Male , Mice , Mice, Inbred BALB C , Neuronal Plasticity/drug effects , Neurotransmitter Agents/metabolism , Phytotherapy , Plant Bark/chemistry , Superoxide Dismutase-1/genetics , Superoxide Dismutase-1/metabolism
4.
Phytother Res ; 28(2): 207-11, 2014 Feb.
Article En | MEDLINE | ID: mdl-23533066

The increasing prevalence and social burden of subclinical anxiety in the western world represents a significant psychosocial and financial cost. Consumers are favouring a more natural and nonpharmacological approach for alleviating the effects of everyday stress and anxiety. The gamma-aminobutyric acid (GABA) receptor is the primary mediator of central inhibitory neurotransmission, and GABA-receptor agonists are well known to convey anxiolytic effects. Using an in vitro screening approach to identify naturally occurring phytochemical GABA agonists, we discovered the plant secondary metabolite p-coumaric acid to have significant GABAergic activity, an effect that could be blocked by co-administration of the specific GABA-receptor antagonist, picrotoxin. Oral administration of p-coumaric acid to rodents induced a significant anxiolytic effect in vivo as measured using the elevated plus paradigm, in line with the effects of oral diazepam. Given that p-coumaric acid is reasonably well absorbed following oral consumption in man and is relatively nontoxic, it may be suitable for the formulation of a safe and effective anxiolytic functional food.


Anti-Anxiety Agents/pharmacology , Coumaric Acids/pharmacology , GABA Antagonists/pharmacology , Receptors, GABA-A/metabolism , Animals , Diazepam/pharmacology , Male , Motor Activity/drug effects , Phytochemicals/pharmacology , Picrotoxin/adverse effects , Propionates , Rats , Rats, Wistar , Synaptic Transmission/drug effects
5.
N Z Med J ; 126(1370): 103-9, 2013 Mar 01.
Article En | MEDLINE | ID: mdl-23474518

We describe three cases of tutu berry (Coriaria arborea) ingestion resulting in tonic-clonic seizures in two individuals and mild symptoms in the third. Tutu poisoning in humans appears to be a rare occurrence; the last reported case in the medical literature being over 40 years ago. We review the literature on tutu poisoning and recommend extending the period of observation for poisoned individuals from 8 hours to 12 hours or longer. We also recommend that prophylactic benzodiazepine use should be considered in those with mild to moderate symptoms of poisoning.


Picrotoxin/analogs & derivatives , Plants, Toxic/adverse effects , Sesquiterpenes/adverse effects , Adult , Anticonvulsants/therapeutic use , Diazepam/therapeutic use , Epilepsy, Tonic-Clonic/chemically induced , Epilepsy, Tonic-Clonic/drug therapy , Female , Fruit/adverse effects , Humans , Male , Nausea/chemically induced , Picrotoxin/adverse effects , Plant Poisoning/diagnosis , Tachycardia/chemically induced , Young Adult
6.
J Pharmacol Exp Ther ; 341(2): 435-46, 2012 May.
Article En | MEDLINE | ID: mdl-22328574

Tetramethylenedisulfotetramine (tetramine; TETS) is a potent convulsant poison that is considered to be a chemical threat agent. To provide a basis for the investigation of antidotes for TETS-induced seizures, we characterized the convulsant activity of TETS in mice and rats when administered by the intraperitoneal, intravenous, oral, and intraventricular routes as a single acute dose and with repeated sublethal doses. In mice, parenteral and oral TETS caused immobility, myoclonic body jerks, clonic seizures of the forelimbs and/or hindlimbs, tonic seizures, and death. The CD50 values for clonic and tonic seizures after oral administration were 0.11 and 0.22 mg/kg, respectively. Intraventricular administration of TETS (5-100 µg) in rats also caused clonic-tonic seizures and death. In mice, repeated sublethal doses of TETS at intervals of 2, 24, and 48 h failed to result in the development of persistent enhanced seizure responsivity ("kindling") as was observed with repeated pentylenetetrazol treatment. In mice, sublethal doses of TETS that produced clonic seizures did not cause observable structural brain damage as assessed with routine histology and Fluoro-Jade B staining 7 days after treatment. However, 1 to 3 days after a single convulsant dose of TETS the expression of glial fibrillary acidic protein, an astrocyte marker, and ionized calcium binding adaptor molecule 1, a microglia marker, were markedly increased in cortex and hippocampus. Although TETS doses that are compatible with survival are not associated with overt evidence of cellular injury or neurodegeneration, there is transient reactive astrocytosis and microglial activation, indicating that brain inflammatory responses are provoked.


