Carbonic Anhydrase Inhibitor Sulthiame Reduces Intracellular pH and Epileptiform Activity of Hippocampal CA3 Neurons

Purpose: Sulthiame is a carbonic anhydrase (CA) inhibitor with an anticonvulsant effect in the treatment of benign and symptomatic focal epilepsy in children. The aim of the study was to elucidate the mode of action of sulthiame with respect to possible changes of intracellular pH (pHi) that might d...

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Veröffentlicht in:Epilepsia (Copenhagen) 2002-05, Vol.43 (5), p.469-474
Hauptverfasser: Leniger, Tobias, Wiemann, Martin, Bingmann, Dieter, Widman, Guido, Hufnagel, Andreas, Bonnet, Udo
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container_end_page 474
container_issue 5
container_start_page 469
container_title Epilepsia (Copenhagen)
container_volume 43
creator Leniger, Tobias
Wiemann, Martin
Bingmann, Dieter
Widman, Guido
Hufnagel, Andreas
Bonnet, Udo
description Purpose: Sulthiame is a carbonic anhydrase (CA) inhibitor with an anticonvulsant effect in the treatment of benign and symptomatic focal epilepsy in children. The aim of the study was to elucidate the mode of action of sulthiame with respect to possible changes of intracellular pH (pHi) that might develop along with sulthiame's anticonvulsant properties. Methods: The effects of sulthiame (a) on pHi of 2′,7‐bis(2‐carboxyethyl)‐5(6)‐carboxyfluorescein‐acetoxymetyl ester (BCECF‐AM) loaded CA3 neurones as well as (b) on epileptiform activity (induced by 50 μM 4‐aminopyridine) were compared with those of the CA inhibitors acetazolamide and benzolamide. Results: In the majority of neurons, sulthiame (1.0–1.5 mM; n = 8) as well as the membrane permeant acetazolamide (0.5–1.0 mM; n = 6) reversibly decreased pHi by 0.18 ± 0.05 (SD) and 0.17 ± 0.10 (SD) pH units, respectively, within 10 min. The poor membrane permeant benzolamide (1.0–2.0 mM) had no influence on pHi (n = 8). Sulthiame (1.0–2.5 mM) and acetazolamide (1.0–2.0 mM) reversibly reduced the frequency of action potentials and epileptiform bursts after 10–15 min (n = 9, n = 7), whereas benzolamide (1.0–2.0 mM) had no effect (n = 6). Conclusions: The results suggest that sulthiame acts as a membrane‐permeant CA inhibitor whose beneficial effect on epileptiform activity results at least in part from a modest intracellular acidosis of central neurons.
doi_str_mv 10.1046/j.1528-1157.2002.32601.x
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The aim of the study was to elucidate the mode of action of sulthiame with respect to possible changes of intracellular pH (pHi) that might develop along with sulthiame's anticonvulsant properties. Methods: The effects of sulthiame (a) on pHi of 2′,7‐bis(2‐carboxyethyl)‐5(6)‐carboxyfluorescein‐acetoxymetyl ester (BCECF‐AM) loaded CA3 neurones as well as (b) on epileptiform activity (induced by 50 μM 4‐aminopyridine) were compared with those of the CA inhibitors acetazolamide and benzolamide. Results: In the majority of neurons, sulthiame (1.0–1.5 mM; n = 8) as well as the membrane permeant acetazolamide (0.5–1.0 mM; n = 6) reversibly decreased pHi by 0.18 ± 0.05 (SD) and 0.17 ± 0.10 (SD) pH units, respectively, within 10 min. The poor membrane permeant benzolamide (1.0–2.0 mM) had no influence on pHi (n = 8). Sulthiame (1.0–2.5 mM) and acetazolamide (1.0–2.0 mM) reversibly reduced the frequency of action potentials and epileptiform bursts after 10–15 min (n = 9, n = 7), whereas benzolamide (1.0–2.0 mM) had no effect (n = 6). Conclusions: The results suggest that sulthiame acts as a membrane‐permeant CA inhibitor whose beneficial effect on epileptiform activity results at least in part from a modest intracellular acidosis of central neurons.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1046/j.1528-1157.2002.32601.x</identifier><identifier>PMID: 12027906</identifier><identifier>CODEN: EPILAK</identifier><language>eng</language><publisher>Boston, MA, USA: Blackwell Science Inc</publisher><subject>Acetazolamide ; Acetazolamide - pharmacology ; Animals ; Anticonvulsants - pharmacology ; Anticonvulsants. Antiepileptics. 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Sulthiame (1.0–2.5 mM) and acetazolamide (1.0–2.0 mM) reversibly reduced the frequency of action potentials and epileptiform bursts after 10–15 min (n = 9, n = 7), whereas benzolamide (1.0–2.0 mM) had no effect (n = 6). Conclusions: The results suggest that sulthiame acts as a membrane‐permeant CA inhibitor whose beneficial effect on epileptiform activity results at least in part from a modest intracellular acidosis of central neurons.