- Research article
- Open Access
Effects of eslicarbazepine acetate on acute and chronic latrunculin A-induced seizures and extracellular amino acid levels in the mouse hippocampus
BMC Neuroscience volume 15, Article number: 134 (2014)
Latrunculin A microperfusion of the hippocampus induces acute epileptic seizures and long-term biochemical changes leading to spontaneous seizures. This study tested the effect of eslicarbazepine acetate (ESL), a novel antiepileptic drug, on latrunculin A-induced acute and chronic seizures, and changes in brain amino acid extracellular levels. Hippocampi of Swiss mice were continuously perfused with a latrunculin A solution (4 μM, 1 μl/min, 7 h/day) with continuous EEG and videotape recording for 3 consecutive days. Microdialysate samples were analyzed by HPLC and fluorescence detection of taurine, glycine, aspartate, glutamate and GABA. Thereafter, mice were continuously video monitored for two months to identify chronic spontaneous seizures or behavioral changes. Control EEG recordings (8 h) were performed in all animals at least once a week for a minimum of one month.
Oral administration of ESL (100 mg/kg), previous to latrunculin A microperfusion, completely prevented acute latrunculin A-induced seizures as well as chronic seizures and all EEG chronic signs of paroxysmal activity. Hippocampal extracellular levels of taurine, glycine and aspartate were significantly increased during latrunculin A microperfusion, while GABA and glutamate levels remained unchanged. ESL reversed the increases in extracellular taurine, glycine and aspartate concentrations to basal levels and significantly reduced glutamate levels. Plasma and brain bioanalysis showed that ESL was completely metabolized within 1 h after administration to mainly eslicarbazepine, its major active metabolite.
ESL treatment prevented acute latrunculin A-induced seizures as well as chronic seizures and all EEG chronic signs of paroxysmal activity, supporting a possible anti-epileptogenic effect of ESL in mice.
Eslicarbazepine acetate (ESL) is a once-daily anticonvulsant approved in 2009 by the European Medicines Agency (EMA) and in 2013 by the Food and Drug Administration (FDA) as adjunctive therapy in adults with partial-onset seizures (POS). The ESL epilepsy clinical program included an initial proof of concept phase II study  and four subsequent phase III studies in patients refractory to conventional antiepileptic drug (AED) therapy -. Long-term safety and maintenance of therapeutic effect was demonstrated in one-year open-label extensions of these studies -.
Following oral administration, ESL undergoes extensive first pass hydrolysis to its major active metabolite eslicarbazepine (also known as (S)-licarbazepine) -, which represents approximately 95% of circulating active moieties and is believed to be responsible for its antiseizure effects - most likely through reduction of VGSC availability due to enhancement of slow inactivation of voltage-gated sodium channels and blockade type T calcium channels -.
Latrunculin A is an actin depolymerization agent  that has been widely used to study the role of F-actin in anchoring NMDA receptors to synaptic sites ,. Latrunculin A treatment promotes neurotransmitter release in hippocampal synapses  and induces multiple action potential firing and increases action potential duration . Latrunculin A hippocampal microperfusion in freely moving rats induces acute epileptic seizures, followed by the occurrence of chronic sporadic spontaneous seizures, in association with changes in extracellular concentrations of excitatory and inhibitory amino acids ,. In the rat, ESL was found to prevent acute seizures induced by latrunculin A hippocampal microperfusion and reduce the increases in glutamate and aspartate induced by latrunculin A . However, rats, in contrast to mice and humans, extensively convert ESL to oxcarbazepine .
The aim of the present study was to evaluate the effects of ESL on the development of latrunculin A hippocampal perfusion-induced acute and chronic seizure model in the mouse and to further examine the effects upon hippocampal extracellular levels of taurine, glycine, aspartate, GABA and glutamate, as changes in the extracellular levels of these amino acids play determinant effects in the neuropathophysiology of epileptic seizures -. Mice were used for the experiments as the metabolism of ESL in this species reflects the situation observed in humans ,,.
Male NMRI mice (n = 12-15 per group) were administered MES (50 mA, rectangular current: 0.6 ms pulse width, 0.4 s duration, 50 Hz) via corneal electrodes connected to a constant current shock generator (Ugo Basile 7801) and the number of tonic convulsions recorded. ESL (2.5 to 150 mg/kg) decreased in dose dependent manner MES-induced seizures (Figure 1A) with an ED50 values of 23.0 ± 1.9 mg/kg. Following oral administration of ESL, the major metabolite in plasma obtained from a statelite group of mice was eslicarbazepine, followed by relatively low amounts of OXC (Figure 1B); no trace amounts of ESL and R-licarbazepine were detected. The ESL dose of 100 mg/kg administered 60 min before the test resulted in 90% protection against MES-induced seizures. The concentration of eslicarbazepine in plasma associated with the 90% protection against MES-induced seizures was 126.6 ± 16.4 nmol/ml. Because this dose of ESL was found not to affect the behavioural performance in the rotarod test (data not shown), subsquent experiments (see below) were performed with the 100 mg/kg ESL dose.
EEG and behavioral observations
No seizures were observed during the first and second day of latrunculin A hippocampal microperfusion. However, all animals (n = 8 per group) studied showed a variable number of seizures (4.6 ± 2.8) on the third day of latrunculin A hippocampal microperfusion. ESL (100 mg/kg), administered 5–10 min before starting latrunculin A hippocampal perfusion, completely prevented latrunculin A induced seizures in all mice studied.
During the first week after latrunculin A treatment no behavioral signs or paroxysmal EEG activity was observed, though sporadic periods of slow waves were observed. From the second week onwards, various EEG signals of paroxysmal activity (electrographic seizures, focal and bilateral spike and wave discharges and long periods of slow wave activity) were recorded in all animals studied. Three different types of paroxysmal activity were observed in the same animal (Figure 2): 1) short bilateral electrographic seizure appearing sporadically during the second week after latrunculin A hippocampal microperfusion (typically 2 or 3 events during the 8 hours of control recording, but without accompaning convulsions or absence-like behavior); 2) focal spike discharges observed the third week after latrunculin A treatment, not related to observable behavioral signs; 3) slow waves/polyspikes observed during the third and fourth day of control (consisting of more than 30% of the 8-hours EEG recording, and occurring more frequently during sleep).