Bridged-Ring Compounds/toxicity , Convulsants/toxicity , Seizures/chemically induced , Seizures/metabolism , Animals , Astrocytes/drug effects , Astrocytes/metabolism , Calcium-Binding Proteins/metabolism , Cerebral Cortex/drug effects , Cerebral Cortex/metabolism , Extremities , Glial Fibrillary Acidic Protein/metabolism , Gliosis/chemically induced , Gliosis/metabolism , Hippocampus/drug effects , Hippocampus/metabolism , Male , Mice , Microfilament Proteins/metabolism , Microglia/drug effects , Microglia/metabolism , Pentylenetetrazole/pharmacology , Picrotoxin/adverse effects , Rats , Rats, Sprague-Dawley
7.
J Neurosci ; 31(6): 2101-12, 2011 Feb 09.
Article En | MEDLINE | ID: mdl-21307247

Ischemic brain injury is a major problem associated with stroke. It has been increasingly recognized that acid-sensing ion channels (ASICs) contribute significantly to ischemic neuronal damage, but the underlying mechanism has remained elusive. Here, we show that extracellular spermine, one of the endogenous polyamines, exacerbates ischemic neuronal injury through sensitization of ASIC1a channels to extracellular acidosis. Pharmacological blockade of ASIC1a or deletion of the ASIC1 gene greatly reduces the enhancing effect of spermine in ischemic neuronal damage both in cultures of dissociated neurons and in a mouse model of focal ischemia. Mechanistically, spermine profoundly reduces desensitization of ASIC1a by slowing down desensitization in the open state, shifting steady-state desensitization to more acidic pH, and accelerating recovery between repeated periods of acid stimulation. Spermine-mediated potentiation of ASIC1a activity is occluded by PcTX1 (psalmotoxin 1), a specific ASIC1a inhibitor binding to its extracellular domain. Functionally, the enhanced channel activity is accompanied by increased acid-induced neuronal membrane depolarization and cytoplasmic Ca(2+) overload, which may partially explain the exacerbated neuronal damage caused by spermine. More importantly, blocking endogenous spermine synthesis significantly attenuates ischemic brain injury mediated by ASIC1a but not that by NMDA receptors. Thus, extracellular spermine contributes significantly to ischemic neuronal injury through enhancing ASIC1a activity. Our data suggest new neuroprotective strategies for stroke patients via inhibition of polyamine synthesis and subsequent spermine-ASIC interaction.


Acidosis/physiopathology , Extracellular Fluid/drug effects , Infarction, Middle Cerebral Artery/pathology , Nerve Tissue Proteins/metabolism , Neurons/physiology , Sodium Channels/metabolism , Spermine/pharmacology , Acid Sensing Ion Channels , Amino Acid Transport System y+/antagonists & inhibitors , Amino Acid Transport System y+/deficiency , Amino Acid Transport System y+/metabolism , Animals , Biophysics , Brain Injuries/chemically induced , CHO Cells , Calcium/metabolism , Cells, Cultured , Cricetinae , Cricetulus , Disease Models, Animal , Dose-Response Relationship, Drug , Drug Combinations , Drug Interactions , Electric Stimulation , Embryo, Mammalian , Excitatory Amino Acid Antagonists/pharmacology , GABA Antagonists/adverse effects , Glucose/deficiency , Hippocampus/cytology , Hydrogen-Ion Concentration , Hypoxia , L-Lactate Dehydrogenase/metabolism , Membrane Potentials/drug effects , Membrane Potentials/genetics , Mice , Mice, Knockout , Mutation/genetics , Nerve Tissue Proteins/genetics , Neurons/drug effects , Neurons/pathology , Oligonucleotides/pharmacology , Patch-Clamp Techniques/methods , Picrotoxin/adverse effects , Putrescine/pharmacology , Sodium Channels/genetics , Spermine/adverse effects , Tetrazolium Salts , Time Factors , Transfection , Valine/analogs & derivatives , Valine/pharmacology
8.
Bull Exp Biol Med ; 150(6): 665-7, 2011 Apr.
Article En | MEDLINE | ID: mdl-22235411

