Abstract:The anticonvulsant actions of memantine (1,3-dimethyl-5-aminoadamantane) have been evaluated in mice (seizures induced by maximal electroshock, pentylenetetrazol, bicuculline, picrotoxin, 3-mercaptopropionic acid and N-methyl-D,L-aspartic acid) and in photosensitive baboons, Papio Papio (clonic responses to intermittent photic stimulation). Memantine, 5-20 mg/kg, raised the threshold for electroconvulsions and protected mice against the tonic hind limb extension in pentylenetetrazol-, bicuculline-, picrotoxin-… Show more
“…Thus, moderate-affinity uncompetitive NMDAR antagonists held promise for treatment against numerous neurological disorders, including epilepsy (Chen et al, 1992; Lipton, 1993; Rogawski, 1993; Parsons et al, 1995, 1999). However, although acute memantine administration in in vivo epilepsy models showed anticonvulsive properties, proconvulsive effects also have been reported at 20–60 mg/kg doses (Meldrum et al, 1986; Loscher, 1998; Mareš and Mikulecká, 2009). Chronic treatment with a clinically relevant concentration of memantine also exacerbated seizure-like events (SLE) in an in vitro organotypic hippocampal slice culture model of epileptogenesis (Wang and Bausch, 2004).…”
Chronic N-methyl-D-aspartate receptor (NMDAR) blockade with high affinity competitive and uncompetitive antagonists can lead to seizure exacerbation, presumably due to an imbalance in glutamatergic and GABAergic transmission. Acute administration of the moderate affinity NMDAR antagonist memantine in vivo has been associated with pro- and anticonvulsive properties. Chronic treatment with memantine can exacerbate seizures. Therefore, we hypothesized that chronic memantine treatment would increase glutamatergic and decrease GABAergic transmission, similar to high affinity competitive and uncompetitive antagonists. To test this hypothesis, organotypic hippocampal slice culture were treated for 17–21 days with memantine and then subjected to electrophysiological recordings. Whole-cell recordings from dentate granule cells revealed that chronic memantine treatment slightly, but significantly increased sEPSC frequency, mEPSC amplitude and mEPSC charge transfer, consistent with minimally increased glutamatergic transmission. Chronic memantine treatment also increased both sIPSC and mIPSC frequency and amplitude, suggestive of increased GABAergic transmission. Results suggest that a simple imbalance between glutamatergic and GABAergic neurotransmission may not underlie memantine’s ictogenic properties. That said, glutamatergic and GABAergic transmission were assayed independently of one another in the current study. More complex interactions between glutamatergic and GABAergic transmission may prevail under conditions of intact circuitry.
“…Thus, moderate-affinity uncompetitive NMDAR antagonists held promise for treatment against numerous neurological disorders, including epilepsy (Chen et al, 1992; Lipton, 1993; Rogawski, 1993; Parsons et al, 1995, 1999). However, although acute memantine administration in in vivo epilepsy models showed anticonvulsive properties, proconvulsive effects also have been reported at 20–60 mg/kg doses (Meldrum et al, 1986; Loscher, 1998; Mareš and Mikulecká, 2009). Chronic treatment with a clinically relevant concentration of memantine also exacerbated seizure-like events (SLE) in an in vitro organotypic hippocampal slice culture model of epileptogenesis (Wang and Bausch, 2004).…”
Chronic N-methyl-D-aspartate receptor (NMDAR) blockade with high affinity competitive and uncompetitive antagonists can lead to seizure exacerbation, presumably due to an imbalance in glutamatergic and GABAergic transmission. Acute administration of the moderate affinity NMDAR antagonist memantine in vivo has been associated with pro- and anticonvulsive properties. Chronic treatment with memantine can exacerbate seizures. Therefore, we hypothesized that chronic memantine treatment would increase glutamatergic and decrease GABAergic transmission, similar to high affinity competitive and uncompetitive antagonists. To test this hypothesis, organotypic hippocampal slice culture were treated for 17–21 days with memantine and then subjected to electrophysiological recordings. Whole-cell recordings from dentate granule cells revealed that chronic memantine treatment slightly, but significantly increased sEPSC frequency, mEPSC amplitude and mEPSC charge transfer, consistent with minimally increased glutamatergic transmission. Chronic memantine treatment also increased both sIPSC and mIPSC frequency and amplitude, suggestive of increased GABAergic transmission. Results suggest that a simple imbalance between glutamatergic and GABAergic neurotransmission may not underlie memantine’s ictogenic properties. That said, glutamatergic and GABAergic transmission were assayed independently of one another in the current study. More complex interactions between glutamatergic and GABAergic transmission may prevail under conditions of intact circuitry.
