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Short communication

Influence of 5-(3-chlorophenyl)-4-

(4-methylphenyl)-2,4-dihydro-3H-1,2,4- triazole-3-thione on the anticonvulsant action of 4 classical antiepileptic drugs

in the mouse maximal electroshock-induced seizure model

Jarogniew J. £uszczki1,2, Tomasz Plech3, Monika Wujec3

1Isobolographic Analysis Laboratory, Institute of Rural Health, Jaczewskiego 2, PL 20-950 Lublin, Poland

2Department of Pathophysiology, Medical University, Jaczewskiego 8, PL 20-090 Lublin, Poland

3Department of Organic Chemistry, Medical University, ChodŸki 4a, PL 20-093 Lublin, Poland Correspondence: Jarogniew J. £uszczki, e-mail: jarogniew.luszczki@gmail.com, jluszczki@yahoo.com

Abstract:

Background: The aim of this study was to determine the effects of 5-(3-chlorophenyl)-4-(4-methylphenyl)-2,4-dihydro-3H-1,2,4- triazole-3-thione (TP10) on the protective action of 4 classical antiepileptic drugs – carbamazepine, phenobarbital, phenytoin and valproate – against maximal electroshock-induced seizures in mice.

Methods: Tonic hind limb extension (seizure activity) was evoked in adult male albino Swiss mice by an electric current (sine-wave, 25 mA, 500 V, 50 Hz, 0.2 s stimulus duration) delivered via auricular electrodes. Acute adverse-effect profiles with respect to motor performance, long-term memory and skeletal muscular strength were measured, together with total brain antiepileptic drug concen- trations.

Results: TP10 administered intraperitoneally at 10 mg/kg significantly elevated the threshold for electroconvulsions in mice. TP10 at doses of 2.5 and 5 mg/kg had no impact on the threshold for electroconvulsions in mice. Moreover, TP10 (5 mg/kg) significantly enhanced the anticonvulsant activity of valproate, but not that of carbamazepine, phenobarbital or phenytoin in the maximal electro- shock seizure test in mice. Pharmacokinetic experiments revealed that TP10 significantly elevated total brain concentrations of val- proate in mice.

Conclusions: The enhanced anticonvulsant action of valproate by TP10 in the mouse maximal electroshock-induced seizure model was associated with a pharmacokinetic increase in total brain valproate concentrations in mice. The combinations of TP10 with car- bamazepine, phenobarbital and phenytoin were neutral from a preclinical viewpoint.

Key words:

antiepileptic drugs, maximal electroshock-induced seizures, pharmacokinetic/pharmacodynamic interaction.

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Introduction

At present, the search for novel antiepileptic drugs is based on several methods. The first method is related with the screening of thousands of newly-synthesized substances in an experimental model of epilepsy (usu- ally in the maximal electroshock-induced seizure test in mice) to find the most effective compound that could offer substantial protection against maximal electroshock-induced tonic seizures in animals [23].

The second method is related with the modification of chemical structure of classical and second-generation antiepileptic drugs in order to create some novel com- pounds possessing a wider spectrum of the anticon- vulsant activity, compared to classical antiepileptic drugs. The third method is related with the chemical synthesis of compounds that directly act on specific receptors and activate specific neurotransmitters in the brain. Such a method creates drugs and agents which exert their anticonvulsant activity based on specific molecular mechanisms of action of the drugs [17, 19–21].

Previously, we have reported that some isopropo- xyphenylsuccinimide derivatives (i.e., p-isopropoxy- phenylsuccinimide monohydrate, N-(carboxyanilino- methyl) derivatives of p-isopropoxyphenylsuccinimide and N-(anilinomethyl)-p-isopropoxyphenylsuccinimi- de) affected the anticonvulsant action of classical an- tiepileptic drugs in the mouse maximal electroshock seizure model [9, 12, 13]. We have also documented that some naturally occurring substances, such as os- thole, imperatorin and xanthotoxin, produce anticon- vulsant action in the mouse maximal electroshock sei- zure model [6, 7, 10, 11, 14, 15]. Additionally, some natural and semi-synthetic prenyloxyphenylpropanoids (e.g., 7-isopentenyloxy-coumarin and (2E)-3-{4-[(3- methylbut-2-enyl)oxy]phenyl}prop-2-enoic acid) sup- pressed maximal electroshock-induced seizures in a time- and dose-dependent manner in mice [2].

