Ceftriaxone Treatment Affects EAAT2 Expression and Glutamatergic Neurotransmission and Exerts a Weak Anticonvulsant

Aleksey V Zaitsev1, Sergey L Malkin1, Tatyana Y Postnikova1

  • 1Sechenov Institute of Evolutionary Physiology and Biochemistry of RAS, 44, Toreza prospekt, 194223 Saint Petersburg, Russia.

Insights

Ceftriaxone (CTX) treatment in rats showed increased excitatory amino acid transporter 2 (EAAT2) mRNA but not protein, resulting in only mild anticonvulsant effects against seizures. This suggests limited potential for CTX in treating pharmacoresistant epilepsy.

Area of Science:

  • Neuroscience
  • Pharmacology

Background:

  • Epilepsy affects millions, with 20-30% of patients unresponsive to current antiepileptic drugs.
  • Modulating glutamate uptake via excitatory amino acid transporter 2 (EAAT2) is a potential strategy for pharmacoresistant epilepsy.
  • Previous studies on ceftriaxone (CTX) show conflicting results regarding its anticonvulsant effects and impact on EAAT2.

Purpose of the Study:

  • To investigate the effects of CTX on EAAT2 expression, glutamatergic neurotransmission, and anticonvulsant action in young rats.
  • To clarify the discrepancy in previous research regarding CTX's efficacy.

Main Methods:

  • Quantitative real-time polymerase chain reaction (qPCR) and Western blot analysis to assess EAAT2 mRNA and protein levels in the hippocampus.
  • Maximal electroshock threshold test (MEST) to evaluate anticonvulsant effects against pentylenetetrazol (PTZ)-induced seizures.
  • Electrophysiological recordings to assess glutamatergic neurotransmission in the hippocampus and temporal cortex.

Main Results:

  • CTX treatment increased EAAT2 mRNA but not protein levels in the rat hippocampus.
  • CTX exhibited only a mild anticonvulsant effect on PTZ-induced convulsions.
  • Glutamatergic neurotransmission was largely unaffected, though field excitatory postsynaptic potential (fEPSP) amplitudes decreased with intense stimulation.

Conclusions:

  • CTX treatment in young rats does not lead to significant EAAT2 overexpression, explaining its weak antiseizure effect.
  • The findings provide insights into the limited impact of EAAT2 modulation by CTX on brain function and epilepsy treatment.

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