EEG epileptiform activity during the four weeks following latrunculin A hippocampal microperfusion was summarized weekly according to time spent (duration) in bilateral spike and wave discharges, focal discharges or slow wave activity (Figure 3). Among the mice studied, electrographic seizures and discharges occurred far more frequently than corresponding behavioral seizures could be detected. One tonic-clonic seizure was observed in two of the animals studied during behavioral observation, but no EEG records were obtained. Bilateral spike and wave discharges, focal discharges or slow wave activity resulting from latrunculin A hippocampal microperfusion were significantly lower in ESL-treated mice than in vehicle-treated mice (P < 0.001, using the by two-way ANOVA followed by Holm-Sidak’s multiple comparisons test; Figure 3).
In the animals treated with ESL, no paroxysmal EEG activity was observed during wakefulness and sleep in the month following latrunculin A microperfusion (Figure 4). No observable seizures or behavioural abnormalities were observed during the continuous video recordings of ESL-treated animals.
The inter-rater variability in the assessment of videotaped seizures and behavioral changes was approximately 2%.
Extracellular amino acid levels
Hippocampal extracellular aspartate (Asp), glutamate (Glu), glycine (Gly), GABA and taurine (Tau) were obtained with a 4-mm microdialysis membrane at a flow rate of 2 μl/min and were corrected for probe recovery. The recovery of Asp, Glu, Gly, GABA and Tau across the dialysis membrane was determined by perfusing modified Ringer solution at a rate of 2 μl/min through standard amino acid solutions ranging from 0.5 to 100 mM. Samples were collected every 15 min and determined as described. Relative probe recovery values (% mean ± SEM) were 23.3 ± 2.3 for Asp, 24.0 ± 3.0 for Glu, 33.2 ± 3.9 for Gly, 21.1 ± 2.3 for GABA and 14.6 ± 5.7 for Tau.
Basal dialysate concentrations (mean ± SEM) were 0.15 ± 0.02 μmol/l for Asp, 3.53 ± 0.42 μmol/l for Glu, 2.66 ± 0.27 μmol/l for Gly, 0.04 ± 0.01 μmol/l for GABA and 3.54 ± 0.44 μmol/l for Tau. As shown in Figure 5, latrunculin A hippocampal microperfusion induced significant (P < 0.001) increases in extracellular concentrations of Gly and Tau on days 1, 2 and 3 of latrunculin A hippocampal microperfusion, as well as a significant (P < 0.05) decrease in GABA levels, when were compared to control animals. Asp concentrations were significnatly (P < 0.01) increased during day 2 of perfusion. Glu levels remained unchanged during the two first days of perfusion, but decreased during the third day (P = 0.0553). The treatment with ESL prevented the latrunculin A-induced increase in Gly, Asp and Tau microdialysate concentrations (Figure 5). Though perfusion with latrunculin A did not affect extracellular concentrations of Glu during the first 2 days of treatment, ESL nevertheless markedly decreased the concentrations of Glu in the microdialysate of latrunculin A perfused mice during days 1 (P = 0.023) and 2 (P = 0.024). On the other hand, the marked decrease in GABA concentrations in the microdialysate of latrunculin A perfused mice was not affected by ESL administration.
Taking into account that seizures develop on the third day of perfusion, the main changes associated with the epileptiform EEG activity were decreases in GABA and Glu concentrations as well as significant increases in Gly and Tau.
ESL and metabolite pharmacokinetics
Following oral administration of ESL (100 mg/kg), the major metabolite in brain and plasma was eslicarbazepine. Relatively low amounts of OXC were quantified in brain and plasma. Only trace amounts of ESL were detected in brain and no R-licarbazepine was detected. Eslicarbazepine reached maximal concentrations (tmax) between 0.5 to 4 h following administration and at 8 h eslicarbazepine was in the elimination phase, reaching undetectable levels 24 h following administration (Figure 6). Previously, ESL was tested in mice at 20 mg/kg . In the present study we tested a dose of ESL 5 fold that previously tested. The plasma and brain profile of ESL and metabolites is similar in the two studies.
The present study determined the effects of ESL on epileptogenesis in the mouse latrunculin A model. Moreover, brain amino acid concentrations in the hippocampal microdialysates and ESL and metabolites in brain and plasma pharmacokinetic data were obtained for the pretreatment times and administration routes used in the present study. As previously described for mice ,, ESL was extensively converted to eslicarbazepine, as has been observed in humans -. In contrast to mice and humans, rats extensively convert ESL to oxcarbazepine . ESL significantly prevented latrunculin A-induced seizures and significantly prevented chronic paroxysmal EEG activity in hippocampal latrunculin A-perfused mice. These data indicate that ESL inhibits seizure initiation and can protect against latrunculin A-induced epileptogenesis. This dose of ESL (100 mg/kg), which significantly increased the seizure threshold in latrunculin A-perfused mice, was similar to the dose that prevented the development of seizures in the maximal electroshock test, and on partial-onset seizures in corneal and amygdala kindling models .
These results suggest that ESL and eslicarbazepine (the major metabolite after ESL administration) have the potential to prevent latrunculin A-induced epileptogenesis. The observed effects may reflect an anticonvulsant effect on partial onset seizures. However, disease-modifying effects may also be involved. The mechanisms of latrunculin A convulsant action are not completely understood, but the increase in the extracellular concentrations of excitatory amino acids acting on NMDA glutamate receptors, such as Glu, Asp and Gly, seem to be involved in latrunculin A-induced changes in seizure threshold ,. It has been suggested that changes in extracellular hippocampal Glu, Asp and GABA levels are not involved in seizure onset, but may play a role in seizure maintenance and/or spread in some animal models of epilepsy . In fact, high concentrations of Glu and Gly are convulsant in rats treated with intrahippocampal microperfusion of latrunculin A. This effect can be reversed by NMDA antagonists , indicating that increased Glu and Gly extracellular levels may be involved in seizure initiation in latrunculin A-induced seizures. The present study in mice shows that changes in extracellular concentrations of brain amino acids during latrunculin A hippocampal microperfusion are not identical to that observed in rats . This is particularly relevant for Glu, where no increase in the extracellular concentrations were observed in the mouse. Another interesting difference between the rat and the mouse relates to the marked decrease in the extracellular concentrations of GABA in latrunculin A-treated mice, which did not occur in the rat . The differences between species in what relates to changes in the extracellular concentrations of Glu and GABA during latrunculin A hippocampal microperfusion, for which no particular reason is apparent, do not appear to play a relevant role with respect to induction of seizures. However, it can be hypothesized that the decrease in the extracellular concentrations of GABA during latrunculin A hippocampal microperfusion may play a role in seizure initiation, maintenance and arrest ,,. On the other hand, the latrunculin A-induced increase in the extracellular concentrations of Asp and Gly appear to be common features in rats and mice. The observation that ESL treatment prevented latrunculin A-induced increases in the extracellular concentrations of Asp and Gly, without changes in GABA levels, and the development of chronic seizures indicates that the drug may not merely suppress seizure activity but may also inhibit the generation of a constant hyperexcitable epileptic network, resulting in decreases in the extracellular levels of excitatory brain amino acids.
