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LEARNING AND BEHAVIORAL CHANGES IN STATUS EPILEPTICUS MODELS INDUCED BY PENTYLENETETRAZOLE AND KAINIC ACID

Year 2024, Volume: 33 Issue: 3, 367 - 376
https://doi.org/10.34108/eujhs.1401450

Abstract

Status epilepticus (SE) is a recurrent, intermittent or continuous disease lasting 30 minutes without regaining consciousness. This study aims to evaluate the effects of Levetiracetam, one of the antiepileptic drugs, on epileptogenesis process and cognitive functions by creating two different status models.
The study started with 87 twenty-one-day-old immature male Wistar rats, removing the ones dieing after the seizure, continued with 74 rats divided into six groups. Pentylenetetrazole (PTZ) was administered intraperitoneally at 40 mg/kg, 20 mg/kg, 10 mg/kg doses at ten minutes intervals to the groups in which the epilepsy model was to be developed by PTZ injection. In seizures induced by kainic acid (KA), a single dose of 10 mg/kg KA was injected intraperitoneally. Levetiracetam (Keppra) at a döşe of 200 mg/kg ip for 14 days starting from the day of seizure was administered to the antiepileptic groups. Two weeks after SE formation, assessments were made using Morris water tank test for spatial learning, elevated T maze test for emotional learning, and open field area for behavioral changes. Besides, brain tissue was removed and histopathologic analysis and apoptotic status were evaluated.
There was no significant difference between the groups regarding the number of squares passed in the open field test. A statistically significant difference was found between the groups in passive avoidance in the elevated T maze test (p<0.05). according to the results of the test with Morris water tank, no significant difference was found between the groups. Histologic evaluations of the cortex showed degeneration in the SE groups. When KA and PTZ groups were compared, the damage in the SE model created with KA was found to be greater than that in the PTZ group. Levetiracetam was found to be more effective in the PTZ group than in the KA group. Apoptosis was observed to decrease in KA and PTZ groups after levetiracetam treatment.

Project Number

TSD-09-781

References

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  • Nadler JV, Perry BW, Gentry C, Cotman CW. Degeneration of hippocampal CA3 pyramidal cells induced by intraventricular kainic acid. J Comp Neurol 1980;192:333-359. doi:10.1002/cne.901 9 20209.
  • Lukyanetz EA, Shkryl VM, Kostyuk PG. Selective blockade of N-type calciumchannels by levetiracetam. Epilepsia 2002; 43, 9–18. doi:10.10 46/j.1528-1157.2002.24501.x.
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  • Aydemir I, Özbey C, Özkan O, Kum Ş, Tuğlu Mİ. Investigation of the effects of bisphenol-A exposure on lymphoid system in prenatal stage. Toxicol Ind Health. 2020 Jul;36(7):502-513. doi: 10.1177/0748233720941759.
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PENTİLENETETRAZOLE VE KAİNİK ASİT İLE OLUŞTURULAN STATUS EPİLEPTİKUS MODELLERİNDE ÖĞRENME VE DAVRANIŞ DEĞİŞİKLİKLERİ

