The Antiepileptic Drug Levetiracetam Decreases the Inositol 1,4,5-Trisphosphate-Dependent [Ca2+]i Increase Induced by ATP and Bradykinin in PC12 Cells

  1. Mauro Cataldi,
  2. Vincenzo Lariccia,
  3. Agnese Secondo,
  4. Gianfranco di Renzo and
  5. Lucio Annunziato
  1. Division of Pharmacology, Department of Neuroscience, School of Medicine, Federico II University of Naples, Naples, Italy
  1. Address correspondence to:
    Dr. Lucio Annunziato, Division of Pharmacology, Department of Neuroscience, Federico II University of Naples, Via Pansini no. 5, 80131 Naples, Italy. E-mail: lannunzi{at}unina.it

Abstract

The present study explores the hypothesis that the new anti-epileptic drug levetiracetam (LEV) could interfere with the inositol 1,4,5-trisphosphate (IP3)-dependent release of intracellular Ca2+ initiated by Gq-coupled receptor activation, a process that plays a role in triggering and maintaining seizures. We assessed the effect of LEV on the amplitude of [Ca2+]i response to bradykinin (BK) and ATP in single Fura-2/acetoxymethyl ester-loaded PC12 rat pheochromocytoma cells, which express very high levels of LEV binding sites. LEV dose-dependently reduced the [Ca2+]i increase, elicited either by 1 μM BK or by 100 μM ATP (IC50, 0.39 ± 0.01 μM for BK and 0.20 ± 0.01 μM for ATP; Hill coefficients, 1.33 ± 0.04 for BK and 1.38 ± 0.06 for ATP). Interestingly, although the discharge of ryanodine stores by a process of calcium-induced calcium release also took place as part of the [Ca2+]i response to BK, LEV inhibitory effect was mainly exerted on the IP3-dependent stores. In fact, the drug was still effective after the pharmacological blockade of ryanodine receptors. Furthermore, LEV did not affect Ca2+ stored in the intracellular deposits since it did not reduce the amplitude of [Ca2+]i response either to thapsigargin or to ionomycin. In conclusion, LEV inhibits Ca2+ release from the IP3-sensitive stores without reducing Ca2+ storage into these deposits. Because of the relevant implications of IP3-dependent Ca2+ release in neuron excitability and epileptogenesis, this novel effect of LEV could provide a useful insight into the mechanisms underlying its antiepileptic properties.

Footnotes

  • This work was partially supported by a grant from UCB Pharma (Braine-L'Alleud, Belgium). This work was also supported by Grant PRIN 2002 from the Ministero Italiano per l' Università e la Ricerca Scientifica (to L.A.); by Grant PNR 2001-2003-FIRB art. 8 D. M. 199 (to L.A.); by POP and Legge 41/94 from Regione Campania, annualità 98 (to L.A.); by Programma Speciale art. 12bis comma 6, D. Lgs. 229/99 from Ministero della Salute and Regione Campania (to L.A.); by Progetto di Ricerche Finalizzato, Convenzione Ministero della Salute/Regione Campania, no. 1, 1 dicembre 2003 (to L.A.); and by POR 2006, asse 3, misura 3.16, from Centro Regionale di Competenza di Genomica Funzionale, Genomics for Applied Research (to L.A.). V.L. is a Ph.D. student supported by a fellowship grant from the Centro Regionale di Competenza di Genomica Funzionale, Genomics for Applied Research.

  • doi:10.1124/jpet.104.079327.

  • ABBREVIATIONS: LEV, levetiracetam; AED, antiepileptic drug; IP3, inositol 1,4,5-trisphosphate; BK, bradykinin; AM, acetoxymethyl ester; TG, thapsigargin; AUC, area under the curve; ANOVA, analysis of variance; Rya, ryanodine; Iono, ionomycin; CICR, calcium-induced calcium release; RyR, ryanodine receptor.

    • Received October 17, 2004.
    • Accepted January 7, 2005.
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