The delayed appearance of bilateral spike and wave discharges, focal discharges or slow wave activity may result from changes in receptor signalling or changes in synaptic connectivity of surviving cells. Multiple changes occur in the days and weeks after convulsant application. Long-term changes in receptor expression have been documented at both excitatory , and inhibitory synapses . Reactive changes have also been demonstrated in the expression, phosphorylation and distribution of membrane channels that regulate cellular excitability -.
ESL is only hydrolysed to eslicarbazepine in humans and mice , whereas oxcarbazepine serves as a prodrug of both 10-hydroxy metabolites, i.e. eslicarbazepine and (R)-licarbazepine, which appear in the plasma and urine in a 4:1 ratio ,. In this context, it is of specific interest to compare the brain availability of both enantiomers. Whereas eslicarbazepine was the major metabolite in brain and plasma, (R)-licarbazepine represented less than 1% of the total amount of ESL metabolites in brain. These data fit well with the finding that eslicarbazepine was more potent in the MES test as compared to the (R)-enantiomer . Though (R)-licarbazepine is endowed with effects as an active voltage-gated sodium channel (VGSC) blocker , this may not suffice to guarantee efficacy of this entity as an anticonvulsant. Considerable differences in the pharmacodynamic properties between eslicarbazepine and (R)-licarbazepine have been observed. The affinity of (R)-licarbazepine for VGSCs in the resting state versus the inactive was found to be 4-fold that for eslicarbazepine , which may favor a better efficacy of the later over the former. Another remarkable difference between eslicarbazepine and (R)-licarbazepine is concerned with the potency of (R)-licarbazepine as a blocker of voltage-gated potassium-channels, namely KV7.2 currents, whereas eslicarbazepine is devoid of effect . In fact, activation of voltage-gated potassium-channels (KV7/M) during the initial stages of an action potential discharge suppresses later action potentials and inhibition of channel activity strongly enhances repetitive firing . KV7.2 knock-out mice have a reduced electroconvulsive threshold and increased sensitivity to convulsing agents . Finally, eslicarbazepine, but not (R)-licarbazepine, was effective in retarding kindling development during bilateral corneal stimulation in mice . This potential for eslicarbazepine to elicit antiepileptogenic effects, in contrast to (R)-Licarbazepine, may relate to the ability of eslicarbazepine to effectively inhibit high and low affinity Cav3.2 inward currents .
Numerous animal models of epileptogenesis have been developed and used in research studies designed to increase our understanding on the molecular abnormalities underlying neuronal hyperexcitability and spontaneous seizures . The latrunculin A-induced acute and chronic seizure model is an alternative model for studying epileptogenesis, as seizures are not the consequence of a previous sstatus epilepticus, but rather depend on the long-term changes in neuronal excitability leading to the onset of sporadic spontaneous seizures ,. However, to understand better the nature of the putative antiepileptogenic effect of ESL there is a need to evaluate whether ESL administered after latrunculin A administration also prevents the occurrence of chronic seizures. The effects of ESL and its 10-hydroxy metabolite eslicarbazepine in this model fit well with the outcome of the clinical experience with ESL in epilepsy also considering data from the initial proof‐of‐concept phase II study  as well as three subsequent phase III studies in patients refractory to conventional AED therapy -. Long-term safety and maintenance of therapeutic effect was demonstrated in one-year open-label extensions of these studies ,.
The data presented here demonstrate anticonvulsant effects of ESL on the development of latrunculin A-induced seizures and paroxysmal EEG activity. ESL may also exhibit disease-modifying effects beyond suppressing just seizure activity, possibly by altering the development of a hyperexcitable network, as evidenced by the suppressed changes in glycine, taurine, glutamate and aspartate concentrations associated with an antiepileptogenic effect.
Adult NMRI (for MES test) or Swiss male mice, obtained from Harlan-Interfauna or the animal facility of the University of Santiago de Compostela, Barcelona, Spain, with a body weight range of 35–40 g were habituated for at least 5 days after delivery in macrolon cages (25 × 19 × 13 cm; 10 animals per cage) on wood litter with free access to food and water. Before starting the experiments, mice were housed in individual cages under controlled environmental conditions (ambient temperature 21 ± 2°C, humidity 50-60%, 12:12 light/dark cycle) with free access to food and water, except during testing. All experiments were performed in laboratories with controlled environmental conditions and at the same time in the morning to avoid circadian variations. All efforts were made to minimize animal suffering, and chronic animal protocols were designed to reduce the number of animals used. The experiments (GSP2010/003) were authorised by the Ethics Committee of the University of Santiago de Compostela (Spain) and Direção Geral de Alimentação e Veterinária (Portugal) and carried out according to procedures for handling and caring of animals followed the Directive 2010/63/EU of the European Parliament on the protection of animals used for scientific purposes and the Spanish and Portuguese law on animal welfare. All efforts were made to minimize animal suffering, and chronic animal protocols were designed to reduce the number of animals used.
Maximal electroshock test
Male NMRI mice (n = 12-15 per group) were administered MES (50 mA, rectangular current: 0.6 ms pulse width, 0.4 s duration, 50 Hz) via corneal electrodes connected to a constant current shock generator (Ugo Basile 7801) and the number of tonic convulsions recorded . Vehicle (0.2% hydroxypropylmethylcellulose in distilled water) and ESL were administered orally, at a volume of 10 ml/kg body weight, 60 minutes before the test. Blood samples were taken from satellite groups of mice 60 minutes after ESL administration.
