Diverse antiepileptic drugs increase the ratio of background synaptic inhibition to excitation and decrease neuronal excitability in neurones of the rat entorhinal cortex in vitro


Although most anti-epileptic drugs are considered to have a primary molecular target, it is clear that their actions are unlikely to be limited to effects on a single aspect of inhibitory synaptic transmission, excitatory transmission or voltage-gated ion channels. Systemically administered drugs can obviously simultaneously access all possible targets, so we have attempted to determine the overall effect of diverse agents on the balance between GABAergic inhibition, glutamatergic excitation and cellular excitability in neurones of the rat entorhinal cortex in vitro. We used an approach developed for estimating global background synaptic excitation and inhibition from fluctuations in membrane potential obtained by intracellular recordings. We have previously validated this approach in entorhinal cortical neurones [. Greenhill and Jones (2007a) Neuroscience 147:884-892]. Using this approach, we found that, despite their differing pharmacology, the drugs tested (phenytoin, lamotrigine, valproate, gabapentin, felbamate, tiagabine) were unified in their ability to increase the ratio of background GABAergic inhibition to glutamatergic excitation. This could occur as a result of decreased excitation concurrent with increased inhibition (phenytoin, lamotrigine, valproate), a decrease in excitation alone (gabapentin, felbamate), or even with a differential increase in both (tiagabine). Additionally, we found that the effects on global synaptic conductances agreed well with whole cell patch recordings of spontaneous glutamate and GABA release (our previous studies and further data presented here). The consistency with which the synaptic inhibition:excitation ratio was increased by the antiepileptic drugs tested was matched by an ability of all drugs to concurrently reduce intrinsic neuronal excitability. Thus, it seems possible that specific molecular targets among antiepileptic drugs are less important than the ability to increase the inhibition:excitation ratio and reduce overall neuronal and network excitability.

Publication DOI: https://doi.org/10.1016/j.neuroscience.2010.02.021
Divisions: College of Health & Life Sciences
Additional Information: © 2010 IBRO. Published by Elsevier Ltd. Open access under CC BY license.
Uncontrolled Keywords: antiepileptics,background excitation,background inhibition,entorhinal cortex,neuronal excitability,voltage fluctuations,Neuroscience(all)
Publication ISSN: 0306-4522
Last Modified: 03 Jun 2024 07:20
Date Deposited: 10 Feb 2016 14:40
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Related URLs: http://www.scop ... tnerID=8YFLogxK (Scopus URL)
https://www.sci ... 2174?via%3Dihub (Publisher URL)
PURE Output Type: Article
Published Date: 2010-05-05
Published Online Date: 2010-02-16
Accepted Date: 2010-02-10
Authors: Greenhill, S.D. (ORCID Profile 0000-0002-5038-5258)
Jones, R.S.G.



Version: Published Version

License: Creative Commons Attribution

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