The hyperkinekic effect (increase in spontaneous activity and development of choreomyoclonic hyperkinesis of the extremities and body) of picrotoxin injected into the rostral neostriatum of rats in a dose of 2 µg was reduced if the drug was injected together with ZnCl(2) in a concentration of 0.1 µg/µl. ZnCl(2) in a concentration of 1 µg/µl did not modulate the effects of picrotoxin, while in a concentration of 3 µg/µl it increased spontaneous motor activity in the open field test without affecting the symptoms of choreomyoclonic hyperkinesis.


Chlorides/pharmacology , GABA Antagonists/adverse effects , Hyperkinesis/chemically induced , Neostriatum/drug effects , Picrotoxin/adverse effects , Zinc Compounds/pharmacology , Animals , Drug Synergism , GABA Antagonists/administration & dosage , GABA Antagonists/pharmacology , Male , Picrotoxin/administration & dosage , Picrotoxin/pharmacology , Rats , Rats, Wistar
9.
Neurobiol Dis ; 36(1): 70-80, 2009 Oct.
Article En | MEDLINE | ID: mdl-19591935

Dopamine and the endocannabinoids, anandamide and 2-arachidonoylglycerol, interact at several levels in the brain, with the involvement of both cannabinoid CB(1) receptors and transient receptor potential vanilloid type-1 (TRPV1) channels (which are alternative anandamide receptors). Using pharmacological, immunohistochemical and analytical approaches, we investigated the response of dopamine D(3) receptor null (D3R((-/-))) mice in models of epilepsy and anxiety, in relation to their brain endocannabinoid and endovanilloid tone. Compared to wild-type mice, D3R((-/-)) mice exhibited a delayed onset of clonic seizures, enhanced survival time, reduced mortality rate and more sensitivity to anticonvulsant effects of diazepam after intraperitoneal administration of picrotoxin (7 mg/kg), and a less anxious-like behaviour in the elevated plus maze test. D3R((-/-)) mice also exhibited different endocannabinoid and TRPV1, but not CB(1), levels in the hippocampus, nucleus accumbens, amygdala and striatum. Given the role played by CB(1) and TRPV1 in neuroprotection and anxiety, and based on data obtained here with pharmacological tools, we suggest that the alterations of endocannabinoid and endovanilloid tone found in D3R((-/-)) mice might account for part of their altered responses to excitotoxic and anxiogenic stimuli.


Anxiety/metabolism , Cannabinoid Receptor Modulators/metabolism , Endocannabinoids , Epilepsy/metabolism , Receptors, Dopamine D3/deficiency , TRPV Cation Channels/metabolism , Analysis of Variance , Animals , Anti-Anxiety Agents/pharmacology , Anti-Inflammatory Agents, Non-Steroidal/pharmacology , Anxiety/genetics , Anxiety/pathology , Arachidonic Acids/pharmacology , Brain , Cannabinoid Receptor Modulators/genetics , Capsaicin/analogs & derivatives , Capsaicin/pharmacology , Diazepam/pharmacology , Disease Models, Animal , Dose-Response Relationship, Drug , Epilepsy/etiology , Epilepsy/genetics , GABA Antagonists/adverse effects , Male , Maze Learning/drug effects , Mice , Mice, Inbred C57BL , Mice, Knockout , Picrotoxin/adverse effects , Piperidines/pharmacology , Pyrazoles/pharmacology , Reaction Time/drug effects , Receptor, Cannabinoid, CB1/antagonists & inhibitors , Receptor, Cannabinoid, CB1/genetics , Receptor, Cannabinoid, CB1/metabolism , Serotonin/analogs & derivatives , Serotonin/pharmacology , TRPV Cation Channels/agonists , TRPV Cation Channels/genetics
10.
Laryngorhinootologie ; 87(12): 862-6, 2008 Dec.
Article De | MEDLINE | ID: mdl-18720328