In our pilot study, we performed a screening test for several novel 1,2,4-triazole-3-thione derivatives (including, 5-(3-chlorophenyl)-4-(4-methylphenyl)-2,4- dihydro-3H-1,2,4-triazole-3-thione [TP10]) in the mouse maximal electroshock seizure model. The time to the peak of maximum anticonvulsant action of TP10 in the mouse maximal electroshock seizure model was established at 15 min after its ip admini- stration (unpublished data).

The presented study was aimed at determining the influence of TP10 on the protective action of 4 classi-

cal antiepileptic drugs – carbamazepine, phenytoin, phenobarbital and valproate – in the mouse maximal electroshock-induced tonic seizure model. Specifi- cally, we used the maximal electroshock seizure test to determine whether TP10 was able to enhance the anticonvulsant potency of the classical antiepileptic drugs in this experimental seizure model. The maxi- mal electroshock seizure test is considered to be an experimental model of tonic-clonic seizures and, to a certain extent, of partial convulsions with or without secondary generalization in humans [4, 5]. In this ex- perimental test, one can readily determine the anti- convulsant potential of agents and compounds pos- sessing anticonvulsant properties and evaluate their effects on classical antiepileptic drugs, which are fully effective in the suppression of tonic-clonic seizures in humans [4]. Therefore, it was appropriate to use this test in order to evaluate the effects of TP10. Addition- ally, we investigated combinations of TP10 with 4 classical antiepileptic drugs in relation to impairment of motor coordination, long-term memory, and mus- cular strength by use of the chimney test, step-through passive avoidance task, and grip-strength test, respec- tively. Finally, total brain antiepileptic drug concen- trations were measured with fluorescence polarization immunoassay to ascertain whether any observed effects were consequent to a pharmacodynamic and/

or a pharmacokinetic interaction.

Materials and Methods

Animals and experimental conditions

Adult male Albino Swiss mice (weighing 22–26 g) were purchased from a licensed breeder (J. Ko³acz, Warszawa, Poland). The animals were kept in colony cages with free access to food and tap water, housed under standard conditions (natural light-dark cycle, temperature 23 ± 1°C, relative humidity 55 ± 5%).

After seven days of adaptation to laboratory condi- tions, the animals were randomly assigned to experi- mental groups, each comprised of 8 mice. Each mouse was used only once and all tests were per- formed between 08:00–15:00 h. The procedures in- volving animals and their care were conducted in accordance with current European Community and Polish legislation on animal experimentation. Addi-

Interaction of a new 1,2,4-triazole-3-thione with antiepileptics

Jarogniew J. £uszczki et al.

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mental protocols and procedures described in this study were approved by the Second Local Ethics Committee at the University of Life Sciences in Lublin (License no.: 10/2011), and complied with the European Communities Council Directive of 24 November 1986 (86/609/EEC).

Drugs

The following drugs were used: 5-(3-chlorophenyl)-4- (4-methylphenyl)-2,4-dihydro-3H-1,2,4-triazole-3-thione (TP10; C15H12ClN3S; M.w.: 301.794; (Fig. 1) – syn- thesized by Dr. T. Plech according to methods described elsewhere [18]), carbamazepine (a gift from Polpharma, Starogard Gdañski, Poland), phenobarbi- tal (Polfa, Kraków, Poland), phenytoin (Polfa, Warszawa, Poland) and valproate (sodium salt – pur- chased from Sigma-Aldrich, St. Louis, MO, USA).

All drugs, except for valproate, were suspended in a 1% solution of Tween 80 (Sigma-Aldrich, St. Louis, MO, USA) in distilled water, while valproate was directly dissolved in distilled water. All drugs were administered intraperitoneally (ip), in a volume of 5 ml/kg body weight, as follows: phenytoin – 120 min, phenobarbital – 60 min, carbamazepine and valproate – 30 min, and TP10 – 15 min before electroconvulsions, motor coordination, grip-strength and long-term memory tests and before brain sampling for the meas- urement of antiepileptic drug concentrations. The pre- treatment times before testing of the antiepileptic

maximum anticonvulsant effects for all antiepileptic drugs were used as the reference times in all behav- ioral tests and pharmacokinetic estimation of total brain antiepileptic drug concentrations. The pretreat- ment time (15 min) before testing TP10 was estab- lished in our pilot study as the time to the peak of maximum anticonvulsant activity of TP10 (unpub- lished data).