</description><subject>Acetazolamide</subject><subject>Acetazolamide - pharmacology</subject><subject>Animals</subject><subject>Anticonvulsants - pharmacology</subject><subject>Anticonvulsants. Antiepileptics. Antiparkinson agents</subject><subject>Benzolamide</subject><subject>Benzolamide - pharmacology</subject><subject>Biological and medical sciences</subject><subject>Carbonic anhydrase inhibitor</subject><subject>Carbonic Anhydrase Inhibitors - pharmacology</subject><subject>Epilepsy - metabolism</subject><subject>Epilepsy - prevention &amp; control</subject><subject>Guinea Pigs</subject><subject>Hippocampus - cytology</subject><subject>Hippocampus - drug effects</subject><subject>Hippocampus - metabolism</subject><subject>Hydrogen-Ion Concentration - drug effects</subject><subject>Intracellular pH</subject><subject>Medical sciences</subject><subject>Neurons - drug effects</subject><subject>Neurons - metabolism</subject><subject>Neuropharmacology</subject><subject>Pharmacology. 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Antiepileptics. Antiparkinson agents</topic><topic>Benzolamide</topic><topic>Benzolamide - pharmacology</topic><topic>Biological and medical sciences</topic><topic>Carbonic anhydrase inhibitor</topic><topic>Carbonic Anhydrase Inhibitors - pharmacology</topic><topic>Epilepsy - metabolism</topic><topic>Epilepsy - prevention &amp; control</topic><topic>Guinea Pigs</topic><topic>Hippocampus - cytology</topic><topic>Hippocampus - drug effects</topic><topic>Hippocampus - metabolism</topic><topic>Hydrogen-Ion Concentration - drug effects</topic><topic>Intracellular pH</topic><topic>Medical sciences</topic><topic>Neurons - drug effects</topic><topic>Neurons - metabolism</topic><topic>Neuropharmacology</topic><topic>Pharmacology. Drug treatments</topic><topic>Sulthiame</topic><topic>Thiazines - pharmacology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leniger, Tobias</creatorcontrib><creatorcontrib>Wiemann, Martin</creatorcontrib><creatorcontrib>Bingmann, Dieter</creatorcontrib><creatorcontrib>Widman, Guido</creatorcontrib><creatorcontrib>Hufnagel, Andreas</creatorcontrib><creatorcontrib>Bonnet, Udo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leniger, Tobias</au><au>Wiemann, Martin</au><au>Bingmann, Dieter</au><au>Widman, Guido</au><au>Hufnagel, Andreas</au><au>Bonnet, Udo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carbonic Anhydrase Inhibitor Sulthiame Reduces Intracellular pH and Epileptiform Activity of Hippocampal CA3 Neurons</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2002-05</date><risdate>2002</risdate><volume>43</volume><issue>5</issue><spage>469</spage><epage>474</epage><pages>469-474</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Purpose: Sulthiame is a carbonic anhydrase (CA) inhibitor with an anticonvulsant effect in the treatment of benign and symptomatic focal epilepsy in children. The aim of the study was to elucidate the mode of action of sulthiame with respect to possible changes of intracellular pH (pHi) that might develop along with sulthiame's anticonvulsant properties. Methods: The effects of sulthiame (a) on pHi of 2′,7‐bis(2‐carboxyethyl)‐5(6)‐carboxyfluorescein‐acetoxymetyl ester (BCECF‐AM) loaded CA3 neurones as well as (b) on epileptiform activity (induced by 50 μM 4‐aminopyridine) were compared with those of the CA inhibitors acetazolamide and benzolamide. Results: In the majority of neurons, sulthiame (1.0–1.5 mM; n = 8) as well as the membrane permeant acetazolamide (0.5–1.0 mM; n = 6) reversibly decreased pHi by 0.18 ± 0.05 (SD) and 0.17 ± 0.10 (SD) pH units, respectively, within 10 min. The poor membrane permeant benzolamide (1.0–2.0 mM) had no influence on pHi (n = 8). Sulthiame (1.0–2.5 mM) and acetazolamide (1.0–2.0 mM) reversibly reduced the frequency of action potentials and epileptiform bursts after 10–15 min (n = 9, n = 7), whereas benzolamide (1.0–2.0 mM) had no effect (n = 6). Conclusions: The results suggest that sulthiame acts as a membrane‐permeant CA inhibitor whose beneficial effect on epileptiform activity results at least in part from a modest intracellular acidosis of central neurons.</abstract><cop>Boston, MA, USA</cop><pub>Blackwell Science Inc</pub><pmid>12027906</pmid><doi>10.1046/j.1528-1157.2002.32601.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Acetazolamide
Acetazolamide - pharmacology
Animals
Anticonvulsants - pharmacology
Anticonvulsants. Antiepileptics. Antiparkinson agents
Benzolamide
Benzolamide - pharmacology
Biological and medical sciences
Carbonic anhydrase inhibitor
Carbonic Anhydrase Inhibitors - pharmacology
Epilepsy - metabolism
Epilepsy - prevention & control
Guinea Pigs
Hippocampus - cytology
Hippocampus - drug effects
Hippocampus - metabolism
Hydrogen-Ion Concentration - drug effects
Intracellular pH
Medical sciences
Neurons - drug effects
Neurons - metabolism
Neuropharmacology
Pharmacology. Drug treatments
Sulthiame
Thiazines - pharmacology
title Carbonic Anhydrase Inhibitor Sulthiame Reduces Intracellular pH and Epileptiform Activity of Hippocampal CA3 Neurons
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