OBJECTIVE: In medical long-term treatment of Menière's disease picrotoxin suppositories are an uncommon method of prophylaxis. In spite of its empirical benefit in clinical use and its lack of side effects, there are few clinical studies about the therapeutical effect of picrotoxin. In this study we evaluate the effectiveness of picrotoxin compared to the therapy with betahistine in Menière's disease. MATERIAL AND METHODS: In a prospective clinical trial we examined 41 patients, 18 of them were treated with betahistine 3x12 mg, 23 had a therapy with picrotoxin-suppositories at 0.001 g three times a week. Frequency and intensity of the vertigo attacks were evaluated before and under treatment. Mean follow up time was 12 months. RESULTS: In both groups a reduction of the attacks' frequency and intensity could be noticed, which was statistically significant for all the two groups. Thus, in the course of the treatment we observed a significant stronger effectiveness of picrotoxin, regarding the frequency and intensity of vertigo attacks. Discussing our own results we review the state of the art in medical long-term treatment in Menière's disease. CONCLUSION: Because of its clinical benefit and the lack of side effects Picrotoxin is a reasonable alternative in medical long- term treatment of Menière's disease, which should have an important role in the treatment cascade.


Betahistine/therapeutic use , Meniere Disease/drug therapy , Picrotoxin/therapeutic use , Administration, Oral , Adult , Aged , Betahistine/adverse effects , Female , Follow-Up Studies , Humans , Male , Meniere Disease/diagnosis , Middle Aged , Picrotoxin/adverse effects , Prospective Studies , Suppositories
11.
Epilepsy Behav ; 12(3): 366-72, 2008 Apr.
Article En | MEDLINE | ID: mdl-18276193

Cestrum nocturnum is a garden shrub from the family Solanaceae and is used as a remedy for different health disorders. The aim of the present work was to investigate the potential neuropharmacological action profile of decoctions obtained from dry leaves of the plant. Decoctions were tested in different neuropharmacological models-Irwin test, exploratory behavior, tests for analgesia, isoniazid- and picrotoxin-induced convulsions, and maximal electroshock seizures-in mice, as well as in amphetamine-induced stereotypies and penicillin epileptic foci in rats. Decoctions of 1 and 5% (D1 and D5) induced restlessness, and the 30% decoction (D30) induced passivity. D5 and D30 reduced significantly exploratory behavior and amphetamine-induced stereotypies within a 3-hour observation period. The latter effect was apparent during the second 60 minutes. Decoctions reduced the amount of writhes induced by acetic acid in a dose-dependent manner, but were not effective in the hot plate model. The decoctions were not effective against pharmacologically induced convulsions. However, repeated administration of five doses of D5, at 1-hour intervals, reduced the amplitude of penicillin-induced epileptic spikes in both primary and secondary foci, in curarized rats. Taken together, the results suggest that C. nocturnum possesses active substances with analgesic activity provided through a peripheral action mechanism, in parallel with some psychoactive activity that does not fit well the neuropharmacological action profile of known reference neurotropic drugs.


Anticonvulsants/therapeutic use , Behavior, Animal/drug effects , Cestrum , Epilepsy/drug therapy , Phytotherapy/methods , Plant Extracts/therapeutic use , Amphetamine/adverse effects , Animals , Central Nervous System Stimulants/adverse effects , Convulsants/adverse effects , Disease Models, Animal , Dose-Response Relationship, Drug , Electroshock/adverse effects , Epilepsy/etiology , Exploratory Behavior/drug effects , Hyperalgesia/drug therapy , Isoniazid/adverse effects , Male , Mice , Picrotoxin/adverse effects , Rats , Rats, Wistar , Stereotyped Behavior/drug effects
12.
Phytother Res ; 20(8): 696-700, 2006 Aug.
Article En | MEDLINE | ID: mdl-16775810