Electroconvulsions

Electroconvulsions were induced by applying an al- ternating current (50 Hz; 500 V) via ear-clip elec- trodes from a rodent shocker generator (type 221;

Hugo Sachs Elektronik, Freiburg, Germany). The stimulus duration was 0.2 s. Tonic hind limb exten- sion was used as the endpoint. This apparatus was used to induce seizures in 2 methodologically differ- ent experimental approaches: maximal electroshock seizure threshold test and maximal electroshock sei- zure test [4].

Maximal electroshock seizure threshold test

The maximal electroshock seizure threshold test was first used to assess the anticonvulsant effects of TP10 administered alone. In this test, at least 4 groups of control mice, each consisting of 8 animals, were chal- lenged with currents of varying intensities ranging be- tween 5–8 mA so that 10–30, 30–50, 50–70 and 70–90% of animals exhibited the endpoint. After es- tablishing the current intensity-effect curve (i.e., cur- rent intensity in mA vs. percentage of mice convuls- ing) for each dose of TP10 tested, the electroconvul- sive threshold was calculated according to the log-probit method of Litchfield and Wilcoxon [3].

The electroconvulsive threshold was expressed as the median current strength value (CS50in mA) predicted to produce tonic hind limb extension in 50% of the animals tested. This experimental procedure was per- formed for various increasing doses of TP10 (2.5, 5 and 10 mg/kg), until the threshold for electroconvul- sions of TP10-injected animals was statistically dif- ferent from that of the control animals. Only doses of TP10 that did not significantly affect the seizure threshold in the maximal electroshock seizure thresh- old test were selected for testing in combination with

Fig. 1. Structural formula of 5-(3-chlorophenyl)-4-(4-methylphenyl)- 2,4-dihydro-3H-1,2,4-triazole-3-thione (TP10)

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the 4 classical antiepileptic drugs in the maximal elec- troshock seizure test (see below). This approach al- lowed us to rule out any contribution of the intrinsic anticonvulsant efficacy of TP10 in the effects ob- served in combination with the antiepileptic drugs in the maximal electroshock seizure test.

Maximal electroshock seizure test

In the maximal electroshock seizure test, mice were challenged with a current of fixed intensity (25 mA) that was 4–5-fold higher than the CS50 value in vehicle-treated control mice [4]. These parameters of stimulation (maximal electroshock) typically result in all mice responding with tonic hind limb extension immediately after stimulation. The antiepileptic drugs administered alone and their combination with TP10 were tested for their ability to increase the number of animals not responding with tonus (i.e., protected from tonic hind limb extension) after stimulation.

Again, at least 4 groups of mice, each consisting of 8 animals and treated with a different dose of the an- tiepileptic drug alone or in combination with TP10, were challenged with a current of 25 mA to yield 10–30, 30–50, 50–70 and 70–90% of animals pro- tected from tonic seizures. After constructing a dose- effect curve (i.e., dose in mg/kg vs. percentage of mice protected), the protective median effective dose (ED50) value of the antiepileptic drug tested was cal- culated according to a log-probit method [3]. Each ED50 value represented a dose of the antiepileptic drug (in mg/kg) predicted to protect 50% of the mice tested against maximal electroshock-induced exten- sion of the hind limbs. TP10 was tested for its ability to affect the anticonvulsive potency of antiepileptic drugs. As mentioned earlier, TP10 was administered in doses that per se had no effect on seizure threshold in the maximal electroshock seizure threshold test. In this experimental protocol, an increase in the anticon- vulsant potency of the antiepileptic drug tested in combination with TP10 would be reflected by a lower ED50value of the test antiepileptic drug (i.e., a lower dose of the test drug was necessary to protect 50% of the mice challenged). In the presented study, carba- mazepine and phenytoin were administered at doses ranging between 6–16 mg/kg, phenobarbital at doses ranging between 20–30 mg/kg, and valproate at doses ranging between 175–300 mg/kg.

