Abstract
Accumulating evidence indicates that agmatine (AGM—an endogenous neuromodulator/neurotransmitter in the brain) exerts the anticonvulsant action in various in vivo experiments. Therefore, the aim of this study was to assess the influence of AGM on the protective action of numerous conventional and newer antiepileptic drugs [carbamazepine (CBZ), lamotrigine (LTG), oxcarbazepine (OXC), phenobarbital (PB), phenytoin (PHT), topiramate (TPM) and valproate (VPA)] in the mouse maximal electroshock seizure (MES) model. Results indicate that AGM (up to 100 mg/kg, i.p., 45 min before the test) neither altered the threshold for electroconvulsions nor protected the animals against MES-induced seizures in mice. Moreover, AGM (100 mg/kg, i.p.) significantly enhanced the anticonvulsant effects of PB and VPA in the MES test by reducing their ED50 values from 22.54 to 16.82 mg/kg (P < 0.01) for PB, and from 256.1 to 210.6 mg/kg (P < 0.05) for VPA, respectively. In contrast, AGM at 100 mg/kg (i.p.) had no significant effect on the antielectroshock action of the remaining drugs tested (CBZ, LTG, OXC, PHT, and TPM) in mice. Estimation of total brain PB and VPA concentrations revealed that the observed interactions between AGM and PB or VPA in the MES test were pharmacodynamic in nature because neither total brain PB, nor total brain VPA concentrations were altered after i.p. administration of AGM at 100 mg/kg. Moreover, none of the examined combinations of AGM (100 mg/kg) with CBZ, LTG, OXC, PB, PHT, TPM, and VPA (at their ED50 values from the MES test) affected motor coordination in the chimney test, long-term memory in the passive avoidance task, and muscular strength in the grip-strength test in mice, indicating no acute adverse effects in animals. In conclusion, one can ascertain that the selective potentiation of the antielectroshock action of PB and VPA by AGM, lack of any pharmacokinetic interactions between drugs and no acute adverse effects, make the combinations of AGM with PB or VPA of pivotal importance for epileptic patients. It seems that modulation of AGM concentration in the brain may occur favorable in further clinical practice.
Similar content being viewed by others
References
Abe K, Abe Y, Saito H (2000) Agmatine suppresses nitric oxide production in microglia. Brain Res 872:141–148
Arteni NS, Lavinsky D, Rodrigues AL, Frison VB, Netto CA (2002) Agmatine facilitates memory of an inhibitory avoidance task in adult rats. Neurobiol Learn Mem 78:465–469
Auguet M, Viossat I, Marin JG, Chabrier PE (1995) Selective inhibition of inducible nitric oxide synthase by agmatine. Jpn J Pharmacol 69:285–287
Bence AK, Worthen DR, Stables JP, Crooks PA (2003) An in vivo evaluation of the antiseizure activity and acute neurotoxicity of agmatine. Pharmacol Biochem Behav 74:771–775
Boissier JR, Tardy J, Diverres JC (1960) Une nouvelle méthode simple pour explorer l’action tranquilisante: le test de la cheminée. Med Exp (Basel) 3:81–84
Borowicz KK, Gasior M, Kleinrok Z, Czuczwar SJ (1996) Competitive NMDA-receptor antagonists, LY 235959 and LY 233053, enhance the protective efficacy of various antiepileptic drugs against maximal electroshock-induced seizures in mice. Epilepsia 37:618–624
Borowicz KK, Kleinrok Z, Czuczwar SJ (1997) Influence of 7-nitroindazole on the anticonvulsive action of conventional antiepileptic drugs. Eur J Pharmacol 331:127–132
Borowicz KK, Starownik R, Kleinrok Z, Czuczwar SJ (1998) The influence of l-NG-nitroarginine methyl ester, an inhibitor of nitric oxide synthase, upon the anticonvulsive activity of conventional antiepileptic drugs against maximal electroshock in mice. J Neural Transm 105:1–12