EEG and microdialysis
Mice (n = 8 per group) were anaesthetized with pentobarbital and placed in a stereotaxic instrument (D. Kopf, Tujunga, CA, USA). Under aseptic conditions, 2 stainless steel microscrews serving as electrodes for EEG recording were positioned in the skull above the frontal and occipital areas of each hemisphere; the reference electrode was anchored in the mid-line. The intracerebral guide for the microdialysis probe was implanted vertically into the ventral hippocampus. Stereotaxis coordinates were 1.75 mm posterior, 2.3 mm lateral and 1.7 mm ventral for the tip of the cannula relative to bregma and dural surface. Wires from the microscrews were soldered to a miniature plug (Cannon MD1-9SL1, ITT Cannon, Santa Ana, USA) and fixed firmly to the skull with dental cement. The experiments were carried out on conscious, freely moving mice 10 days after surgery. Bipolar cortical EEGs were recorded using digital EEG system with continuous video monitoring. Videos were analyzed by two observers blinded to the data.
We used a CMA/120 system for freely moving animals with CMA/7 microdialysis probes. The probe was connected via polyethylene tubing to a syringe selector (CMA/111), and to 1 ml syringes mounted on a microinjection pump (CMA/100). Before starting each experiment, the probe was perfused with ethanol and distilled water. After checking the integrity of the probe under a light microscope, vehicle solution was perfused for 10 min and in vitro recovery was tested routinely before each experiment prior to placement in the mouse hippocampus via a chronically implanted intracerebral guide.
The experiments were performed on freely-moving mice 10 days after surgery. After the fourth day mice were placed daily for three hours in the experimental unit for habituation. Bipolar cortical EEGs were recorded using a digital EEG system (MaxG, Zamora, Spain). In control experiments, vehicle consisting of modified Ringer’s solution containing 1:18750 ethanol was perfused at a constant flow rate of 1 μl/min for 7 h (from 09:00 am to 16:00 pm) over three consecutive days (days 11 to 13 after surgery). Latrunclin A-treated mice were perfused with latrunculin A (4 μg/ml) following the same protocol; 7 h (from 09:00 am to 16:00 pm) over three consecutive days (days 11 to 13 after surgery). The dose of latrunculin A and the place of probe implantation were selected based on the previous experience in freely moving rats, in which latrunculin A hippocampal microperfusion resulted in acute epileptic seizures as well as long term in neuronal excitability leading to the onset of sporadic spontaneous seizures accompanied by changes in extracellular amino acid concentration in the hippocampus ,. Latrunculin A-treated mice received orally via gavage vehicle or ESL (100 mg/kg/day) suspended in water/carboxymethylcellulose 5–10 min before starting each latrunculin A perfusion.
Following treatment, animals were continuously monitored by video over one month, and the video records were reviewed daily for indications of chronic spontaneous seizures or any behavioral changes. Control EEG recordings (8 h; from 09:00 am to 17:00 pm) were performed in all animals at least once per week over a minimum of one month.
Analysis of amino acids
Microdialysate samples were collected every 30 min over 6 hour period and sample analysis was performed by HPLC with fluorimetric detection using the AccQ-Tag method (Waters) for amino acids, as previously described by Liu et al.,  and Oreiro-García et al., . In brief, the HPLC system used was a Waters Alliance consisting of a 2695 separation model, a thermostat-controlled column oven, a system interface module, and a 2475 scanning fluorescence detector (all Waters components, Millipore, Milford, MA, USA). A waters Empower 5.0.0. Chromatography Manager was used to control system operation and results management. Fluorescence detection monitored excitation at 250 nm and emission at 395 nm. In an analysis for aspartate (Asp), glutamate (Glu), glycine (Gly), taurine (Tau), 10 μl of standards or sample was buffered to pH 8.8 with 10 μl of AccQ-Fluor borate buffer. In an analysis for GABA, 15 μl of standards or sample was buffered to pH 8.8 with 5 μl of AccQ-Fluor borate buffer. In both, the derivatives were formed with 5 μl of AQC solution. The reaction of AQC with all primary and secondary amines was rapid and excess reagent was hydrolyzed within 1 min. Separation of Asp, Glu, Gly and Tau, was carried out using a 3.5 μm XBridge C18 column (100 mm × 3.0 mm i.d.) from Waters. Eluent A was aqueous acetate phosphate buffer prepared by diluting AccQ-Tag eluent A concentrate with water to a ratio of 1:10, eluent B was HPLC grade acetonitrile and eluent C was water. The injection volume was 5 μl and the separation was obtained at a flow rate of 0.7 ml/min at 30°C with the following gradient program: initial 100% A; 0.5 min, 99% A; 21 min, 95% A; 21.5 min, 80% acetonitrile and 20% water; 28 min 100% A; all linear, except the steps at 0.5 and 28 min which were a step function. For column regeneration, 6.5 min with 80% acetonitrile and 20% water was sufficient to wash out the column and before the next injection, 100% acetate buffer for 10 min was needed to equilibrate the system. Separation of GABA was carried out using a 2.5 μm XBridge C18 column (50 mm × 2.1 mm i.d.) from Waters. Eluent A was aqueous acetate phosphate buffer prepared by diluting AccQ-Tag eluent A concentrate with water to a ratio of 1:10, eluent B was HPLC grade acetonitrile and eluent C was water. The injection volume was 5 μl and the separation was obtained at a flow rate of 0.35 ml/min at 50°C with the following gradient program: initial 99% A; 1 min, 99% A; 7 min, 97% A; 16 min, 89% A; 16.5 min, 80% acetonitrile and 20% water; 25 min 100% A; all linear, except the steps at 0.5 and 28 min which were a step function. For column regeneration, 8.5 min with 80% acetonitrile and 20% water was sufficient to wash out the column and before the next injection, 100% acetate buffer for 10 min was needed to equilibrate the system. The samples were quantified with accuracy and precision over the analytical range of 0.01 to 1.0 μmol/l for Asp and GABA, 0.1 to 10.0 μmol/l for glycine, glutamate and taurine. The limit of quantification was 0.01 μmol/l for aspartate and 0.1 μmol/l for Glu, Gly and Tau.