Measurement of total brain antiepileptic drug concentrations

Pharmacokinetic evaluation of total brain antiepilep- tic drug concentrations was performed only for those combinations of TP10 with antiepileptic drugs for which the anticonvulsant effect in the maximal elec- troshock seizure test was significantly greater than that for the control (an antiepileptic drug + vehicle- treated) animals. Thus, the measurement of total brain concentrations of valproate was undertaken at the dose that corresponded to their ED50values from the maximal electroshock seizure test. Specifically, mice pretreated with a given antiepileptic drug alone or in combination with TP10 were decapitated at times re- flecting the peak of maximum anticonvulsant effects for the drugs in the maximal electroshock seizure test.

The whole brains of mice were removed from the skulls, weighed, harvested and homogenized using Abbott buffer (1:2, w/v; Abbott Laboratories, North Chicago, IL, USA) in an Ultra-Turrax T8 homogenizer.

The homogenates were then centrifuged at 10,000 × g for 10 min and the supernatant samples of 100 µl were collected and then analyzed for antiepileptic drug content. Total brain concentrations of valproate were measured by a fluorescence polarization immu- noassay using an analyzer (Abbott TDx) and manufacturer-supplied reagent kits (Abbott Laborato- ries, North Chicago, IL, USA). Total brain valproate concentrations are expressed in µg/g of wet brain tis- sue as the means ± standard error (SE) of at least 8 separate brain preparations.

Step-through passive avoidance task

Each animal was administered an antiepileptic drug, either singly or in combination with TP10 (5 mg/kg), at doses corresponding to their ED50 values from the maximal electroshock seizure test, on the first day be- fore training. The time before the commencement of the training session (after drug administration) was identical to that for the maximal electroshock seizure test. Subsequently, animals were placed in an illumi- nated box (10 × 13 × 15 cm) connected to a larger dark box (25 × 20 × 15 cm) equipped with an electric grid floor. Entrance of animals to the dark box was punished by an adequate electric footshock (0.6 mA for 2 s). The animals that did not enter the dark com- partment were excluded from subsequent experimen- tation. On the following day (24 h later), the pre-

Interaction of a new 1,2,4-triazole-3-thione with antiepileptics

Jarogniew J. £uszczki et al.

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member the task. The time that the mice took to enter the dark box was noted and the median latencies (retention times) with 25th and 75th percentiles were calculated. The step-through passive avoidance task gives information about ability to acquire a task (learn- ing) and to recall a task (retrieval). Therefore, it may be regarded as a measure of long-term memory [22].

Grip-strength test

The effects of combinations of TP10 (5 mg/kg) with classical antiepileptic drugs at doses corresponding to their ED50values from the maximal electroshock sei- zure test on skeletal muscular strength in mice were quantified by the grip-strength test of Meyer et al. [16].

The time before the commencement of the grip- strength test (after drug administration) was identical to that for the maximal electroshock seizure test. The grip-strength apparatus (BioSeb, Chaville, France) consisted of a wire grid (8 × 8 cm) connected to an iso- metric force transducer (dynamometer). The mice were lifted by the tails so that their forepaws could grasp the grid. The mice were then gently pulled backward by the tail until the grid was released. The maximal force exerted by the mouse before losing grip was recorded.

The mean of 3 measurements for each animal was cal- culated, and subsequently the mean maximal force of eight animals per group was determined. The muscular strength in mice is expressed in grams-force (gf) as the means ± SE of at least 8 determinations.

Chimney test

The chimney test of Boissier et al. [1] was used to quantify the adverse effect potential of classical antie- pileptic drugs administered in combination with TP10. In this test, the animals had to climb backwards up a plastic tube (3 cm inner diameter, 30 cm in length), and impairment of motor performance was indicated by the inability of the mice to climb back- wards up the transparent tube within 60 s. The acute adverse-effect potentials for the combinations of clas- sical antiepileptic drugs with TP10 were determined for the antiepileptic drugs administered at doses cor- responding to their ED50 values from the maximal electroshock seizure test when combined with TP10 (5 mg/kg).