Bredt DS, Snyder SH (1989) Nitric oxide mediates glutamate-linked enhancement of cGMP levels in the cerebellum. Proc Natl Acad Sci USA 86:9030–9033
Brodie MJ, Dichter MA (1997) Established antiepileptic drugs. Seizure 6:159–174
Czapinski P, Blaszczyk B, Czuczwar SJ (2005) Mechanisms of action of antiepileptic drugs. Curr Top Med Chem 5:3–14
Demady DR, Jianmongkol S, Vuletich JL, Bender AT, Osawa Y (2001) Agmatine enhances the NADPH oxidase activity of neuronal NO synthase and leads to oxidative inactivation of the enzyme. Mol Pharmacol 59:24–29
Demehri S, Homayoun H, Honar H, Riazi K, Vafaie K, Roushanzamir F, Dehpour AR (2003) Agmatine exerts anticonvulsant effect in mice: modulation by alpha 2-adrenoceptors and nitric oxide. Neuropharmacology 45:534–542
Denizbasi A, Berkman K, Ozyazgan S, Eskazan E (1999) The effect of tizanidine on maximal electroshock seizures (MES) in mice. Gen Pharmacol 32:513–516. Erratum in: (2000) Gen Pharmacol 34:443
Galea E, Regunathan S, Eliopoulos V, Feinstein DL, Reis DJ (1996) Inhibition of mammalian nitric oxide synthases by agmatine, an endogenous polyamine formed by decarboxylation of arginine. Biochem J 316:247–249
Garthwaite J, Charles SL, Chess-Williams R (1988) Endothelium-derived relaxing factor release on activation of NMDA receptors suggests role as intercellular messenger in the brain. Nature 336:385–388
Gibson DA, Harris BR, Rogers DT, Littleton JM (2002) Radioligand binding studies reveal agmatine is a more selective antagonist for a polyamine-site on the NMDA receptor than arcaine or ifenprodil. Brain Res 952:71–77
Gilad GM, Gilad VH (2000) Accelerated functional recovery and neuroprotection by agmatine after spinal cord ischemia in rats. Neurosci Lett 296:97–100
Gilad GM, Salame K, Rabey JM, Gilad VH (1996) Agmatine treatment is neuroprotective in rodent brain injury models. Life Sci 58:PL41–PL46
Gonzalez C, Regunathan S, Reis DJ, Estrada C (1996) Agmatine, an endogenous modulator of noradrenergic neurotransmission in the rat tail artery. Br J Pharmacol 119:677–684
Holt A, Baker GB (1995) Metabolism of agmatine (clonidine-displacing substance) by diamine oxidase and the possible implications for studies of imidazoline receptors. Prog Brain Res 106:187–197
Isokawa M, Levesque M, Fried I, Engel J Jr (1997) Glutamate currents in morphologically identified human dentate granule cells in temporal lobe epilepsy. J Neurophysiol 77:3355–3369
Kulkarni SK (1981) Actions of clonidine on convulsions and behaviour. Arch Int Pharmacodyn Ther 252:124–132
Kwan P, Brodie MJ (2004) Phenobarbital for the treatment of epilepsy in the 21st century: a critical review. Epilepsia 45:1141–1149
Lavinsky D, Arteni NS, Netto CA (2003) Agmatine induces anxiolysis in the elevated plus maze task in adult rats. Behav Brain Res 141:19–24
Li G, Regunathan S, Barrow CJ, Eshraghi J, Cooper R, Reis DJ (1994) Agmatine: an endogenous clonidine-displacing substance in the brain. Science 263:966–969
Litchfield JT, Wilcoxon F (1949) A simplified method of evaluating dose–effect experiments. J Pharmacol Exp Ther 96:99–113
Löscher W (1998) Pharmacology of glutamate receptor antagonists in the kindling model of epilepsy. Prog Neurobiol 54:721–741
Löscher W (2002) Basic pharmacology of valproate: a review after 35 years of clinical use for the treatment of epilepsy. CNS Drugs 16:669–694
Löscher W, Fassbender CP, Nolting B (1991) The role of technical, biological and pharmacological factors in the laboratory evaluation of anticonvulsant drugs. II. Maximal electroshock seizure models. Epilepsy Res 8:79–94
Luszczki JJ, Czuczwar SJ (2007) Isobolographic characterization of interactions between vigabatrin and tiagabine in two experimental models of epilepsy. Prog Neuropsychopharmacol Biol Psychiatry 31:529–538