Analysis of ESL metabolites
Brain and plasma concentrations of eslicarbazepine acetate, eslicarbazepine and (R)-licarbazepine were determined using a validated enantioselective LC-MS/MS assay, as previously described . In brief, Brain and plasma concentrations of eslicarbazepine acetate, eslicarbazepine and (R)-licarbazepine were determined using a validated enantioselective LC-MS/MS assay, as previously described . Plasma samples (100 μL) were added with 400 μl of internal standard (ISTD) working solution (2000 ng/ml of 10, 11-dihydrocarbamazepine in phosphate buffer pH 5.6) and then processed by solid phase extraction. After thawing and weighing, 0.1 M sodium phosphate buffer (pH 5.6) was added to the brain samples to give a tissue concentration of 0.1 mg/ml. The samples were then homogenized using a Heidolph DIAX 900 mixer and transferred to 10 ml plastic centrifugation tubes. After centrifugation at 10,000 g for 30 min at 4°C, 0.5 ml of supernatants were added to 0.5 ml ISTD working solution and then processed by solid phase extraction. The samples were placed on an automatic liquid handler (ASPEC-XL4, Gilson) for solid phase extraction. Solid phase extraction cartridges (Oasis, HLB, 30 mg, 1 ml Waters) were conditioned with 1 ml of acetonitrile and then washed twice with 1 ml of water. Specimen (400 μl) were loaded onto the cartridges and the cartridges washed twice with 1 ml of water. After the second wash the cartridges were flushed with an air push of 10 ml at 6 ml/min. The cartridges were eluted twice with 200 μl of methanol with an air push of 2 ml at 6 ml/min. The eluted sample was evaporated until dryness and resuspended into 200 μl of hexane:2-propanol (90:10, v:v). The samples were injected (20 μl) into a LC-MS/MS. The analysis of samples extracts was performed using LC-MS/MS (Quattro Ultima, Waters) with positive ion detection. Separation was performed on a ChiralCel 0.46 cm × 15 cm OD-H column (Chiral technologies, Europe). The mobile phase consisted of an isocratic mixture of hexano:ethanol (80:20, v:v; flow rate of 1 ml/min), and Ethanol with 5 mM ammonium acetate (added post-column using a flow rate of 0.15 ml/min). A volume of 20 μL was injected and the column temperature kept at 50°C for the run time of 7 min. Electrospray ionisation was used for all mass spectrometer methods with a cone voltage of 40 V and capillary current of 3.8 kV. The multiple reaction monitoring pair was m/z 239.1 → 194, collision 40 eV for ISTD; 253.1 → 208, collision 25 eV for oxcarbazepine; 255.1 → 194, 237, collision 30 eV for eslicarbazepine and (R)-licarbazepine; 297.1 → 194, 237, collision 30 eV for eslicarbazepine acetate. The autosampler cooler was maintained at 10°C. The samples were quantified with accuracy and precision over the analytical range of 0.2 to 8.0 nmol/ml for plasma and 2.0 nmol/g to 80 nmol/g for brain. The limit of quantification was 0.2 nmol/ml and 2.0 nmol/g, for plasma and brain respectively.
Eslicarbazepine acetate [(−)-(S)-10-acetoxy-10,11-dihydro-5H-dibenzo/b,f/azepine-5-carboxamide], eslicarbazepine [(+)-(S)-10,11-dihydro-10-hydroxy-5H-dibenzo/b,f/azepine-5-carboxamide], (R)-licarbazepine [(−)-(R)-10,11-dihydro-10-hydroxy-5H-dibenzo/b,f/azepine-5-carboxamide], 10,11-dihydrocarbamazepine (used as internal standard), and oxcarbazepine, were all synthesized in the Laboratory of Chemistry, BIAL – Portela & Cª, S.A., with purities >99.5%. Latrunculin A was obtained from Molecular Probes (Eugene, Oregon, USA).
Results are presented as mean ± SEM. EEG records were analysed using the Medlog 9200 software, version 7.2. Spike and wave discharges duration, seizure duration, and number of seizures were evaluated. Statistical significance of the difference in number of seizures, seizure duration, and seizure onset times was determined by two-way ANOVA followed by Holm-Sidak’s multiple comparisons test. Significant differences in amino acid levels were determined by two-way ANOVA for repeated measures followed by Holm-Sidak’s multiple comparisons test. P-values less than 0.05 were regarded as statistically significant.
High pressure liquid chromatography
Elger C, Bialer M, Cramer JA, Maia J, Almeida L, Soares-da-Silva P: Eslicarbazepine acetate: a double-blind, add-on, placebo-controlled exploratory trial in adult patients with partial-onset seizures. Epilepsia. 2007, 48: 497-504. 10.1111/j.1528-1167.2007.00984.x.
Ben-Menachem E, Gabbai AA, Hufnagel A, Maia J, Almeida L, Soares-da-Silva P: Eslicarbazepine acetate as adjunctive therapy in adult patients with partial epilepsy. Epilepsy Res. 2010, 89: 278-285. 10.1016/j.eplepsyres.2010.01.014.
Elger C, Halasz P, Maia J, Almeida L, Soares-da-Silva P: Efficacy and safety of eslicarbazepine acetate as adjunctive treatment in adults with refractory partial-onset seizures: a randomized, double-blind, placebo-controlled, parallel-group phase III study. Epilepsia. 2009, 50: 454-463. 10.1111/j.1528-1167.2008.01946.x.
Gil-Nagel A, Lopes-Lima J, Almeida L, Maia J, Soares-da-Silva P: Efficacy and safety of 800 and 1200 mg eslicarbazepine acetate as adjunctive treatment in adults with refractory partial-onset seizures. Acta Neurol Scand. 2009, 120: 281-287. 10.1111/j.1600-0404.2009.01218.x.
Sperling M, Harvey J, Biraben A, Galimberti CA, Kowacs P, Hong SB, Cheng H, Blum D, Nunes T, Soares-da-Silva P: Adjunctive eslicarbazepine acetate in patients with refractory partial-onset seizures: Efficacy results of a 12 week randomized placebo-controlled study. Epilepsy Curr. 2014, 14 (Suppl. 1): 395-395.