limits were calculated by computer log-probit analy- sis according to Litchfield and Wilcoxon [3]. Subse- quently, the respective 95% confidence limits were transformed to SE, as described previously [8]. Statis- tical analysis of data from the maximal electroshock seizure threshold test was performed with one-way analysis of variance (ANOVA) followed by the post- hoc Tukey-Kramer test for multiple comparisons among 4 CS50values. Statistical analysis of data from the maximal electroshock seizure test was performed either with the log-probit method according to Litchfield and Wilcoxon [3] for single comparisons between two ED50values, or with one-way ANOVA, followed by the post-hoc Tukey-Kramer test for mul- tiple comparisons among 3 ED50 values. Total brain antiepileptic drug concentrations were statistically compared using the unpaired Student’s t-test. Qualita- tive variables from the chimney test were compared by use of the Fisher’s exact probability test. The re- sults obtained in the step-through passive avoidance task were statistically evaluated using Kruskal-Wallis nonparametric ANOVA. The results from the grip- strength test were verified with one-way ANOVA.

Differences among values were considered statisti- cally significant if p < 0.05. All statistical tests were performed using commercially available GraphPad Prism version 4.0 for Windows (GraphPad Software, San Diego, CA, USA).

Results

Influence of TP10 on the threshold for electro- convulsions

TP10 administered systemically (ip, 15 min prior to the test) at a dose of 10 mg/kg significantly elevated the threshold for electroconvulsions in mice from 4.93 mA to 7.13 (p < 0.05; Tab. 1). The experimen- tally-derived CS50values for animals receiving TP10 at doses of 2.5 and 5 mg/kg did not significantly differ from those for control animals subjected to the maximal electroshock seizure threshold test (Tab. 1).

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Effects of TP10 on the protective action of carbamazepine, phenobarbital, phenytoin and valproate in the mouse maximal electro- shock seizure model

All investigated classical antiepileptic drugs (carba- mazepine, phenobarbital, phenytoin and valproate) administered alone exhibited a clear anticonvulsant activity in the maximal electroshock seizure test in mice; their ED50 values are presented in Table 2.

When TP10 (5 mg/kg) was co-administered with valproate, it significantly enhanced the anticonvulsant action of the latter drug in the maximal electroshock seizure test by reducing the ED50 value of valproate from 262.7 to 210.6 mg/kg (p < 0.05; Tab. 2). In contrast, TP10 (2.5 mg/kg) had no significant impact on the anticonvulsant action of valproate against maximal electroshock-induced seizures (Tab. 2).

Similarly, TP10 at a dose of 5 mg/kg did not signifi- cantly alter the anticonvulsant action of carbamaze- pine, phenobarbital or phenytoin in the maximal electroshock seizure test in mice (Tab. 2).

Influence of TP10 on total brain valproate concentrations

As determined by the fluorescence polarization im- munoassay method, TP10 (5 mg/kg) significantly raised (by 52%; p < 0.001) the total brain concentra- tion of valproate co-administered at a dose of 210.6 mg/kg (Tab. 3).

Interaction of a new 1,2,4-triazole-3-thione with antiepileptics

Jarogniew J. £uszczki et al.

Tab. 1. Effect of TP10 on the threshold for electroconvulsions in mice

Treatment (mg/kg) CS50(mA) n

Vehicle 4.93 ± 0.44 8

TP10 (2.5) 5.70 ± 0.38 16

TP10 (5) 5.94 ± 0.43 24

TP10 (10) 7.13 ± 0.40 * 16

F (3, 84) = 4.136; p = 0.0087

Data are presented as the median current strengths (CS50in mA ± SE) required to produce tonic hind limb extension in 50% of animals tested in the maximal electroshock-induced seizure threshold test.

TP10 was administered ip 15 min before the test. Statistical evalua- tion of the data was performed with the log-probit method and one- way ANOVA, followed by the post-hoc Tukey-Kramer test for multiple comparisons; n – number of animals tested at those current strength intensities whose seizure effects ranged between 16–84%; F – F-statistics from one-way ANOVA; p – probability from one-way ANOVA. * p < 0.05 vs. the control (vehicle-treated) animals

Tab. 2. Effect of TP10 on the protective activity of classical antiepilep- tic drugs against maximal electroshock-induced seizures in mice

Treatment (mg/kg) ED50(mg/kg) n Carbamazepine + vehicle 12.49 ± 0.82 16 Carbamazepine + TP10 (5) 9.69 ± 0.97 32 Phenobarbital + vehicle 23.25 ± 1.83 16 Phenobarbital + TP10 (5) 22.81 ± 1.86 24 Phenytoin + vehicle 12.59 ± 0.96 16 Phenytoin + TP10 (5) 13.21 ± 1.16 32 Valproate + vehicle 262.7 ± 10.73 32 Valproate + TP10 (2.5) 244.6 ± 12.90 24 Valproate + TP10 (5) 210.6 ± 11.75 * 16

