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sec‐ Butyl‐propylacetamide (SPD) and two of its stereoisomers rapidly terminate paraoxon‐induced status epilepticus in rats
Author(s) -
BarKlein Guy,
Swissa Evyatar,
Kamintsky Lyn,
ShekhAhmad Tawfeeq,
SaarAshkenazy Rotem,
Hubary Yechiel,
Shrot Shai,
Stetlander Liran,
Eisenkraft Arik,
Friedman Alon,
Bialer Meir
Publication year - 2014
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/epi.12838
Subject(s) - status epilepticus , paraoxon , epilepsy , medicine , anesthesia , pharmacology , chemistry , psychiatry , biochemistry , acetylcholinesterase , enzyme
Summary Objective Organophosphates (OPs) are commonly used insecticides for agriculture and domestic purposes, but may also serve as nerve agents. Exposure to OPs result in overstimulation of the cholinergic system and lead to status epilepticus (SE), a life‐threatening condition that is often resistant to treatment. SE is associated with significant neuronal damage, neurocognitive dysfunction, and the development of lifelong epilepsy. Therefore, rapid termination of SE and prevention of brain damage is of high interest. Here we tested the efficacy of sec ‐butyl‐propylacetamide (SPD) and two of its individual stereoisomers, (2S,3S)‐SPD and (2R,3R)‐SPD, in discontinuing OP‐induced seizures. SPD is a one carbon homolog of valnoctamide, a central nervous system (CNS)–active constitutional isomer of valproic acid (VPA) corresponding amide valpromide. Methods Rats were implanted with epidural telemetric electrodes to allow electrocorticography (ECoG) recording 24 h prior, during and 24 h after poisoning with the OP paraoxon (at a dose equivalent to 1.4 LD 50 Median lethal dose). All rats were provided with antidotal treatment of atropine and toxogonin. Epileptic activity was measured using a novel automated system to evaluate the different effects of midazolam, SPD, and its individual stereoisomers in comparison to nontreated controls. Results Treatment with SPD or its individual stereoisomer (2S,3S)‐SPD significantly shorten paraoxon‐induced SE and reduced the duration of recorded pathologic activity after SE was terminated. (2S,3S)‐SPD was superior to racemic‐SPD in diminishing delayed pathologic epileptiform activity within the first 8 h after SE. Significance These results suggest SPD as an efficient drug for the rapid termination of SE and pathological epileptiform activity following OP poisoning, a strategy to reduce neuronal dysfunction and the risk for lifelong epilepsy.