Various morphological parts of Persea americana Mill (Lauraceae) (avocado) are widely used in African traditional medicines for the treatment, management and/or control of a variety of human ailments, including childhood convulsions and epilepsy. This study examined the anticonvulsant effect of the plant's leaf aqueous extract (PAE, 50-800 mg/kg i.p.) against pentylenetetrazole (PTZ)-, picrotoxin (PCT)- and bicuculline (BCL)-induced seizures in mice. Phenobarbitone and diazepam were used as reference anticonvulsant drugs for comparison. Like the reference anticonvulsant agents used, Persea americana leaf aqueous extract (PAE, 100-800 mg/kg i.p.) significantly (p < 0.05-0.001) delayed the onset of, and antagonized, pentylenetetrazole (PTZ)-induced seizures. The plant's leaf extract (PAE, 100-800 mg/kg i.p.) also profoundly antagonized picrotoxin (PCT)-induced seizures, but only weakly antagonized bicuculline (BCL)-induced seizures. Although the data obtained in the present study do not provide conclusive evidence, it would appear that 'avocado' leaf aqueous extract (PAE) produces its anticonvulsant effect by enhancing GABAergic neurotransmission and/or action in the brain. The findings of this study indicate that Persea americana leaf aqueous extract possesses an anticonvulsant property, and thus lends pharmacological credence to the suggested ethnomedical uses of the plant in the management of childhood convulsions and epilepsy.


Anticonvulsants/therapeutic use , Persea , Phytotherapy , Plant Extracts/therapeutic use , Seizures/drug therapy , Animals , Bicuculline/adverse effects , Convulsants/adverse effects , Disease Models, Animal , Dose-Response Relationship, Drug , Drug Antagonism , Lethal Dose 50 , Male , Mice , Mice, Inbred BALB C , Pentylenetetrazole/adverse effects , Persea/chemistry , Picrotoxin/adverse effects , Plant Leaves/chemistry , Seizures/chemically induced
14.
Arzneimittelforschung ; 55(1): 23-9, 2005.
Article En | MEDLINE | ID: mdl-15727161

The increasing interest in alternative medical practices has led to a number of controlled studies on herbal and homeopathic agents. This paper presents the results of a meta-analysis of four recent clinical trials evaluating the homeopathic preparation Vertigoheel (VH) compared with usual therapies (betahistine, Ginkgo biloba extract, dimenhydrinate) for vertigo in a total of 1388 patients. Two trials were observational studies and the other two were randomised double-blind controlled trials. The duration of treatment (6-8 weeks) and dosage were comparable in all studies. Treatments were evaluated for the variables "number of vertigo episodes", "intensity of episodes" and "duration of episodes". As the studies differed in the age of patients and in the baseline values of vertigo, the individual reductions of number, intensity and duration of episodes were adjusted on equal age and baseline values (total means). An analysis of variance (with studies as random effects) showed no relevant influence of studies on the adjusted reductions and no relevant interaction between studies and treatment effects. The meta-analysis of all four trials showed equivalent reductions with VH and with control treatment: mean reduction of the number of daily episodes 4.0 for VH and 3.9 for control (standard error 0.11 for both groups); mean reduction of the duration (on a scale 0-4) for VH 1.1 and for the control 1.0 (standard error 0.03 for both groups); mean reduction of the intensity (on a scale 0-4) for VH 1.18 and for the control 1.8 (standard error 0.03 for both groups). In the non-inferiority analysis from all trials, VH was non-inferior in all variables. The results show the applicability of meta-analyses on the data from studies with homeopathicdrugs and support the results from the individual studies indicating good efficacy and tolerability of VH in patients with vertigo.