F (2, 69) = 4.177; p = 0.0194

Results are presented as the median effective doses (ED50in mg/kg

± SE) of antiepileptic drugs, protecting 50% of animals tested against maximal electroshock-induced hind limb extension. All antiepileptic drugs were administered ip: phenytoin – 120 min, phenobarbital – 60 min, carbamazepine and valproate – 30 min prior to the maximal electro- shock seizure test. TP10 was administered ip at 15 min before the maximal electroshock seizure test. Statistical analysis of data was performed either with log-probit method for single comparisons, or with one-way ANOVA followed by the post-hoc Tukey-Kramer test for multiple comparisons. n – total number of animals used at those doses whose anticonvulsant effects ranged between 4 and 6 probits.

* p < 0.05 vs. the control group (valproate + vehicle-treated animals)

Tab. 3. Brain concentrations of valproate administered singly or in combination with TP10

Treatment (mg/kg) Brain concentration (µg/g)

Valproate (210.6) + vehicle 161.91 ± 9.99

Valproate (210.6) + TP10 (5) 246.87 ± 12.18 ***­ 52%

Data are presented as the mean concentrations (in µg/g ± SE of 8 determinations) of valproate in the brain tissue. Statistical evalua- tion of data was performed with unpaired Student’s t-test. Brain tis- sue samples were taken at times scheduled for the maximal electro- shock seizure test, and total brain valproate concentrations were quantified using fluorescence polarization immunoassay. For more details see legend to Table 2. *** p < 0.001 vs. the control group (valproate + vehicle-treated animals)

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Effects of TP10 in combination with various antiepileptic drugs on motor performance, long-term memory, and skeletal muscular strength of animals in the chimney, step-through passive avoidance and grip-strength tests

When TP10 (5 mg/kg) was administered in combina- tion with carbamazepine, phenobarbital, phenytoin and valproate at doses corresponding to their ED50 values from the maximal electroshock seizure test, long-term memory – as determined in the passive avoidance test – was unaffected (Tab. 4). Further- more, none of the combinations studied impaired skeletal muscular strength of the animals, as assessed by the grip-strength test (Tab. 4). Similarly, TP10 (5 mg/kg) concomitantly administered with the classi- cal antiepileptic drugs had no significant impact on the motor performance of the animals as assessed by the chimney test (Tab. 4).

Discussion

The results reported in the presented study indicate that TP10 administered ip elevated the threshold for electroconvulsions in mice. Moreover, the compound administered ip at a sub-protective dose of 5 mg/kg

(i.e., at the dose that per se did not affect the threshold for electroconvulsions in mice) potentiated the anti- convulsant potency of valproate, but not that of carba- mazepine, phenytoin and phenobarbital in the mouse maximal electroshock-induced tonic seizure model.

The pharmacokinetic experiment performed in this study revealed that TP10 significantly elevated (by 52%) total brain valproate concentrations in mice.

Thus, one can ascertain that the observed enhance- ment of the anticonvulsant action of valproate in the mouse maximal electroshock seizure model was due to pharmacokinetic interaction between valproate and TP10 in mice. Because TP10 did not significantly po- tentiate the anticonvulsant action of carbamazepine, phenobarbital and phenytoin in the mouse maximal electroshock seizure model, total brain concentrations of these antiepileptic drugs were not estimated in the presented study.

As mentioned in the Introduction, in our pilot study we documented that TP10 dose-dependently pro- tected the animals against maximal electroshock- induced tonic seizures. The time-course effect of a single dose of TP10 (300 mg/kg) administered ip at 4 pretreatment times (15, 30, 60 and 120 min before the maximal electroshock seizure test) revealed that TP10 produced the maximum anticonvulsant effect at 15 min after its ip administration. In such a situation, we sought to determine its influence on the protective action of 4 classical antiepileptic drugs in the mouse Treatment (mg/kg) Retention time (s) Grip-strength (gf) Motor coordination

impairment (%)