Year 2024, Volume: 33 Issue: 3, 367 - 376
https://doi.org/10.34108/eujhs.1401450

Abstract

En az 30 dakika boyunca devam eden veya nöbetler arası bilincin tam olarak düzelmediği iki veya daha fazla tekrarlayan nöbetler Status Epileptikus (SE) olarak bilinir. Bu çalışmada iki farklı SE modeli oluşturularak, antiepileptik ilaçlardan biri olan Levetirasetam’ın epileptogenez süreci ve kognitif fonksiyonlar üzerine olan etkilerinin değerlendirilmesi amaçlanmıştır.
Çalışma 87 adet, immatür (21 günlük) erkek Wistar sıçanlarla başlamış ancak nöbet sonrası ex olan hayvanlar çıkarıldığında toplam 74 sıçanla deneyler devam etmiştir. Bu sıçanlar altı gruba ayrılmıştır. Pentilentetrazol (PTZ) enjeksiyonu ile epilepsi modeli geliştirilecek gruplara on dakika ara ile 40 mg/kg, 20 mg/kg, 10 mg/kg dozlarda PTZ intraperitoneal olarak verilmiştir. Kainik asit (KA) ile oluşturulan nöbetlerde tek doz 10 mg/kg KA intraperitoneal olarak enjekte edilmiştir. Antiepileptik alacak gruplara nöbet gününden başlayarak 14 gün boyunca ip olarak 200 mg/kg dozunda Levetirasetam (Keppra) verildi. SE oluşumundan iki hafta sonra uzamsal öğrenme için Morris su tankı testi, emosyonel öğrenme için yükseltilmiş T labirent testi, davranış değişiklikleri için de açık alan düzeneği kullanılarak değerlendirmeler yapılmıştır. Ayrıca beyin dokusu çıkarılarak histopatolojik analizleri ve apoptotik durumları değerlendirilmiştir.
Açık alan düzeneğinde geçtikleri kare sayısı bakımından gruplar arasında anlamlı bir fark bulunamamıştır. Yükseltilmiş T labirent testinde pasif sakınmada gruplar arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p<0.05). Morris su tankı ile yapılan test sonuçlarına göre gruplar arasında anlamlı bir fark bulunamamıştır. Kortekste yapılan histolojik değerlendirmelerde SE geçiren gruplarda dejenerasyon gözlenmiştir. KA ve PTZ grupları karşılaştırıldığında KA ile oluşturulan SE modelindeki hasarın PTZ grubundan daha büyük olduğu gözlenmiştir. Sonuç olarak Levetirasetam, PTZ grubunda KA grubuna göre daha etkili olmuştur ve Levetirasetam tedavisi sonrası apoptoz, KA ve PTZ gruplarında azalmıştır.

Supporting Institution

Erciyes Üniversitesi Bilimsel Araştırma Projeleri Birimi tarafından TSD-09-781 nolu proje ile desteklenmiş Doktora tezi ürünüdür.

Project Number

TSD-09-781

Thanks

Erciyes Üniversitesi Bilimsel Araştırma Projeleri Birimi'ne teşekkürü borç bilirim.

