2019
DOI: 10.1016/j.neuint.2019.02.015
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Metabolomic analyses of vigabatrin (VGB)-treated mice: GABA-transaminase inhibition significantly alters amino acid profiles in murine neural and non-neural tissues

Abstract: The anticonvulsant vigabatrin (VGB; Sabril R) irreversibly inhibits GABA transaminase to increase neural GABA, yet its mechanism of retinal toxicity remains unclear. VGB is suggested to alter several amino acids, including homocarnosine, β-alanine, ornithine, glycine, taurine, and 2aminoadipic acid (AADA), the latter a homologue of glutamic acid. Here, we evaluate the effect of VGB on amino acid concentrations in mice, employing a continuous VGB infusion (subcutaneously implanted osmotic minipumps), dose-escal… Show more

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Cited by 15 publications
(14 citation statements)
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“…Benzodiazepines (such as clobazam diazepam, lorazepam, clonazepam) phenobarbital and stiripentol enhance the inhibitory transmission of GABA by allosteric activation of the GABA A receptor thus increasing the frequency of chloride (Cl − ) channel openings [53,54]. Vigabatrin, instead, is an inhibitor of GABA transaminase, the enzyme responsible for the catabolism of GABA [55]. In addition to enhancing the inhibitory transmission of GABA, other drugs exert their antiepileptic action, also exploiting the blockage of the Ca 2+ and Na + channels.…”
Section: Common Antiepileptic Drugsmentioning
confidence: 99%
“…Benzodiazepines (such as clobazam diazepam, lorazepam, clonazepam) phenobarbital and stiripentol enhance the inhibitory transmission of GABA by allosteric activation of the GABA A receptor thus increasing the frequency of chloride (Cl − ) channel openings [53,54]. Vigabatrin, instead, is an inhibitor of GABA transaminase, the enzyme responsible for the catabolism of GABA [55]. In addition to enhancing the inhibitory transmission of GABA, other drugs exert their antiepileptic action, also exploiting the blockage of the Ca 2+ and Na + channels.…”
Section: Common Antiepileptic Drugsmentioning
confidence: 99%
“…Moreover, VGB given for 3-7 days lowered GAD activity in the mouse's brain. It is well documented that the anticonvulsive activity of VGB is related to an increase in the central nervous system GABA level [38,39]. Except for GABA-AT inhibition, stimulation of GABA release from synaptosomes is also considered as VGB's mechanism of action [40].…”
Section: Discussionmentioning
confidence: 99%
“…Lys was significantly increased (∼20%) in R6/2 plasma. It is not clear whether there is any relation between high plasma level of Lys and elevated AADA content in brain tissues, the elevation of the latter in the brain tissues could exert its toxicity via enhanced release or transport of excitatory Glu 50, 51 . Undeniably, the increase of these amino acids along with the decreased levels of three BH 4 -dependent neurotransmitter synthases (Fig.…”
Section: Resultsmentioning
confidence: 99%