Halasz P, Cramer JA, Hodoba D, Czlonkowska A, Guekht A, Maia J, Elger C, Almeida L, Soares-da-Silva P: Long-term efficacy and safety of eslicarbazepine acetate: Results of a 1-year open-label extension study in partial-onset seizures in adults with epilepsy. Epilepsia. 2010, 51: 1963-1969. 10.1111/j.1528-1167.2010.02660.x.
Hufnagel A, Ben-Menachem E, Gabbai AA, Falcao A, Almeida L, Soares-da-Silva P: Long-term safety and efficacy of eslicarbazepine acetate as adjunctive therapy in the treatment of partial-onset seizures in adults with epilepsy: results of a 1-year open-label extension study. Epilepsy Res. 2013, 103: 262-269. 10.1016/j.eplepsyres.2012.07.014.
Lopes-Lima J, Gil-Nagel A, Maia J, Almeida L, Soares-da-Silva P: Long-term treatment of partial epilepsy with eslicarbazepine acetate (ESL): results of a one-year open-label extension of study BIA-2093-303. Epilepsia. 2008, 49 (suppl. 7): 441-442.
Falcao A, Maia J, Almeida L, Mazur D, Gellert M, Soares-da-Silva P: Effect of gender on the pharmacokinetics of eslicarbazepine acetate (BIA 2–093), a new voltage-gated sodium channel blocker. Biopharm Drug Dispos. 2007, 28: 249-256. 10.1002/bdd.549.
Almeida L, Potgieter JH, Maia J, Potgieter MA, Mota F, Soares-da-Silva P: Pharmacokinetics of eslicarbazepine acetate in patients with moderate hepatic impairment. Eur J Clin Pharmacol. 2008, 64: 267-273. 10.1007/s00228-007-0414-1.
Almeida L, Minciu I, Nunes T, Butoianu N, Falcao A, Magureanu SA, Soares-da-Silva P: Pharmacokinetics, efficacy, and tolerability of eslicarbazepine acetate in children and adolescents with epilepsy. J Clin Pharmacol. 2008, 48: 966-977. 10.1177/0091270008319706.
Maia J, Almeida L, Falcão A, Soares E, Mota F, Potgieter JH, Potgieter MA, Soares-da-Silva P: Effect of renal impairment on the pharmacokinetics of eslicarbazepine acetate. Int J Clin Pharmacol Ther. 2008, 46: 119-130. 10.5414/CPP46119.
Perucca E, Elger C, Halasz P, Falcao A, Almeida L, Soares-da-Silva P: Pharmacokinetics of eslicarbazepine acetate at steady-state in adults with partial-onset seizures. Epilepsy Res. 2011, 96: 132-139. 10.1016/j.eplepsyres.2011.05.013.
Pires N, Palma N, Loureiro AI, Bonifacio MJ, Wright LC, Soares-da-Silva P: Effects of eslicarbazepine acetate, eslicarbazepine, carbamazepine and oxcarbazepine in the maximal electroconvulsive shock test in the mice. Epilepsia. 2011, 52 (Suppl. 6): 118.
Sierra-Paredes G, Sierra-Marcuno G, Loureiro AI, Wright LC, Soares-da-Silva P: Effects of eslicarbazepine acetate on acute and chronic latrunculin A-induced seizures and extracellular amino acid levels in the mouse hippocampus. Epilepsia. 2011, 52 (Suppl. 6): 119.
Torrao L, Machado R, Pires N, Palma N, Bonifacio MJ, Wright LC, Soares-da-Silva P: Effects of eslicarbazepine acetate, eslicarbazepine, carbamazepine and oxcarbazepine in the 6-HZ psychomotor seizure model in the mice. Epilepsia. 2011, 52 (Suppl. 6): 118-119.
Brady K, Hebeisen S, Konrad D, Soares-da-Silva P: The effects of eslicarbazepine, R-licarbazepine, oxcarbazepine and carbamazepine on ion transmission Cav3.2 channels. Epilepsia. 2011, 52 (Suppl. 6): 260.
Hebeisen S, Brady K, Konrad D, Soares-da-Silva P: Inhibitory effects of eslicarbazepine acetate and its metabolites against neuronal voltage-gated sodium channels. Epilepsia. 2011, 52 (Suppl. 6): 257-258.
Hebeisen S, Pires N, Loureiro AI, Bonifacio MJ, Palma N, Whyment A, Spanswick D, Soares-da-Silva P: Eslicarbazepine and the enhancement of slow inactivation of voltage-gated sodium channels: A comparison with carbamazepine, oxcarbazepine and lacosamide. Neuropharmacology. 2015, 89: 122-135. 10.1016/j.neuropharm.2014.09.008.
Spector I, Shochet NR, Blasberger D, Kashman Y: Latrunculins–novel marine macrolides that disrupt microfilament organization and affect cell growth: I. Comparison with cytochalasin D. Cell Motil Cytoskeleton. 1989, 13: 127-144. 10.1002/cm.970130302.
Allison DW, Gelfand VI, Spector I, Craig AM: Role of actin in anchoring postsynaptic receptors in cultured hippocampal neurons: differential attachment of NMDA versus AMPA receptors. J Neurosci. 1998, 18: 2423-2436.
Sattler R, Xiong Z, Lu WY, MacDonald JF, Tymianski M: Distinct roles of synaptic and extrasynaptic NMDA receptors in excitotoxicity. J Neurosci. 2000, 20: 22-33.
Morales M, Colicos MA, Goda Y: Actin-dependent regulation of neurotransmitter release at central synapses. Neuron. 2000, 27: 539-550. 10.1016/S0896-6273(00)00064-7.
Houssen WE, Jaspars M, Wease KN, Scott RH: Acute actions of marine toxin latrunculin A on the electrophysiological properties of cultured dorsal root ganglion neurones. Comp Biochem Physiol. 2006, 142: 19-29.
Sierra-Paredes G, Oreiro-Garcia MT, Vazquez-Illanes MD, Sierra-Marcuno G: Effect of eslicarbazepine acetate (BIA 2–093) on latrunculin A-induced seizures and extracellular amino acid concentrations in the rat hippocampus. Epilepsy Res. 2007, 77: 36-43. 10.1016/j.eplepsyres.2007.08.006.