Vehicle 180 (180; 180) 100.0 ± 5.34 0

TP10 (5) + vehicle 180 (180; 180) 101.4 ± 5.41 0

Carbamazepine (9.7) + TP10 (5) 180 (180; 180) 102.0 ± 5.08 0

Phenobarbital (22.8) + TP10 (5) 180 (180; 180) 101.6 ± 5.10 0

Phenytoin (13.2) + TP10 (5) 180 (180; 180) 100.9 ± 5.31 0

Valproate (210.6) + TP10 (5) 180 (165.5; 180) 98.9 ± 5.22 25

Results are presented as: 1) the median retention times in seconds (with 25thand 75thpercentiles in parentheses) from the passive avoidance task, assessing long-term memory in mice; 2) the mean grip-strengths in grams-force (gf ± SE) from the grip-strength test, assessing muscular strength in mice; 3) the percentage of animals showing motor coordination impairment in the chimney test in mice. Each experimental group consisted of 8 mice. Statistical analysis of data from the passive avoidance task was performed with nonparametric Kruskal-Wallis ANOVA test, whereas those from the grip-strength test were analyzed with one-way ANOVA. The Fisher’s exact probability test was used to analyze the re- sults from the chimney test. All drugs were administered ip at times scheduled from the maximal electroshock-induced seizures, and at doses corresponding to their ED50values against maximal electroconvulsions in mice (for more details see legend to Tab. 2)

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maximal electroshock seizure model. Novel antiepi- leptic drugs undergoing preclinical evaluation are usually tested in combination with classical antiepi- leptic drugs in animals to provide evidence that the tested compounds potentiate the anticonvulsant action of classical antiepileptic drugs. Such a protocol is identical to that performed in clinical trials in which novel antiepileptic drugs are usually co-administered with classical antiepileptic drugs to provide the effi- cacy of a novel antiepileptic drug in patients with sei- zures. Considering the above-mentioned facts, we sought to find whether TP10 could offer efficacy in patients with epilepsy. Although the results from this preclinical study could not be directly extrapolated to a clinical setting, we found that TP10 pharmacoki- netically increased total brain valproate concentra- tions; therefore, the observed effect in the mouse maximal electroshock seizure model was pharma- cokinetic in nature. However, more advanced studies are required to determine the effects of TP10 in other experimental models of epilepsy.

The presented study reports for the first time that TP10 as the 1,2,4-triazole-3-thione derivative en- hances the anticonvulsant potency of valproate in the mouse maximal electroshock seizure model. It is highly likely that TP10 could be considered as a novel antiepileptic drug, although several experimental studies should confirm its applicability in clinical set- tings. In this study, we also found that TP10 combined with classical antiepileptic drugs, at doses corre- sponding to their ED50values from the maximal elec- troshock seizure test, did not affect the acute adverse effects produced by classical antiepileptic drugs when used alone in the chimney, step-through passive avoidance and grip-strength tests in mice.

Conclusion

Finally, based on the results of this study, one can as- certain that TP10 enhances the anticonvulsant po- tency of valproate in the mouse maximal electroshock seizure model; however, the observed effect was evoked by the pharmacokinetic increase in total brain valproate concentration in mice. TP10 had no signifi- cant impact on the protective action of phenobarbital, carbamazepine and phenytoin against maximal electroshock-induced seizures in mice. If the results

from this preclinical study could be extrapolated into clinical settings, TP10 could become a novel antiepi- leptic drug. Although this hypothesis needs verifica- tion in other experimental models of epilepsy, the ap- plication of TP10 might be considered as a supple- mentary compound in further clinical settings.

Disclosure of conflicts of interest:

TP10 is patent pending (P.394231 – WIPO ST 10/C PL394231).

The authors have no other disclosures to declare.

Acknowledgments:

This study was supported by grants from National Science Centre (NN 405092040) in Kraków, Poland, and Institute of Rural Health in Lublin, Poland. Professor J. J. £uszczki is a Member of the Academy of Young Scientists at the Polish Academy of Sciences in Warszawa, Poland, and a Recipient of the Fellowship for Leading Young Researchers from the Ministry of Science and Higher Education in Warszawa, Poland. The authors express their gratitude for the generous gift of carbamazepine from Polpharma SA in Starogard Gdañski, Poland.

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Received: November 9, 2011; in the revised form: March 1, 2012;

accepted: March 26, 2012.

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