References

  • Trinka E, Cock H, Hesdorffer D, et al. A definition and classification of status epilepticus- Report of the ILAE Task Force on Classification of Status Epilepticus. Epilepsia. 2015;56(10):1515-1523. doi: 10.1111/epi.13121.
  • Adachi N, Kanemoto K, Muramatsu R, et al. Intellectual Prognosis of Status Epilepticus in Adult Epilepsy Patient: Analysis with Wechsler Adult Intelligence Scale-Revised. Epilepsia 2005;46(9):1502-1509. doi:10.1111/j.1528-1167. 2005.05005.x.
  • Phabphal K, Geater A, Limapichart K, et al. Adult tonic-clonic convulsive status epilepticus over the last 11 years in a resource-poor country: a tertiary referral centre study from southern Thailand. Epileptic Disord. 2013;15(3):255-261. doi:10.16 84/epd.2013.0604.
  • Shinnar S, Pellock JM, Moshe SL, et al. In whom does status epilepticus occur: age-related differences in children. Epilepsia 1997;38:907-914. doi: 10.1111/j.1528-1157.1997.tb01256.x.
  • Ziylan YZ, Ateş N. Age-related changes in regional pattern of blood-brain barrier breakdown during epileptiformseizures induced by pentylene tetrazol. Neurosci Lett. 1989;96:179-184. doi:10.1016/0304-3940(89)90054-2
  • Ben-Ari Y. Limbic seizure and brain damage produced by kainic acid: mechanisms and relevance to human temporal lobe epilepsy. Neuroscience, 1985;14(2):375-403. doi:10.1016/ 0306-4522(85)90299-4.
  • Nadler JV, Perry BW, Gentry C, Cotman CW. Degeneration of hippocampal CA3 pyramidal cells induced by intraventricular kainic acid. J Comp Neurol 1980;192:333-359. doi:10.1002/cne.901 9 20209.
  • Lukyanetz EA, Shkryl VM, Kostyuk PG. Selective blockade of N-type calciumchannels by levetiracetam. Epilepsia 2002; 43, 9–18. doi:10.10 46/j.1528-1157.2002.24501.x.
  • Lynch BA, Lambeng N, Nocka K, Kensel-hammes P, Bajjalieh SM, Matagne A, et al. The Synaptic Vesicle Protein SV2A is the Binding Site for the Antiepileptic Drug Levetiracetam. Proc Natl Acad Sci USA 2004; 101(26), 9861-9866. doi:10.10 73_pnas.0308208101.
  • Madeja M, Margineanu DG, Gorji A, et al. Reduction of voltage-operated potassium currents by leve-tiracetam: a novel antiepileptic mechanism of action? Neuropharmacology 2003; 45, 661–671. doi:10.1016/S0028-3908(03)00248-X.
  • Niespodziany I, Klitgaard H, Margineanu DG. Levetiracetam inhibits the high-voltage-activated Ca2+ current in pyramidal neurones of rat hippocampal slices. Neurosci. Lett. 2001;306, 5–8. doi:10.1016/S0304-3940(01)01884-5.
  • Brigo F, Bragazzi N, Nardone R, Trinka E. Direct and indirect comparison meta-analysis of levetiracetam versus phenytoin or valproate for convulsive status epilepticus. Epilepsy Behav 2016; 64: 110–115. doi:10.1016/j.yebeh.2016.09.030.
  • Singh K, Aggarwal A, Faridi M, Sharma S. IV levetiracetam versus IV phenytoin in childhood seizures: a randomized controlled trial. J Pediatr Neurosci 2018; 13:158. doi:10.4103/jpn.JPN_126_ 17
  • McTague A, Kneen R, Kumar R, Spinty S, Appleton R. Intravenous levetiracetam in acute repetitive seizures and status epilepticus in children: experience from a children’s hospital. Seizure 2012; 21:529–534. doi:10.1016/j.seizure.2012. 05.010
  • Chakravarthi S, Goyal MK, Modi M, Bhalla A, Singh P. Levetiracetam versus phenytoin in management of status epilepticus. J Clin Neurosci 2015; 22: 959–963. doi:10.1016/j.jocn.2014.12.013.
  • Mundlamuri RC, Sinha S, Subbakrishna DK, et al. Management of generalised convulsive status epilepticus (SE): a prospective randomised controlled study of combined treatment with intravenous lorazepam with either phenytoin, sodium valproate or levetiracetam—pilot study. Epilepsy Res 2015; 114:52–58. doi:10.1016/j.ep lepsyres.2015.04.013
  • Erdoğan F, Gölgeli A, Arman F, Ersoy AÖ. The effects of pentylenetetrazole-induced status epilepticus on behavior, emotional memory, and learning in rats. Epilepsy Behav 2004; 5:388-393. doi:10.1016/j.yebeh.2004.03. 001.
  • Ortiz RM, Kärkkäinen I, Huovila A.-PJ, Honkaniemi J. ADAM9, ADAM10 and ADAM15 mRNA levels in the rat brain after kainic acid-induced status epilepticus. Brain Res Mol Brain Res, 2005;137:272-275. doi:10.1016/j.molbrainres.2005.03.008.
  • Brandt C, Glien M, Gastens AM, et al. Prophylactic treatment with levetiracetam after status epilepticus: Lack of effect on epileptogenesis, neuronal damage, and behavioral alterations in rats. Neuropharmacology, 2007, 53:207-221. doi: 10.1016/j.neuropharm.2007.05.001.
  • Wixey JA, Chand KK, Pham L, et al. Therapeutic potential to reduce brain injury in growth restricted newborns. J Physiol. 2018; 596:5675-5686. doi:10.1113/JP275428
  • Carvalho-Netto EF, Nunes-de Souza RL. Use of the elevated T-maze to study anxiety in mice. Behav Brain Res 2004;148:119-132. doi:10.1016/s0166-4328(03)00184-0.
  • Elalmis DD. Pentilentetrazol ve Kainik asit ile oluşturulan status epileptikus modellerinde immatur sıçanlarda levetirasetam’ın öğrenme, hafıza ve davranış üzerine etkilerinin değerlendirilmesi. [Doktora Tezi]. Erciyes Üniversitesi, 2010, Kayseri.
  • Hadges H. Maze procedures: The radial arm and water maze compared. Cognitive Brain Res. 1996;3(3-4):167-181. doi:10.1016/0926-6410(96)00004-3.
  • Mete M, Aydemir I, Unsal UU, Collu F, Vatandas G, Gurcu B ve ark. Neuroprotective effects of Oleocanthal, a compound in virgin olive oil, in a rat model of traumatic brain injury. Turk Neurosurg. 2018;28(6):858-865. doi:10.5137/1019-5149. JTN.21417-17.2.
  • Aydemir I, Özbey C, Özkan O, Kum Ş, Tuğlu Mİ. Investigation of the effects of bisphenol-A exposure on lymphoid system in prenatal stage. Toxicol Ind Health. 2020 Jul;36(7):502-513. doi: 10.1177/0748233720941759.
  • Meador KJ. Cognitive outcomes and predictive factors in epilepsy. Neurology 2002;58(Suppl 5):S21-6. doi:10.1212/wnl.58.8_suppl_5.s21
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There are 56 citations in total.

