MK-801 prevents overexpression of multidrug resistance protein 2 after status epilepticus

Yong Hao1, Xunyi Wu, Lan Xu

  • 1Changhai Hospital, Second Military Medical University, Shanghai, China.

Abstract

Insights

N-methyl-D-aspartate (NMDA) receptor antagonists like MK-801 reduce multidrug resistance protein 2 (Mrp2) upregulation in the brain after seizures. This suggests NMDA receptors are key to Mrp2 changes at the blood-brain barrier during status epilepticus.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Molecular Biology

Background:

  • Status epilepticus (SE) can alter blood-brain barrier (BBB) function.
  • Multidrug resistance protein 2 (Mrp2) is crucial for xenobiotic transport across the BBB.
  • The role of N-methyl-D-aspartate (NMDA) receptors in regulating Mrp2 expression during SE is not fully understood.

Purpose of the Study:

  • To investigate the involvement of NMDA receptors in the upregulation of Mrp2 expression following SE.
  • To determine the impact of NMDA receptor blockade on Mrp2 levels and distribution in the brain.

Main Methods:

  • Quantitative real-time polymerase chain reaction (qPCR) and Western blot were used to assess Mrp2 gene and protein expression at various time points post-SE.
  • Immunofluorescence was employed to analyze the distribution of Mrp2 following administration of the NMDA receptor antagonist MK-801.
  • Rats were subjected to SE, and Mrp2 expression was analyzed in hippocampal and other brain regions.

Main Results:

  • SE induced a time-dependent upregulation of Mrp2 gene and protein in the hippocampus, peaking at 24 hours post-SE.
  • Administration of MK-801 significantly prevented the SE-induced increase in Mrp2 expression.
  • Immunofluorescence revealed that MK-801 attenuated the seizure-induced increase of Mrp2, particularly in brain capillaries, with significant upregulation observed in endothelial cells of the cerebral cortex, piriform cortex, and hippocampus.

Conclusions:

  • NMDA receptors play a significant role in the upregulation of Mrp2 expression in the BBB following status epilepticus.
  • Targeting NMDA receptors may offer a strategy to modulate Mrp2-mediated transport at the BBB during or after epileptic seizures.

Related Concept Videos

Antiepileptic Drugs: Potassium Channel Activators01:20

Antiepileptic Drugs: Potassium Channel Activators

Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein01:20

Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein

Antiepileptic drugs, such as levetiracetam (Keppra) and brivaracetam (Briviact), have emerged as crucial tools in managing epilepsy. These medications exert their therapeutic effects by targeting the synaptic vesicle protein SV2A, a transmembrane glycoprotein primarily found in the brain.
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
Epilepsy and Seizures: Overview01:24

Epilepsy and Seizures: Overview

Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Antiepileptic Drugs: Glutamate Antagonists01:14

Antiepileptic Drugs: Glutamate Antagonists

Glutamate is a fundamental neurotransmitter in the central nervous system, playing a vital role in neuronal communication and various cognitive processes. Glutamate stands as the principal excitatory neurotransmitter in the brain. Its presence is crucial for the communication between neurons, underpinning essential processes such as synaptic transmission, neuronal excitability, and plasticity. These functions are vital for higher-order cognitive processes, including learning and memory. The...
Antiepileptic Drugs: GABAergic Pathway Potentiators01:18

Antiepileptic Drugs: GABAergic Pathway Potentiators

γ-aminobutyric acid or GABA, plays a pivotal role as an inhibitory neurotransmitter in the brain. GABA pathway potentiators, also known as GABAergic drugs, are a class of pharmaceutical agents designed to enhance the functioning of the GABAergic system. These medications primarily treat epilepsy, a neurological disorder characterized by recurrent seizures.
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for their...
Antiepileptic Drugs: Calcium Channel Blockers01:17

Antiepileptic Drugs: Calcium Channel Blockers

Calcium channel blockers, a class of antiepileptic drugs, regulate the flow of calcium ions within neurons.
Calcium channel blockers exert their antiepileptic effects by targeting T-type calcium channels, which are integral to transmitting nerve signals in the central nervous system. These channels allow the passage of calcium ions, which are vital for neuronal communication. By inhibiting T-type calcium channels, calcium channel blockers effectively reduce the release of neurotransmitters and...