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Behavioural Brain Research
Volume 158, Issue 1, 7 March 2005, Pages 123-132
 
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doi:10.1016/j.bbr.2004.08.015    How to Cite or Link Using DOI (Opens New Window)
Copyright © 2004 Elsevier B.V. All rights reserved.

Research report

Evaluation of the effects of lamotrigine, valproate and carbamazepine in a rodent model of mania

Roberto Arbana, Gabriella Maraiaa, Kim Brackenboroughb, Lisa Winyardb, Alex Wilsonb, Philip Gerrarda and Charles Largea, Corresponding Author Contact Information, E-mail The Corresponding Author

aDepartment of Biology, Psychiatry CEDD, GlaxoSmithKline S.p.A., Via Fleming 4, 37135 Verona, Italy bNeurology and Gastrointestinal CEDD, GlaxoSmithKline R&D Ltd., New Frontiers Science Park, Harlow, UK

Received 27 March 2004; 
revised 23 August 2004; 
accepted 23 August 2004. 
Available online 25 September 2004.

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Abstract

Bipolar disorder is a psychiatric condition characterised by episodes of mania, depression, and underlying mood instability. Anticonvulsant drugs have an established place in the treatment of the disorder, but identifying novel drugs in this class is complicated by the absence of validated animal models. We have evaluated the efficacy of three anticonvulsant mood stabilising drugs (lamotrigine, valproate, and carbamazepine) in a model of mania, in which hyperactivity is induced by the combination of D-amphetamine and chlordiazepoxide. All three drugs were effective at preventing the hyperactivity. Lower doses of valproate and carbamazepine were required to prevent hyperactivity compared to doses required to block tonic-clonic seizures induced by pentylenetetrazole. Lamotrigine was equipotent in the two models. However, the complex pharmacology of the D-amphetamine/chlordiazepoxide model means that there may be several mechanisms by which hyperactivity can be reduced, and these may have more or less relevance to the treatment of bipolar disorder. To address this issue, we also evaluated effects of the three anticonvulsants on baseline locomotion, on activity in the presence of chlordiazepoxide alone, or on activity induced by D-amphetamine alone. Based on the results, we propose that hyperactivity induced by D-amphetamine/chlordiazepoxide may arise through dopaminergic drive coupled with disinhibition caused by low doses of the benzodiazepine. The efficacy of lamotrigine may then arise through a reduction in neuronal excitability or increased glutamate transmission, these latter a consequence of the disinhibition. Carbamazepine may also reduce excitability and glutamate release, but its broader pharmacology, manifested by sedation at higher doses complicates interpretation of its efficacy and reflects its poorer tolerability in the clinic. Valproate may be effective, at least in part, through an enhancement of GABAergic transmission. The predictive validity of the D-amphetamine/chlordiazepoxide model for efficacy in bipolar disorder remains to be established, and research with a wider range of clinically tested drugs is warranted to help validate the model further. In the meantime, the model may be useful for distinguishing novel anticonvulsant drugs with different mechanisms of action.

Keywords: Bipolar disorder; Anticonvulsant; Hyperactivity; Seizure; Animal model

Article Outline

1. Introduction
2. Methods
2.1. Animals
2.2. Hyperactivity model
2.3. Seizure model
2.4. Drugs
3. Results
3.1. Effects of D-amphetamine or D-amphetamine plus chlordiazepoxide on locomotor activity
3.2. The effect of sodium valproate on D-amphetamine or D-amphetamine plus chlordiazepoxide-induced hyperactivity
3.3. The effect of carbamazepine on D-amphetamine or D-amphetamine plus chlordiazepoxide-induced hyperactivity
3.4. The effect of lamotrigine on D-amphetamine or D-amphetamine plus chlordiazepoxide-induced hyperactivity
3.5. The effects of the anticonvulsants on locomotor activity in the presence of chlordiazepoxide
3.6. The anticonvulsant effects of sodium valproate, carbamazepine, and lamotrigine against pentylenetetrazole-induced seizures
4. Discussion
5. Conclusions
References






Behavioural Brain Research
Volume 158, Issue 1, 7 March 2005, Pages 123-132
 
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