Cited by 20Epilepsy research and treatmentNeuroscience and Neuropharmacology ResearchPharmacological Effects and Toxicity Studies

5-aminovaleric acid suppresses the development of severe seizures in the methionine sulfoximine model of mesial temporal lobe epilepsy

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Dhaher, Roni, Damisah, Eyiyemisi C., Wang, Helen, Gruenbaum, Shaun E., Ong, Caroline, Zaveri, Hitten P., Gruenbaum, Benjamin F., Eid, Tore·2014·Neurobiology of Disease

Abstract

Mesial temporal lobe epilepsy (MTLE) is one of the most common forms of drug-resistant, localization-related epilepsies in humans. One potential therapeutic target is the brain glutamine-glutamate-GABA metabolic pathway, which is perturbed in patients with MTLE. Loss of glutamine synthetase (GS) in astrocytes may be critically involved in this perturbation, which can be modeled by infusing the GS inhibitor methionine sulfoximine (MSO) into the entorhinal-hippocampal area in rats. Because 5-aminovaleric acid (5-AV) has been implicated in modulation of the glutamine-glutamate-GABA metabolic pathway, we hypothesized that 5-AV would alter the expression of seizures in the MSO model of MTLE. Male Sprague Dawley rats (300-330g) were implanted with an Alzet pump placed subcutaneously in the abdominal region to release either 5-AV (0.05mg/mL, n=6) or phosphate buffered saline (PBS, n=6) at a rate of 2.5μl/h over 28days. Five to 7days after surgery, all rats were implanted with an intracranial pump infusing MSO (2.5mg/mL; 0.25μl/h) unilaterally into the hippocampal formation. Following the second surgery, intracranial EEG was measured from the left and right hemispheres above the dorsal hippocampal formations for a continuous period of 21days. The EEG was correlated with simultaneous video recordings to determine the stage of seizures according to a modified Racine scale. Five-AV-treated rats experienced a 3.5 fold reduction in the number of seizures (6.7±1.4seizures/day) than PBS-treated rats (23.2±6.3seizures/day) during the first 2days following MSO pump placement (p<0.005). Both groups showed similar seizure frequency over days 3-21 (~1seizure/day). However, the fraction of the most severe type of seizures (Racine stages 4 and 5) increased over time in the PBS treated group, but not in the 5-AV treated group. Notably, 5-AV treated rats experienced a 2.3 and 2.6 fold lower fraction of stage 4 and 5 seizures than PBS-treated rats during the 2nd and 3rd weeks of MSO treatment respectively (p<0 .05 and p<0.001 respective to week). Five-AV markedly reduces the number of seizures initially and suppresses the development of the most severe type of seizures in the MSO model of MTLE. These results may have implications for the therapeutic use of 5-AV in treating mesial temporal lobe seizures and for our understanding of the chemical pathology of epileptogenesis and MTLE.

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Authors
Dhaher, R., Damisah, E. C., Wang, H., Gruenbaum, S. E., Ong, C., Zaveri, H. P., Gruenbaum, B. F., & Eid, T.
Affiliations
Yale University (US)
Corresponding author
Eid, Tore
Venue
Neurobiology of Disease
Publisher
Elsevier BV
Published
2014-07
Volume
67
Pages
18-23
ISSN
0969-9961 (ISSN-L)
OpenAlex
W2099939080
Cited by
20
References
34
Citations by year
2026: 2 · 2025: 2 · 2023: 3 · 2022: 1 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 1
FWCI
1.53
Type
journal article
Language
en
Open access
Locations
  • Neurobiology of Disease (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Institutes of Health (NS058674, NS070824)
  • National Center for Advancing Translational Sciences (NCATS) (UL1 RR024139)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmacological Effects and Toxicity Studies
Keywords
5-aminovaleric acid, mesial temporal lobe epilepsy, methionine sulfoximine, glutamine synthetase inhibition, astrocytes, seizure severity, Racine scale, hippocampus, entorhinal cortex, antiepileptic drugs, intracerebroventricular infusion, intracranial EEG, drug-resistant epilepsy
MeSH terms
Animals, Brain, Disease Models, Animal, Epilepsy, Temporal Lobe, Male, Methionine Sulfoximine, Seizures, Rats, Sprague-Dawley, Amino Acids, Neutral, Rats

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