Abstract
Rationale
When administered chronically to rats, drugs that are effective in bipolar disorder—lithium and the anticonvulsants, valproic acid and carbamazepine—have been shown to downregulate the expression of certain enzymes involved in brain arachidonic acid (AA) release and cyclooxygenase (COX)-mediated metabolism. Phase II clinical trials with the anticonvulsant topiramate [2,3:4,5-bis-O-(1-methylethylidene)-beta-d-fructopyranose sulfamate] suggest that this drug may also be effective for bipolar disorder.
Objectives
To see if topiramate has effects similar to those of the other three drugs, we administered topiramate to rats for 14 days at 20 mg/kg, p.o. twice daily.
Results
Compared with p.o. vehicle, topiramate treatment did not significantly affect the brain activity or protein level of cytosolic phospholipase A2, secretory PLA2, or Ca2+-independent iPLA2. Additionally, brain protein levels of COX-1, COX-2, 5-lipoxygenase, and cytochrome P450 epoxygenase were unchanged.
Conclusions
These results suggest that topiramate does not modify expression of the enzymes involved in brain AA metabolism that have been shown to be targeted by lithium, valproic acid, or carbamazepine. If topiramate proves effective in bipolar disorder, it may not act by modulating brain AA metabolism. In view of the proven anticonvulsant effect of topiramate, our results also suggest that the AA cascade is not involved in the antiseizure properties of the drug.
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Abbreviations
- AA:
-
arachidonic acid
- COX:
-
cyclooxygenase
- CYP:
-
cytochrome P450 epoxygenase
- HPMC:
-
hydroxypropylmethylcellulose
- 5-LO:
-
lipoxygenase
- OD:
-
optical density
- PGE2:
-
prostaglandin E2
- PLA2:
-
phospholipase A2
- cPLA2:
-
cytosolic PLA2
- sPLA2:
-
secretory PLA2
- iPLA2:
-
Ca2+-independent PLA2
- sn :
-
stereospecifically numbered
References
Angehagen M, Ben-Menachem E, Shank R, Ronnback L, Hansson E (2004) Topiramate modulation of kainate-induced calcium currents is inversely related to channel phosphorylation level. J Neurochem 88:320–325
Axelrod J (1995) Phospholipase A2 and G proteins. Trends Neurosci 18:64–65
Baldessarini RJ, Tondo L, Suppes T, Faedda GL, Tohen M (1996) Pharmacological treatment of bipolar disorder through the life cycle. In: Shulman KI, Tohen M, Kutscher SP (eds) Mood disorders across the life span. Wiley-Liss, New York, pp 299–338
Basselin M, Chang L, Seemann R, Bell JM, Rapoport SI (2003) Chronic lithium administration potentiates brain arachidonic acid signaling at rest and during cholinergic activation in awake rats. J Neurochem 85:1553–1562
Bazinet RP, Ghelardoni S, Lee HJ, Chang L, Bell J, Bosetti F, Rapoport SI (2004) Effects of certain anticonvulsants used to treat bipolar disorder on arachidonic acid metabolism in awake rats. International Society for the Study of Fatty Acids and Lipids, Brighton, UK
Bischofs S, Zelenka M, Sommer C (2004) Evaluation of topiramate as an anti-hyperalgesic and neuroprotective agent in the peripheral nervous system. J Peripher Nerv Syst 9:70–78
Bosetti F, Rintala J, Seemann R, Rosenberger TA, Contreras MA, Rapoport SI, Chang MC (2002) Chronic lithium downregulates cyclooxygenase-2 activity and prostaglandin E(2) concentration in rat brain. Mol Psychiatry 7:845–850
Bosetti F, Weerasinghe GR, Rosenberger TA, Rapoport SI (2003) Valproic acid down-regulates the conversion of arachidonic acid to eicosanoids via cyclooxygenase-1 and -2 in rat brain. J Neurochem 85:690–696