Materia Medica/therapeutic use , Minerals/therapeutic use , Picrotoxin/therapeutic use , Plant Extracts/therapeutic use , Vertigo/drug therapy , Betahistine/adverse effects , Betahistine/therapeutic use , Dimenhydrinate/adverse effects , Dimenhydrinate/therapeutic use , Drug Combinations , Ginkgo biloba , Histamine Agonists/adverse effects , Histamine Agonists/therapeutic use , Humans , Materia Medica/adverse effects , Minerals/adverse effects , Patient Satisfaction , Picrotoxin/adverse effects , Plant Extracts/adverse effects , Randomized Controlled Trials as Topic , Treatment Outcome
15.
Exp Neurol ; 177(2): 503-14, 2002 Oct.
Article En | MEDLINE | ID: mdl-12429195

Activation of the superior colliculus has been shown to reproduce the antiepileptic effect of the inhibition of the substantia nigra reticulata. A circuit involving neurons of the caudal deep layers of the superior colliculus has been suggested to control brain stem convulsive seizures. The present study was designed to examine whether a similar circuit is also involved in the control of absence seizures. For this, activation of either the rostral or caudal parts of the deep and intermediate layers of the superior colliculus was applied in a genetic model of absence seizures in the rat (GAERS). Single-shock (5 s) electrical stimulation of the rostral and caudal superior colliculus interrupted ongoing spike-and-wave discharges at an intensity (antiepileptic threshold) significantly lower than the intensity inducing behavioral effects. At this intensity, no interruption of licking behavior was observed in water-deprived rats. Repeated stimulations (5 s on/5 s off) at the antiepileptic threshold reduced absence seizures only during the first 10 min. Bilateral microinjection of a GABA antagonist (picrotoxin, 33 pmol/side) significantly suppressed spike-and-wave discharges when applied in the caudal aspect of the superior colliculus. This antiepileptic effect appears dissociated from an anxiogenic effect, as tested in an elevated plus maze test. Finally, bilateral injection of picrotoxin (33 pmol/side) appeared more effective in the superficial and intermediate layers of the caudal superior colliculus, whereas such injections had only weak effects on absence seizures when applied in the deep layers. These results suggest that a specific population of neurons located in the intermediate and superficial layers of the caudal superior colliculus is involved in the inhibitory control of absence seizures. It may constitute an important relay for the control of absence seizures by the basal ganglia via the substantia nigra reticulata.


Disease Models, Animal , Electric Stimulation Therapy/methods , Epilepsy, Absence/physiopathology , Epilepsy, Absence/therapy , Superior Colliculi/physiopathology , Animals , Anxiety/chemically induced , Behavior, Animal/drug effects , Electroencephalography/drug effects , Fear/drug effects , GABA Antagonists/adverse effects , GABA Antagonists/therapeutic use , GABA-A Receptor Antagonists , Genetic Predisposition to Disease , Male , Maze Learning/drug effects , Microinjections , Neural Inhibition/drug effects , Picrotoxin/adverse effects , Picrotoxin/therapeutic use , Rats , Rats, Inbred Strains , Treatment Outcome , Water Deprivation
16.
Rev. cuba. plantas med ; 7(2): s.p, 2002. graf
Article Es | CUMED | ID: cum-22031

Se realizó una evaluación de la posible acción antiepiléptica de decocciones de hojas secas de Ambrosia paniculata mediante la administración aguda intraperitoneal en modelos de epilepsia experimental inducidos por isoniacida, picrotoxina, electrochoque (en ratones) y en el foco epiléptico inducido por la administración tópica cortical de penicilina, en ratas curarizadas. El extracto al 5 (por ciento) prolongó significativamente la latencia de aparición de las crisis y la muerte provocadas por isoniacida y picrotoxina, pero no las inducidas por electrochoque. El extracto al 5 (por ciento) redujo significativamente la amplitud de espigas del foco penicilínico. Estos resultados apoyaron o justificaron el empleo tradicional de esta planta en los trastornos convulsivos(AU)


Plants, Medicinal , Plant Extracts/therapeutic use , Anticonvulsants/therapeutic use , Epilepsy/drug therapy , Epilepsy/chemically induced , Rats, Wistar , Disease Models, Animal , Isoniazid/adverse effects , Picrotoxin/adverse effects , Electroshock
17.
Rev. cuba. plantas med ; 7(2): s.p, 2002. graf
Article Es | CUMED | ID: cum-22029

