Summary:Purpose: Seizure susceptibility and consequences are highly age dependent. To understand the pathophysiologic mechanisms involved in seizures and their consequences during development, we investigated the role of nitric oxide (NO) in severe pentylenetetrazol (PTZ)-induced seizures in immature rats.Methods: Four cortical electrodes were implanted in 10-dayold (P 10) and 2 I -day-old (P2 I ) rats, and seizures were induced on the following day by repetitive injections of subconvulsive doses of PTZ. The effects of N"-nitro-1.-arginine methyl ester ([,-NAME; 10 mg/kg) and 7-nitroinda~ole (7N1; 40 mglkg), two NO synthase (NOS) inhibitors, and L-arginine (~q ; 300 mgi kg), the NOS substrate, were evaluated regarding the mean PTZ dose, seizure type and duration, and mortality rate.Results: At P10, the postseimre mortality rate increased from 18-29% for the rats receiving PTZ only to 100% and 89% for the rats rccciving L-NAME and 7N1, respectively; whereas Larg had no effect. Conversely, at P21, NOS inhibitors did not affect the 82-89% mortality rate induced by PTZ alone, whereas L-arg decreased the mortality rate to 29%. In addition, all NO-related drugs increased the duration of ictal activity at PIO, whereas at P21, L-arg and L-NAME affected thc first seizure type, producing clonic seizures with L-arg and tonic seizures with 1.-NAME.Conclusions: The relative natural protection of very immature rats (Pl0) against PTZ-induced deaths could be linkcd to a high availability of 1.-arg and, hence, endogenous NO. At P21, the modulation of seizure type by NO-related compounds may he related to the maturation of the brain circuitry, in particular the forebrain, which is involved in the expression of c h i c seizures. Key Words: Nitric oxide synthase inhibition-1.-Arginine-Pentylenetetrazol seizures-Postnatal development-Rat brain.In both humans and experimental models of epilepsy, seizure susceptibility and consequences are highly age dependcnt and change dramatically with postnatal development ( I ,2). Epilepsy is very common in infancy and childhood, with children having a higher propensity to develop severe seizures or status epilepticus than adults (3). In addition, a greater risk of developmental impairment i< associated with early, rather than late, childhood seizure onset (4). Experimental studies have shown that although prolonged seizures can cause brain damage and behavioral impairments in mature rats, very immature rats are considered to be protected against these deleterious effects (1,2,5). However, whereas the question remains whether recurrent or severe seizures are harmful to the developing brain, it has been shown recently that Accepted September 23, 1999. Addrcss corrcspondence and reprinl requests to Dr. A. Pcrcira de Vasconcelos at INSERM U398, Facult6 dc MBdecine, I I rue Humann, 67085 Slrasbourg CCdex, France. E-mail: Pcrcira@Neurochem.U-S tras bg . fr seizures can damage the brain of immature rats, rabbits, and monkeys (6-9).Previous studies from our laboratory have shown that an episode of seve...