Details

Primary Language Turkish
Subjects Systems Physiology
Journal Section Research Article
Authors

Derya Deniz Kanan 0000-0002-4357-4966

Füsun Ferda Erdoğan 0000-0002-6315-7529

Arzu Yay 0000-0002-0541-8372

Asuman Gölgeli 0000-0002-9004-8563

Project Number TSD-09-781
Early Pub Date December 25, 2024
Publication Date
Submission Date December 7, 2023
Acceptance Date September 10, 2024
Published in Issue Year 2024 Volume: 33 Issue: 3

Cite

APA Kanan, D. D., Erdoğan, F. F., Yay, A., Gölgeli, A. (2024). PENTİLENETETRAZOLE VE KAİNİK ASİT İLE OLUŞTURULAN STATUS EPİLEPTİKUS MODELLERİNDE ÖĞRENME VE DAVRANIŞ DEĞİŞİKLİKLERİ. Sağlık Bilimleri Dergisi, 33(3), 367-376. https://doi.org/10.34108/eujhs.1401450
AMA Kanan DD, Erdoğan FF, Yay A, Gölgeli A. PENTİLENETETRAZOLE VE KAİNİK ASİT İLE OLUŞTURULAN STATUS EPİLEPTİKUS MODELLERİNDE ÖĞRENME VE DAVRANIŞ DEĞİŞİKLİKLERİ. JHS. December 2024;33(3):367-376. doi:10.34108/eujhs.1401450
Chicago Kanan, Derya Deniz, Füsun Ferda Erdoğan, Arzu Yay, and Asuman Gölgeli. “PENTİLENETETRAZOLE VE KAİNİK ASİT İLE OLUŞTURULAN STATUS EPİLEPTİKUS MODELLERİNDE ÖĞRENME VE DAVRANIŞ DEĞİŞİKLİKLERİ”. Sağlık Bilimleri Dergisi 33, no. 3 (December 2024): 367-76. https://doi.org/10.34108/eujhs.1401450.
EndNote Kanan DD, Erdoğan FF, Yay A, Gölgeli A (December 1, 2024) PENTİLENETETRAZOLE VE KAİNİK ASİT İLE OLUŞTURULAN STATUS EPİLEPTİKUS MODELLERİNDE ÖĞRENME VE DAVRANIŞ DEĞİŞİKLİKLERİ. Sağlık Bilimleri Dergisi 33 3 367–376.
IEEE D. D. Kanan, F. F. Erdoğan, A. Yay, and A. Gölgeli, “PENTİLENETETRAZOLE VE KAİNİK ASİT İLE OLUŞTURULAN STATUS EPİLEPTİKUS MODELLERİNDE ÖĞRENME VE DAVRANIŞ DEĞİŞİKLİKLERİ”, JHS, vol. 33, no. 3, pp. 367–376, 2024, doi: 10.34108/eujhs.1401450.
ISNAD Kanan, Derya Deniz et al. “PENTİLENETETRAZOLE VE KAİNİK ASİT İLE OLUŞTURULAN STATUS EPİLEPTİKUS MODELLERİNDE ÖĞRENME VE DAVRANIŞ DEĞİŞİKLİKLERİ”. Sağlık Bilimleri Dergisi 33/3 (December 2024), 367-376. https://doi.org/10.34108/eujhs.1401450.
JAMA Kanan DD, Erdoğan FF, Yay A, Gölgeli A. PENTİLENETETRAZOLE VE KAİNİK ASİT İLE OLUŞTURULAN STATUS EPİLEPTİKUS MODELLERİNDE ÖĞRENME VE DAVRANIŞ DEĞİŞİKLİKLERİ. JHS. 2024;33:367–376.
MLA Kanan, Derya Deniz et al. “PENTİLENETETRAZOLE VE KAİNİK ASİT İLE OLUŞTURULAN STATUS EPİLEPTİKUS MODELLERİNDE ÖĞRENME VE DAVRANIŞ DEĞİŞİKLİKLERİ”. Sağlık Bilimleri Dergisi, vol. 33, no. 3, 2024, pp. 367-76, doi:10.34108/eujhs.1401450.
Vancouver Kanan DD, Erdoğan FF, Yay A, Gölgeli A. PENTİLENETETRAZOLE VE KAİNİK ASİT İLE OLUŞTURULAN STATUS EPİLEPTİKUS MODELLERİNDE ÖĞRENME VE DAVRANIŞ DEĞİŞİKLİKLERİ. JHS. 2024;33(3):367-76.