Within 10 minutes of intraperitoneal injection of penitrem A (3 mg/kg)
, rats develop severe generalized tremors and ataxia that persist for
up to 48 hours. These are accompanied by a three-to fourfold increase
in cerebellar cortical blood flow. Mitochondrial swelling occurs in ce
rebellar stellate and basket cells within 30 minutes of dosing and per
sists for more than 12 hours without leading to cell death. From 2 hou
rs, Purkinje cell dendrites show early cytoplasmic condensation accomp
anied by fine vacuolation of smooth endoplasmic reticulum and enlargem
ent of perikaryal mitochondria. From 6 hours, many Purkinje cells deve
lop intense cytoplasmic condensation with eosinophilia that resembles
''ischemic cell change,'' and from 12 hours, many other Purkinje cells
show marked watery swelling. Astrocytes begin to swell from 0.5 hours
after injection and show hypertrophy of organelles from 6 hours. Also
from 6 hours onward, discrete foci of necrosis appear in the granule
cell layer, while permeability of overlying meningeal vessels to horse
radish peroxidase becomes evident at 8 hours. All changes are more sev
ere in vermis and paravermis. Despite widespread loss of Purkinje cell
s, the animals' behavior becomes almost normal within a week. While tr
emor occurs with doses of 1.5 and 0.5 mg/kg, cellular damage is minima
l. The tremor mechanism differs from that of harmaline since destructi
on of inferior olivary nuclei abolishes neither the tremor response to
penitrem A nor the cellular damage. No morphological changes are foun
d in other brain regions. The affinities of penitrem A for high-conduc
tance calcium-dependent potassium channels and for gamma-aminobutyric
acid receptors with the probability of resultant excitotoxity are cons
idered to be important underlying factors for these changes.