Sierra-Paredes G, Oreiro-Garcia T, Nunez-Rodriguez A, Vazquez-Lopez A, Sierra-Marcuno G: Seizures induced by in vivo latrunculin a and jasplakinolide microperfusion in the rat hippocampus. J Mol Neurosci. 2006, 28: 151-160. 10.1385/JMN:28:2:151.
Bialer M, Soares-da-Silva P: Pharmacokinetics and drug interactions of eslicarbazepine acetate. Epilepsia. 2012, 53: 935-946. 10.1111/j.1528-1167.2012.03519.x.
Bonhaus DW, Lippincott SE, Huxtable RJ: Subcellular distribution of neuroactive amino acids in brains of genetically epileptic rats. Epilepsia. 1984, 25: 564-568. 10.1111/j.1528-1157.1984.tb03462.x.
Guilarte TR: Regional changes in the concentrations of glutamate, glycine, taurine, and GABA in the vitamin B-6 deficient developing rat brain: association with neonatal seizures. Neurochem Res. 1989, 14: 889-897. 10.1007/BF00964820.
Nilsson P, Ronne-Engstrom E, Flink R, Ungerstedt U, Carlson H, Hillered L: Epileptic seizure activity in the acute phase following cortical impact trauma in rat. Brain Res. 1994, 637: 227-232. 10.1016/0006-8993(94)91237-8.
Sierra-Paredes G, Galan-Valiente J, Vazquez-Illanes MD, Aguilar-Veiga E, Soto-Otero R, Mendez-Alvarez E, Sierra-Marcuno G: Extracellular amino acids in the rat hippocampus during picrotoxin threshold seizures in chronic microdialysis experiments. Neurosci Lett. 1998, 248: 53-56. 10.1016/S0304-3940(98)00332-2.
Labiner DM, Yan CC, Weinand ME, Huxtable RJ: Disturbances of amino acids from temporal lobe synaptosomes in human complex partial epilepsy. Neurochem Res. 1999, 24: 1379-1383. 10.1023/A:1022528522373.
Sherwin AL: Neuroactive amino acids in focally epileptic human brain: a review. Neurochem Res. 1999, 24: 1387-1395. 10.1023/A:1022580506443.
Thomas PM, Phillips JP, Delanty N, O’Connor WT: Elevated extracellular levels of glutamate, aspartate and gamma-aminobutyric acid within the intraoperative, spontaneously epileptiform human hippocampus. Epilepsy Res. 2003, 54: 73-79. 10.1016/S0920-1211(03)00035-4.
Thomas PM, Phillips JP, O’Connor WT: Microdialysis of the lateral and medial temporal lobe during temporal lobe epilepsy surgery. Surg Neurol. 2005, 63: 70-79. 10.1016/j.surneu.2004.02.031.
Melo T, Bigini P, Sonnewald U, Balosso S, Cagnotto A, Barbera S, Uboldi S, Vezzani A, Mennini T: Neuronal hyperexcitability and seizures are associated with changes in glial-neuronal interactions in the hippocampus of a mouse model of epilepsy with mental retardation. J Neurochem. 2010, 115: 1445-1454. 10.1111/j.1471-4159.2010.07048.x.
Bradford HF: Glutamate, GABA and epilepsy. Prog Neurobiol. 1995, 47: 477-511. 10.1016/0301-0082(95)00030-5.
Kanamori K, Ross BD: Electrographic seizures are significantly reduced by in vivo inhibition of neuronal uptake of extracellular glutamine in rat hippocampus. Epilepsy Res. 2013, 107: 20-36. 10.1016/j.eplepsyres.2013.08.007.
Soukupova M, Binaschi A, Falcicchia C, Zucchini S, Roncon P, Palma E, Magri E, Grandi E, Simonato M: Impairment of GABA release in the hippocampus at the time of the first spontaneous seizure in the pilocarpine model of temporal lobe epilepsy. Exp Neurol. 2014, 257C: 39-49. 10.1016/j.expneurol.2014.04.014.
Hainzl D, Parada A, Soares-da-Silva P: Metabolism of two new antiepileptic drugs and their principal metabolites S(+)- and R(−)-10,11-dihydro-10-hydroxy carbamazepine. Epilepsy Res. 2001, 44: 197-206. 10.1016/S0920-1211(01)00231-5.
Alves G, Figueiredo I, Castel-Branco M, Lourenco N, Falcao A, Caramona M, Soares-da-Silva P: Disposition of eslicarbazepine acetate in the mouse after oral administration. Fund Clin Pharmacol. 2008, 22: 529-536. 10.1111/j.1472-8206.2008.00617.x.
Potschka H, Soerensen J, Pekcec A, Loureiro A, Soares-da-Silva P: Effect of eslicarbazepine acetate in the corneal kindling progression and the amygdala kindling model of temporal lobe epilepsy. Epilepsy Res. 2014, 108: 212-222. 10.1016/j.eplepsyres.2013.11.017.
Chapman AG: Glutamate receptors in epilepsy. Prog Brain Res. 1998, 116: 371-383. 10.1016/S0079-6123(08)60449-5.
Sierra-Paredes G, Sierra-Marcuno G: Extrasynaptic GABA and glutamate receptors in epilepsy. CNS Neurol Disord Drug Targets. 2007, 6: 288-300. 10.2174/187152707781387251.
Smolders I, Van Belle K, Ebinger G, Michotte Y: Hippocampal and cerebellar extracellular amino acids during pilocarpine-induced seizures in freely moving rats. Eur J Pharmacol. 1997, 319: 21-29. 10.1016/S0014-2999(96)00830-8.
Vazquez-Lopez A, Sierra-Paredes G, Sierra-Marcuno G: Seizures induced by microperfusion of glutamate and glycine in the hippocampus of rats pretreated with latrunculin A. Neurosci Lett. 2005, 388: 81-85. 10.1016/j.neulet.2005.06.063.
Laschet JJ, Kurcewicz I, Minier F, Trottier S, Khallou-Laschet J, Louvel J, Gigout S, Turak B, Biraben A, Scarabin JM, Devaux B, Chauvel P, Pumain R: Dysfunction of GABAA receptor glycolysis-dependent modulation in human partial epilepsy. Proc Natl Acad Sci U S A. 2007, 104: 3472-3477. 10.1073/pnas.0606451104.