Luszczki JJ, Swiader M, Parada-Turska J, Czuczwar SJ (2003) Tiagabine synergistically interacts with gabapentin in the electroconvulsive threshold test in mice. Neuropsychopharmacology 28:1817–1830
Luszczki JJ, Wojcik-Cwikla J, Andres MM, Czuczwar SJ (2005) Pharmacological and behavioral characteristics of interactions between vigabatrin and conventional antiepileptic drugs in pentylenetetrazole-induced seizures in mice: an isobolographic analysis. Neuropsychopharmacology 30:958–973
Luszczki JJ, Czuczwar M, Gawlik P, Sawiniec-Późniak G, Czuczwar K, Sawicka KM, Dudra-Jastrzebska M, Czuczwar SJ (2006a) Influence of NG-nitro-l-arginine on the anticonvulsant and acute adverse effects of some newer antiepileptic drugs in the maximal electroshock-induced seizures and chimney test in mice. Pharmacol Rep 58:955–960
Luszczki JJ, Sacharuk A, Wojciechowska A, Andres-Mach MM, Dudra-Jastrzebska M, Mohamed M, Sawicka KM, Kozinska J, Czuczwar SJ (2006b) 7-Nitroindazole enhances dose-dependently the anticonvulsant activities of conventional antiepileptic drugs in the mouse maximal electroshock-induced seizure model. Pharmacol Rep 58:660–671
Luszczki JJ, Czuczwar M, Gawlik P, Sawiniec-Pozniak G, Czuczwar K, Czuczwar SJ (2006c) 7-Nitroindazole potentiates the anticonvulsant action of some second-generation antiepileptic drugs in the mouse maximal electroshock-induced seizure model. J Neural Transm 113:1157–1168
Luszczki JJ, Ratnaraj N, Patsalos PN, Czuczwar SJ (2006d) Isobolographic analysis of interactions between loreclezole and conventional antiepileptic drugs in the mouse maximal electroshock-induced seizure model. Naunyn Schmiedebergs Arch Pharmacol 373:169–181
Luszczki JJ, Sawicka KM, Kozinska J, Borowicz KK, Czuczwar SJ (2007a) Furosemide potentiates the anticonvulsant action of valproate in the mouse maximal electroshock seizure model. Epilepsy Res 76:66–72
Luszczki JJ, Jankiewicz K, Jankiewicz M, Czuczwar SJ (2007b) Influence of aminophylline on the anticonvulsive action of gabapentin in the mouse maximal electroshock seizure threshold model. J Neural Transm 114:1539–1545
Meldrum BS (2000) Glutamate as a neurotransmitter in the brain: review of physiology and pathology. J Nutr 130(4S Suppl):1007S–1015S
Morrissey JJ, Klahr S (1997) Agmatine activation of nitric oxide synthase in endothelial cells. Proc Assoc Am Physicians 109:51–57
Olmos G, DeGregorio-Rocasolano N, Paz Regalado M, Gasull T, Assumpcio Boronat M, Trullas R, Villarroel A, Lerma J, García-Sevilla JA (1999) Protection by imidazol(ine) drugs and agmatine of glutamate-induced neurotoxicity in cultured cerebellar granule cells through blockade of NMDA receptor. Br J Pharmacol 127:1317–1326
Pietrasiewicz T, Czechowska G, Dziki M, Turski WA, Kleinrok Z, Czuczwar SJ (1993) Competitive NMDA receptor antagonists enhance the antielectroshock activity of various antiepileptics. Eur J Pharmacol 250:1–7
Piletz JE, May PJ, Wang G, Zhu H (2003) Agmatine crosses the blood–brain barrier. Ann N Y Acad Sci 1009:64–74
Pineda J, Ruiz-Ortega JA, Martín-Ruiz R, Ugedo L (1996) Agmatine does not have activity at alpha 2-adrenoceptors which modulate the firing rate of locus coeruleus neurones: an electrophysiological study in rat. Neurosci Lett 219:103–106
Pinthong D, Wright IK, Hanmer C, Millns P, Mason R, Kendall DA, Wilson VG (1995) Agmatine recognizes alpha 2-adrenoceptor binding sites but neither activates nor inhibits alpha 2-adrenoceptors. Naunyn Schmiedebergs Arch Pharmacol 351:10–16
Raasch W, Schäfer U, Chun J, Dominiak P (2001) Biological significance of agmatine, an endogenous ligand at imidazoline binding sites. Br J Pharmacol 133:755–780
