P. Calabresi et al., ACTION OF GP-47779, THE ACTIVE METABOLITE OF OXCARBAZEPINE, ON THE CORTICOSTRIATAL SYSTEM .1. MODULATION OF CORTICOSTRIATAL SYNAPTIC TRANSMISSION, Epilepsia, 36(10), 1995, pp. 990-996
Oxcarbazepine (OCBZ) is the keto-analogue of carbamazepine (CBZ). In h
umans, OCBZ is rapidly and almost completely metabolized to IO, 11-dih
ydro-10-hydroxy-CBZ (GP 47779), the main metabolite responsible for th
e drug's antiepileptic activity. The corticostriatal pathway is involv
ed in the propagation of epileptic discharges. We characterized the el
ectrophysiological effects of GP 47779 on striatal neurons by making i
ntracellular recordings from corticostriatal slices. GP 47779 (3-100 m
u M) produced a dose-dependent inhibition of glutamatergic excitatory
postsynaptic potentials (EPSPs). This effect was not coupled either wi
th changes of the membrane potential of these cells or with alteration
s of their postsynaptic sensitivity to excitatory amino acids (EAA) su
ggesting a presynaptic site of action. GP 47779 reduced the current-ev
oked firing discharge only at concentrations >100 mu M. GP 47779 did n
ot affect the presynaptic inhibitory action of adenosine, showing that
presynaptic adenosine receptors were not implicated in the GP 47779-m
ediated reduction of corticostriatal EPSPs. Our data indicate that GP
47779 apparently acts directly on corticostriatal terminals to reduce
the release of EAA, probably by inhibiting high-voltage-activated (HVA
) calcium (Ca2+) currents (described in the accompanying article). The
inhibitory action of GP 47779 on corticostriatal transmission may con
tribute to the antiepileptic effects of this drug.