Dugladze T, Maziashvili N, Borgers C, Gurgenidze S, Haussler U, Winkelmann A, Haas CA, Meier JC, Vida I, Kopell NJ, Gloveli T: GABA(B) autoreceptor-mediated cell type-specific reduction of inhibition in epileptic mice. Proc Natl Acad Sci U S A. 2013, 110: 15073-15078. 10.1073/pnas.1313505110.
Epsztein J, Represa A, Jorquera I, Ben-Ari Y, Crepel V: Recurrent mossy fibers establish aberrant kainate receptor-operated synapses on granule cells from epileptic rats. J Neurosci. 2005, 25: 8229-8239. 10.1523/JNEUROSCI.1469-05.2005.
Suzuki F, Hirai H, Onteniente B, Riban V, Matsuda M, Kurokawa K: Long-term increase of GluR2 alpha-amino-3-hydroxy-5-methylisoxazole-4-propionate receptor subunit in the dispersed dentate gyrus after intrahippocampal kainate injection in the mouse. Neuroscience. 2000, 101: 41-50. 10.1016/S0306-4522(00)00359-6.
Bouilleret V, Loup F, Kiener T, Marescaux C, Fritschy JM: Early loss of interneurons and delayed subunit-specific changes in GABA(A)-receptor expression in a mouse model of mesial temporal lobe epilepsy. Hippocampus. 2000, 10: 305-324. 10.1002/1098-1063(2000)10:3<305::AID-HIPO11>3.0.CO;2-I.
Bernard C, Anderson A, Becker A, Poolos NP, Beck H, Johnston D: Acquired dendritic channelopathy in temporal lobe epilepsy. Science. 2004, 305: 532-535. 10.1126/science.1097065.
Misonou H, Mohapatra DP, Park EW, Leung V, Zhen D, Misonou K, Anderson AE, Trimmer JS: Regulation of ion channel localization and phosphorylation by neuronal activity. Nat Neurosci. 2004, 7: 711-718. 10.1038/nn1260.
Su H, Sochivko D, Becker A, Chen J, Jiang Y, Yaari Y, Beck H: Upregulation of a T-type Ca2+ channel causes a long-lasting modification of neuronal firing mode after status epilepticus. J Neurosci. 2002, 22: 3645-3655.
Schutz H, Feldmann KF, Faigle JW, Kriemler HP, Winkler T: The metabolism of 14C-oxcarbazepine in man. Xenobiotica. 1986, 16: 769-778. 10.3109/00498258609043567.
Volosov A, Xiaodong S, Perucca E, Yagen B, Sintov A, Bialer M: Enantioselective pharmacokinetics of 10-hydroxycarbazepine after oral administration of oxcarbazepine to healthy Chinese subjects. Clin Pharmacol Ther. 1999, 66: 547-553. 10.1016/S0009-9236(99)90061-9.
Soares-da-Silva P, Bulling A, Hebeisen S, Konrad D: The effects of eslicarbazepine, R-licarbazepine and carbamazepine on ion transmission through Kv7.2 channels. Epilepsia. 2011, 52: 258-259.
Brown DA, Passmore GM: Neural KCNQ (Kv7) channels. Br J Pharmacol. 2009, 156: 1185-1195. 10.1111/j.1476-5381.2009.00111.x.
Peters HC, Hu H, Pongs O, Storm JF, Isbrandt D: Conditional transgenic suppression of M channels in mouse brain reveals functions in neuronal excitability, resonance and behavior. Nat Neurosci. 2005, 8: 51-60. 10.1038/nn1375.
Pitkanen A, Immonen RJ, Grohn OH, Kharatishvili I: From traumatic brain injury to posttraumatic epilepsy: what animal models tell us about the process and treatment options. Epilepsia. 2009, 50 (Suppl 2): 21-29. 10.1111/j.1528-1167.2008.02007.x.
Swinyard EA, Brown WC, Goodman LS: Comparative assays of antiepileptic drugs in mice and rats. J Pharmacol Exp Ther. 1952, 106: 319-330.
Liu H, Sañuda-Peña C, Harvey-White JD, Kalra S, Cohen SA: Determination of submicromolar concentrations of neurotransmitter amino acids by fluorescence detection using a modification of the 6-aminoquinolyl-N-hydroxysuccinimidyl carbamate method for amino acid analysis. J Chromatography A. 1998, 828: 383-395. 10.1016/S0021-9673(98)00836-X.
Oreiro-Garcia MT, Vazquez-Illanes MD, Sierra-Paredes G, Sierra-Marcuno G: Analysis of neuroactive amino acids from microdialysate samples by fluorescence detection using a modification of the 6-aminoquinolyl-N-hydroxysuccinimidyl carbamate method. Biomed Chromatogr. 2005, 19: 720-724. 10.1002/bmc.499.
Loureiro AI, Fernandes-Lopes C, Bonifacio MJ, Wright LC, Soares-da-Silva P: Hepatic UDP-glucuronosyltransferase is responsible for eslicarbazepine glucuronidation. Drug Metab Dispos. 2005, 39: 1486-1494. 10.1124/dmd.111.038620.
This study was sponsored by BIAL – Portela & Cª, S.A.
Drs G. Sierra-Paredes and G. Sierra-Marcuño received consultancy honoraria from BIAL – Portela & Cª, SA. Drs A. I. Loureiro, L.C. Wright and P. Soares-da-Silva are or were employees of BIAL – Portela & Cª, S.A. at the time of the study.
GSP and PSS participated in the design of the study, its coordination and drafted the manuscript. GSP, GSM and AIL carried the animal work and bioanalysis. LCW performed the statistical analysis. All authors read and approved the final manuscript.
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Sierra-Paredes, G., Loureiro, A.I., Wright, L.C. et al. Effects of eslicarbazepine acetate on acute and chronic latrunculin A-induced seizures and extracellular amino acid levels in the mouse hippocampus. BMC Neurosci 15, 134 (2014). https://0-doi-org.brum.beds.ac.uk/10.1186/s12868-014-0134-2
- Anticonvulsant drugs
- Eslicarbazepine acetate
- Latrunculin A-induced seizures