論文

査読有り 責任著者 国際誌
2017年5月

Neuronal inhibition and seizure suppression by acetoacetate and its analog, 2‐phenylbutyrate

Epilepsia
  • Atsushi Kadowaki
  • ,
  • Nagisa Sada
  • ,
  • Narinobu Juge
  • ,
  • Ayaka Wakasa
  • ,
  • Yoshinori Moriyama
  • ,
  • Tsuyoshi Inoue

58
5
開始ページ
845
終了ページ
857
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1111/epi.13718
出版者・発行元
Wiley

OBJECTIVE: The ketogenic diet is clinically used to treat drug-resistant epilepsy. The diet treatment markedly increases ketone bodies (acetoacetate and β-hydroxybutyrate), which work as energy metabolites in the brain. Here, we investigated effects of acetoacetate on voltage-dependent Ca2+ channels (VDCCs) in pyramidal cells of the hippocampus. We further explored an acetoacetate analog that inhibited VDCCs in pyramidal cells, reduced excitatory postsynaptic currents (EPSCs), and suppressed seizures in vivo. METHODS: The effects of acetoacetate and its analogs on VDCCs and EPSCs were evaluated using patch-clamp recordings from CA1 pyramidal cells of mouse hippocampal slices. The in vivo effects of these reagents were also evaluated using a chronic seizure model induced by intrahippocampal injection of kainate. RESULTS: Acetoacetate inhibited VDCCs in pyramidal cells of hippocampal slices, and reduced EPSCs in slices exhibiting epileptiform activity. More potent EPSC inhibitors were then explored by modifying the chemical structure of acetoacetate, and 2-phenylbutyrate was identified as an acetoacetate analog that inhibited VDCCs and EPSCs more potently. Although acetoacetate is known to inhibit vesicular glutamate transporters (VGLUTs), 2-phenylbutyrate did not inhibit VGLUTs, showing that 2-phenylbutyrate is an acetoacetate analog that preferably inhibits VDCCs. In addition, 2-phenylbutyrate markedly reduced EPSCs in slices exhibiting epileptiform activity, and suppressed hippocampal seizures in vivo in a mouse model of epilepsy. The in vivo antiseizure effects of 2-phenylbutyrate were more potent than those of acetoacetate. Finally, intraperitoneal 2-phenylbutyrate was delivered to the brain, and its brain concentration reached the level enough to reduce EPSCs. SIGNIFICANCE: These results demonstrate that 2-phenylbutyrate is an acetoacetate analog that inhibits VDCCs and EPSCs in pyramidal cells, suppresses hippocampal seizures in vivo, and has brain penetration ability. Thus 2-phenylbutyrate provides a useful chemical structure as a lead compound to develop new antiseizure drugs originating from ketone bodies.

リンク情報
DOI
https://doi.org/10.1111/epi.13718
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28294308
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000401267900016&DestApp=WOS_CPL
URL
https://onlinelibrary.wiley.com/doi/pdf/10.1111/epi.13718
URL
https://onlinelibrary.wiley.com/doi/full-xml/10.1111/epi.13718
URL
https://onlinelibrary.wiley.com/doi/am-pdf/10.1111/epi.13718
ID情報
  • DOI : 10.1111/epi.13718
  • ISSN : 0013-9580
  • eISSN : 1528-1167
  • PubMed ID : 28294308
  • Web of Science ID : WOS:000401267900016

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