Reis DJ, Regunathan S (2000) Is agmatine a novel neurotransmitter in brain? Trends Pharmacol Sci 21:187–193
Riazi K, Honar H, Homayoun H, Rashidi N, Kiani S, Ebrahimkhani MR, Noorian AR, Ghaffari K, Jannati A, Dehpour AR (2005) The synergistic anticonvulsant effect of agmatine and morphine: possible role of alpha 2-adrenoceptors. Epilepsy Res 65:33–40
Rogawski MA, Porter RJ (1990) Antiepileptic drugs: pharmacological mechanisms and clinical efficacy with consideration of promising developmental stage compounds. Pharmacol Rev 42:223–286
Sastre M, Regunathan S, Galea E, Reis DJ (1996) Agmatinase activity in rat brain: a metabolic pathway for the degradation of agmatine. J Neurochem 67:1761–1765
Su RB, Wei XL, Zheng JQ, Liu Y, Lu XQ, Li J (2004) Anticonvulsive effect of agmatine in mice. Pharmacol Biochem Behav 77:345–349
Szabo C (1996) Physiological and pathophysiological roles of nitric oxide in the central nervous system. Brain Res Bull 41:131–141
Szabo B, Urban R, Limberger N, Starke K (1995) Cardiovascular effects of agmatine, a “clonidine-displacing substance”, in conscious rabbits. Naunyn Schmiedebergs Arch Pharmacol 351:268–273
Urbanska E, Dziki M, Kleinrok Z, Czuczwar SJ, Turski WA (1991) Influence of MK-801 on the anticonvulsant activity of antiepileptics. Eur J Pharmacol 200:277–282
Venault P, Chapouthier G, de Carvalho LP, Simiand J, Morre M, Dodd RH, Rossier J (1986) Benzodiazepine impairs and beta-carboline enhances performance in learning and memory tasks. Nature 321:864–866
Walker BR, Easton A, Gale K (1999) Regulation of limbic motor seizures by GABA and glutamate transmission in nucleus tractus solitarius. Epilepsia 40:1051–1057
Weng XC, Gai XD, Zheng JQ, Li J (2003) Agmatine blocked voltage-gated calcium channel in cultured rat hippocampal neurons. Acta Pharmacol Sin 24:746–750
Yang XC, Reis DJ (1999) Agmatine selectively blocks the N-methyl-d-aspartate subclass of glutamate receptor channels in rat hippocampal neurons. J Pharmacol Exp Ther 288:544–549
Zarnowski T, Kleinrok Z, Turski WA, Czuczwar SJ (1994a) The competitive NMDA antagonist, d-CPP-ene, potentiates the anticonvulsant activity of conventional antiepileptics against maximal electroshock-induced seizures in mice. Neuropharmacology 33:619–624
Zarnowski T, Kleinrok Z, Turski WA, Czuczwar SJ (1994b) The NMDA antagonist procyclidine, but not ifenprodil, enhances the protective efficacy of common antiepileptics against maximal electroshock-induced seizures in mice. J Neural Transm Gen Sect 97:1–12
Zomkowski AD, Hammes L, Lin J, Calixto JB, Santos AR, Rodrigues AL (2002) Agmatine produces antidepressant-like effects in two models of depression in mice. Neuroreport 13:387–391
Acknowledgments
This study was supported by a grant from Medical University of Lublin (DS 475/2006–2008). The authors are grateful for the generous gifts of VPA from ICN-Polfa S.A. (Rzeszow, Poland) and CBZ from Polpharma S.A. (Starogard, Poland).
Author information
Authors and Affiliations
Corresponding author
Additional information
The results of this study were presented in part at the “11th Congress of the European Federation of Neurological Societies” Brussels, Belgium, 25–28 August, 2007 [abstract in 2007, Eur J Neurol 14(Suppl 1):210].
Rights and permissions
About this article
Cite this article
Luszczki, J.J., Czernecki, R., Wojtal, K. et al. Agmatine enhances the anticonvulsant action of phenobarbital and valproate in the mouse maximal electroshock seizure model. J Neural Transm 115, 1485–1494 (2008). https://doi.org/10.1007/s00702-008-0046-3
Received:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1007/s00702-008-0046-3

