![]() |
|
|
Vol. 295, Issue 3, 1086-1093, December 2000
Department of Neuroscience Therapeutics, Pfizer Global Research & Development, Ann Arbor, Michigan
Gabapentin (GBP; Neurontin) has proven efficacy in several neurological
and psychiatric disorders yet its mechanism of action remains elusive.
This drug, and the related compounds pregabalin [PGB; CI-1008,
S-(+)-3-isobutylgaba] and its enantiomer
R-(
)-3-isobutylgaba, were tested in an in vitro
superfusion model of stimulation-evoked neurotransmitter release using
rat neocortical slices prelabeled with [3H]norepinephrine
([3H]NE). The variables addressed were stimulus type
(i.e., electrical, K+, veratridine) and intensity,
concentration dependence, onset and reversibility of action, and
commonality of mechanism. Both GBP and PGB inhibited electrically and
K+-evoked [3H]NE release, but not that
induced by veratridine. Inhibition by these drugs was most pronounced
with the K+ stimulus, allowing determination of
concentration-effect relationships (viz., 25 mM K+
stimulus: GBP IC50 = 8.9 µM, PGB
IC50 = 11.8 µM).
R-(
)-3-Isobutylgaba was less effective than PGB to
decrease stimulation-evoked [3H]NE release. Other
experiments with GBP demonstrated the dependence of
[3H]NE release inhibition on optimal stimulus intensity.
The inhibitory effect of GBP increased with longer slice exposure time
before stimulation, and reversed upon washout. Combination experiments with GBP and PGB indicated a similar mechanism of action to inhibit K+-evoked [3H]NE release. GBP and PGB are
concluded to act in a comparable, if not identical, manner to
preferentially attenuate [3H]NE release evoked by stimuli
effecting mild and prolonged depolarizations. This type of modulation
of neurotransmitter release may be integral to the clinical
pharmacology of these drugs.
This article has been cited by other articles:
![]() |
A. Agarwal, S. Gautam, D. Gupta, S. Agarwal, P. K. Singh, and U. Singh Evaluation of a single preoperative dose of pregabalin for attenuation of postoperative pain after laparoscopic cholecystectomy Br. J. Anaesth., November 1, 2008; 101(5): 700 - 704. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Jokela, J. Ahonen, M. Tallgren, M. Haanpaa, and K. Korttila Premedication with pregabalin 75 or 150 mg with ibuprofen to control pain after day-case gynaecological laparoscopic surgery Br. J. Anaesth., June 1, 2008; 100(6): 834 - 840. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. M. Gajraj Pregabalin: Its Pharmacology and Use in Pain Management Anesth. Analg., December 1, 2007; 105(6): 1805 - 1815. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. J. Siddall, M. J. Cousins, A. Otte, T. Griesing, R. Chambers, and T. K. Murphy Pregabalin in central neuropathic pain associated with spinal cord injury: A placebo-controlled trial Neurology, November 28, 2006; 67(10): 1792 - 1800. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. S. Reuben, A. Buvanendran, J. S. Kroin, and K. Raghunathan The Analgesic Efficacy of Celecoxib, Pregabalin, and Their Combination for Spinal Fusion Surgery Anesth. Analg., November 1, 2006; 103(5): 1271 - 1277. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Rickels, M. H. Pollack, D. E. Feltner, R. B. Lydiard, D. L. Zimbroff, R. J. Bielski, K. Tobias, J. D. Brock, G. L. Zornberg, and A. C. Pande Pregabalin for Treatment of Generalized Anxiety Disorder: A 4-Week, Multicenter, Double-blind, Placebo-Controlled Trial of Pregabalin and Alprazolam Arch Gen Psychiatry, September 1, 2005; 62(9): 1022 - 1030. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Beydoun, B. M. Uthman, A. R. Kugler, M. J. Greiner, L. E. Knapp, E. A. Garofalo, and the Pregabalin 1008-009 Study Group Safety and efficacy of two pregabalin regimens for add-on treatment of partial epilepsy Neurology, February 8, 2005; 64(3): 475 - 480. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Lesser, U. Sharma, L. LaMoreaux, and R. M. Poole Pregabalin relieves symptoms of painful diabetic neuropathy: A randomized controlled trial Neurology, December 14, 2004; 63(11): 2104 - 2110. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. A. French, A. R. Kugler, J. L. Robbins, L. E. Knapp, and E. A. Garofalo Dose-response trial of pregabalin adjunctive therapy in patients with partial seizures Neurology, May 27, 2003; 60(10): 1631 - 1637. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. C. Pande, J. G. Crockatt, D. E. Feltner, C. A. Janney, W. T. Smith, R. Weisler, P. D. Londborg, R. J. Bielski, D. L. Zimbroff, J. R.T. Davidson, et al. Pregabalin in Generalized Anxiety Disorder: A Placebo-Controlled Trial Am J Psychiatry, March 1, 2003; 160(3): 533 - 540. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. J. Randinitis, E. L. Posvar, C. W. Alvey, A. J. Sedman, J. A. Cook, and H. N. Bockbrader Pharmacokinetics of Pregabalin in Subjects with Various Degrees of Renal Function J. Clin. Pharmacol., March 1, 2003; 43(3): 277 - 283. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Marais, N. Klugbauer, and F. Hofmann Calcium Channel alpha 2delta Subunits---Structure and Gabapentin Binding Mol. Pharmacol., April 16, 2001; 59(5): 1243 - 1248. [Abstract] [Full Text] |
||||