Se investiga la posible acción antiepiléptica de decocciones de hojas secas de C. nocturnum mediante la administración aguda intraperitoneal en modelos de epilepsia experimental inducidos por isoniacida, picrotoxina, electrochoque (en ratones) y en el foco epiléptico inducido por la administración tópica cortical de penicilina, en ratas curarizadas. El extracto al 30 (por ciento) prolongó significativamente la latencia de aparición de las crisis y la muerte provocadas por isoniacida, pero no las inducidas por electrochoque o picrotoxina. El extracto al 5 (por ciento) redujo significativamente la amplitud de espigas del foco penicilínico. Estos resultados apoyan o justifican el empleo tradicional de esta planta en los trastornos convulsivos(AU)


Plants, Medicinal , Plant Extracts/therapeutic use , Anticonvulsants/therapeutic use , Epilepsy/drug therapy , Epilepsy/chemically induced , Rats, Wistar , Disease Models, Animal , Isoniazid/adverse effects , Picrotoxin/adverse effects , Electroshock
18.
Int J Neurosci ; 108(3-4): 175-91, 2001.
Article En | MEDLINE | ID: mdl-11699190

Sex difference in seizure susceptibility is one of the unresolved issues of epilepsy. It is known that estrogen is excitatory and progesterone is inhibitory to the central nervous system. Therefore, it is to be expected that seizure susceptibility may be associated with the estrous cycle, which should be tested in epilepsy research. Otherwise, different results in epilepsy studies could be an artifact of the estrous cycle. Reports in the literature are inconsistent about testosterone effects on seizures. In light of these considerations, sex differences in seizure susceptibility were restudied in rats. There was no significant sex difference in mean latencies to picrotoxin-induced seizures; prestrous-females had the shortest latencies to epileptic seizures compared to males and estrousfemales. With testosterone-injected rats, there was either no sex difference in latencies (to akinetic and focal seizures) or females had significantly shorter latencies than males (to status epilepticus, generalized tonic-clonic seizures, and myoclonic seizures). Testosterone-treated male rats had a significantly longer mean latency than controls for status epilepticus only; otherwise, these males showed no significant differences between mean latencies before and after testosterone (to focal, myoclonic, or generalized tonic-clonic seizures). In females, mean latencies to myoclonic seizures and status epilepticus were significantly shorter after testosterone than before. It was concluded that there is a sex difference in susceptibility to epileptic seizures in rats, provided that the estrous cycle is taken into account. Testosterone may increase and decrease seizure susceptibility in females and males, respectively. These effects may be important for understanding the mechanisms of epileptic phenomena and may provide some important clues to epilepsy treatment.


Epilepsy/chemically induced , Estrous Cycle/physiology , GABA Antagonists/adverse effects , Picrotoxin/adverse effects , Animals , Disease Susceptibility , Epilepsy/classification , Epilepsy/mortality , Female , Injections, Intravenous , Male , Picrotoxin/administration & dosage , Rats , Rats, Sprague-Dawley , Sex Factors
19.
Psychopharmacology (Berl) ; 158(1): 87-93, 2001 Oct.
Article En | MEDLINE | ID: mdl-11685388