“…Structure of memantine Memantine (1-amino-3,5-dimethyladamantane hydrochloride) is known to have anti-Parkinsonian (Schneider, Fischer, Clemens, Balzereit, Funfgeld & Haase, 1984) and anti-epileptic (Meldrum, Turski, Schwarz, Czuczwar & Sontag, 1986) properties. It is an analogue of amantadine, an anti-A2 influenza agent (reviewed in Tominack & Hayden, 1987).…”
Section: Nh2mentioning
confidence: 99%
“…Here, we use the drug memantine as an example to elucidate the molecular nature of antagonism against NMDA-operated receptors, to establish a stepwise method with molecular schemes to dissect the difference between non-competitive and uncompetitive modes of action, and to outline a molecular basis for evaluating therapeutic advantages among this class of open-channel blockers. NH2 Structure of memantine Memantine (1-amino-3,5-dimethyladamantane hydrochloride) is known to have anti-Parkinsonian (Schneider, Fischer, Clemens, Balzereit, Funfgeld & Haase, 1984) and anti-epileptic (Meldrum, Turski, Schwarz, Czuczwar & Sontag, 1986) properties. It is an analogue of amantadine, an anti-A2 influenza agent (reviewed in Tominack & Hayden, 1987).…”
reduced the association rate of memantine, but had no effect on the voltage dependence of the dissociation rate. After removal of Cs+, the calculated K1 for memantine remained voltage dependent.These observations would be difficult to reconcile with models in which memantine binds to a site outside the channel pore and instead strongly support the supposition that the blocking site for memantine is within the permeation pathway.
“…Memantine (I-amino-3,%dimethyladamantane hydrochloride) is known to have anti-Parkinsonian (Schneider et al, 1984) and anti-epileptic (Meldrum et al, 1986) properties and is an analog ofamantadine (1 -adamantanamine hydrochloride), a wellknown antiviral agent (Zlydnikov et al,198 1). Both adamantane derivatives have been used clinically for Parkinson's disease for many years in the United States or in Europe (Schwab et al, 1969;Schneider et al, 1984).…”
Excessive activation of NMDA receptors is thought to mediate the calcium-dependent neurotoxicity associated with hypoxic-ischemic brain injury, trauma, epilepsy, and several neurodegenerative diseases. For this reason, various NMDA antagonists have been investigated for their therapeutic potential in these diseases, but heretofore none have proven to be both effective and safe. In the present study, memantine, an adamantane derivative similar to the antiviral drug amantadine, is shown to block the channels activated by NMDA receptor stimulation. From whole-cell and single-channel recording experiments, the mechanism of action of memantine is deduced to be open-channel block, similar to MK-801; however, unlike MK-801, memantine is well tolerated clinically. Compared to MK-801, memantine's safety may be related to its faster kinetics of action with rapid blocking and unblocking rates at low micromolar concentrations. Furthermore, at these levels memantine is an uncompetitive antagonist and should theoretically allow near-normal physiological NMDA activity throughout the brain even in the face of pathologically high focal concentrations of glutamate. These pharmacological properties confer upon memantine a therapeutic advantage against NMDA receptor-mediated neurotoxicity with few side effects compared with other organic NMDA open-channel blockers. Moreover, memantine is increasingly effective against escalating levels of glutamate, such as those observed during a stroke. Low micromolar concentrations of memantine, levels known to be tolerated by patients receiving the drug for the treatment of Parkinson's disease, prevent NMDA receptor-mediated neurotoxicity in cultures of rat cortical and retinal ganglion cell neurons; memantine also appears to be both safe and effective in a rat stroke model. These results suggest that memantine has considerable therapeutic potential for the myriad of clinical entities associated with NMDA receptor-mediated neurotoxicity.
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