Low-threshold calcium current (LTCC) in thalamic neurons is important in generation of normal thalamocortical rhythms, and may be involved in the genesis of abnormal activities such as spike-wave discharges that characterize petit mal epilepsy. Ethosuximide and dimethadione, anticonvulsants effective in petit mal, reduced the LTCC when applied to thalamic neurons at clinically relevant concentrations. Therapeutic concentrations of phenytoin and carbamazepine, drugs ineffective in the control of petit mal, had minimal effects on calcium conductances. Reduction in LTCC may be an important mechanism of action by which specific petit mal anticonvulsants depress spike-wave activity.

译文

丘脑神经元中的低阈值钙电流 (LTCC) 在正常丘脑皮质节律的产生中很重要,并且可能参与异常活动的发生,例如表征小癫痫的尖峰波放电。Ethosuximide和dimethadione,对小动物有效的抗惊厥药,当以临床相关浓度应用于丘脑神经元时,会降低LTCC。苯妥英和卡马西平的治疗浓度对控制小剂量无效的药物对钙电导的影响很小。减少LTCC可能是一种重要的作用机制,通过这种作用,特定的小抗惊厥药可抑制尖峰波活性。

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