RATIONALE: Various studies have shown that stressful manipulations in rats and mice lower the convulsant potency of GABA-related, but also some GABA-unrelated convulsants. The mechanism of this anticonvulsive effect of stress is still unknown. OBJECTIVES: We tested the possible involvement of alpha2-adrenoceptors in the previously observed anticonvulsive effect of swim stress. METHODS: The mice were, prior to exposure to swim stress and the IV infusion of picrotoxin, pre-treated with clonidine (an alpha2-adrenoceptor agonist), yohimbine (a non-selective alpha2-adrenoceptor antagonist), idazoxan (a selective alpha2-adrenoceptor antagonist), or niguldipine (an alpha1-adrenoceptor antagonist), and the latency to the onset of two convulsant signs was registered. RESULTS: In control unstressed animals clonidine (0.1 and 1 mg/kg IP), yohimbine (2 mg/kg IP) and idazoxan (1 mg/kg IP) failed to affect the doses of picrotoxin needed to produce convulsant signs, while niguldipine (5 mg/kg IP) prolonged the latency, i.e. it enhanced the doses of picrotoxin producing running/bouncing clonus and tonic hindlimb extension. In swim stressed mice clonidine enhanced, while idazoxan decreased doses of picrotoxin needed to produce two convulsive signs. Yohimbine decreased the dose of convulsant needed to produce tonic hindlimb extension, while niguldipine enhanced doses of picrotoxin needed to produce both symptoms. CONCLUSIONS: The results demonstrate the alpha2-adrenoceptor agonist-induced potentiation and alpha2-adrenoceptor antagonist-induced diminution of the anticonvulsive effect of stress. Additionally, they show the anticonvulsive effect of niguldipine in unstressed and stressed animals. Hence, the results suggest that alpha2-adrenoceptors are involved in the anticonvulsive effect of swim stress in mice.


Receptors, Adrenergic, alpha-2/physiology , Seizures/prevention & control , Stress, Physiological/physiopathology , Swimming , Adrenergic Agonists/administration & dosage , Adrenergic Agonists/pharmacology , Adrenergic Antagonists/administration & dosage , Adrenergic Antagonists/pharmacology , Adrenergic alpha-2 Receptor Agonists , Adrenergic alpha-2 Receptor Antagonists , Animals , Convulsants/administration & dosage , Convulsants/adverse effects , Dihydropyridines/administration & dosage , GABA-A Receptor Antagonists , Idazoxan/administration & dosage , Infusions, Intravenous , Injections, Intraperitoneal , Male , Mice , Mice, Inbred CBA , Picrotoxin/administration & dosage , Picrotoxin/adverse effects , Seizures/chemically induced , Stress, Physiological/metabolism
20.
Electroencephalogr Clin Neurophysiol ; 98(2): 157-66, 1996 Feb.
Article En | MEDLINE | ID: mdl-8598176

Generaliszed spike-and-wave (SW) spindles (5-7 Hz) associated with myoclonic jerks precede the occurrence of regular spikes (2-3 Hz) associated with convulsive seizure induced by picrotoxin. SW spindles occur spontaneously in rodent and cat under some experimental conditions and are considered to be models of human generalised epilepsy. These spindles have been proposed as being led by a thalamic pacemaker. To examine this possibility in picrotoxin-induced SW spindles and seizure spikes, we recorded EEG using chronically implant unipolar electrodes during intravenous picrotoxin infusion in freely behaving rat. The 6 EEG signals were digitally sampled at 1000 Hz. Linear correlation, spectral, coherence and phase analyses were undertaken to determine time differences (TDs) between EEG channels and the brain structure leading seizure activity. One frontal cortex led all other structures during SW spindles. TD between SW spindles in the leading frontal cortex (Fr1) and the contralateral Fr1 was 3.6 + / - 0.5 msec. All ipsilateral structures (hippocampus, thalamus, amygdala, caudate nucleus and occipital cortex) were delayed by more than 3 msec from Fr1 (intralaminar thalamic nuclei - by 6.3 + / - 0.9 msec). TDs of SW spindles between subcortical regions were less than 1.5 msec. Similar relationships with slightly smaller TDs were found with spikes during convulsive seizure except TDs between frontal cortices did not significantly differ from zero. We suggest that seizure activity induced by picrotoxin is led by one Fr1 during SW spindles and by both frontal cortices working as one system during convulsive seizure.


Electroencephalography , Epilepsy, Generalized/physiopathology , Frontal Lobe/physiopathology , Animals , Cerebral Cortex/physiopathology , Disease Models, Animal , Epilepsy, Generalized/chemically induced , GABA Antagonists/adverse effects , Male , Mathematics , Picrotoxin/adverse effects , Rats , Rats, Sprague-Dawley , Seizures/chemically induced , Seizures/physiopathology , Thalamus/physiopathology , Time Factors
...