Bradford MM (1976) A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem 72:248–254
Cade JFJ (1949) Lithium salts in the treatment of psychotic excitement. Med J Aust 36:349–352
Chang MC, Grange E, Rabin O, Bell JM, Allen DD, Rapoport SI (1996) Lithium decreases turnover of arachidonate in several brain phospholipids. Neurosci Lett 220:171–174
Chang MC, Bell JM, Purdon AD, Chikhale EG, Grange E (1999) Dynamics of docosahexaenoic acid metabolism in the central nervous system: lack of effect of chronic lithium treatment. Neurochem Res 24:399–406
Chang MC, Contreras MA, Rosenberger TA, Rintala JJ, Bell JM, Rapoport SI (2001) Chronic valproate treatment decreases the in vivo turnover of arachidonic acid in brain phospholipids: a possible common effect of mood stabilizers. J Neurochem 77:796–803
De Sarno P, Li X, Jope RS (2002) Regulation of Akt and glycogen synthase kinase-3 beta phosphorylation by sodium valproate and lithium. Neuropharmacology 43:1158–1164
DelBello MP, Kushner S, Wang D, Olson W, Capece J, Fazzio L, Rosenthal N (2003) Topiramate treatment for acute mania in adolescents with bipolar disorder Abstr 42nd Annu Meet Am Coll Neuropsychopharmacol, p 98
DeLorenzo RJ, Sombati S, Coulter DA (2000) Effects of topiramate on sustained repetitive firing and spontaneous recurrent seizure discharges in cultured hippocampal neurons. Epilepsia 41(Suppl 1):S40–S44
Doose DR, Streeter AJ (2002) Topiramate-chemistry, biotransformation and pharmacokinetics. In: Levy RH, Mattson RH, Meldrum BS, Perucca E (eds) Antiepileptic drugs. Lippincott, Williams and Wilkins, Philadelphia, pp 727–734
Einat H, Manji HK, Belmaker RH (2003) New approaches to modeling bipolar disorder. Psychopharmacol Bull 37:47–63
Fitzpatrick FA, Soberman R (2001) Regulated formation of eicosanoids. J Clin Invest 107:1347–1351
Ghelardoni S, Tomita YA, Bell JM, Rapoport SI, Bosetti F (2004) Chronic carbamazepine selectively downregulates cytosolic phospholipase A(2) expression and cyclooxygenase activity in rat brain. Biol Psychiatry 56:248–254
Gibbs JW III, Sombati S, DeLorenzo RJ, Coulter DA (2000) Cellular actions of topiramate: blockade of kainate-evoked inward currents in cultured hippocampal neurons. Epilepsia 41(Suppl 1):S10–S16
Gould TD, Zarate CA, Manji HK (2004) Glycogen synthase kinase-3: a target for novel bipolar disorder treatments. J Clin Psychiatry 65:10–21
Gryder DS, Rogawski MA (2003) Selective antagonism of GluR5 kainate-receptor-mediated synaptic currents by topiramate in rat basolateral amygdala neurons. J Neurosci 23:7069–7074
Guay DR (1995) The emerging role of valproate in bipolar disorder and other psychiatric disorders. Pharmacotherapy 15:631–647
Herrero AI, Del Olmo N, Gonzalez-Escalada JR, Solis JM (2002) Two new actions of topiramate: inhibition of depolarizing GABA(A)-mediated responses and activation of a potassium conductance. Neuropharmacology 42:210–220
Keck PE Jr, DelBello MP (2002) Bipolar mania: advances in pharmacological treatment. Curr Psychiatry 1(Suppl 10):13–17
Ketterer MW, Brymer J, Rhoads K, Kraft P, Lovallo WR (1996) Is aspirin, as used for antithrombosis, an emotion-modulating agent? J Psychosom Res 40:53–58
Lee H, Bazinet RP, Chang L, Rapoport SI (2004) Effects of chronic carbamazepine, an antibipolar disorder drug, on the turnover of arachidonic and docosahexaenoic acids in brain phospholipids of the awake rat Program no. 906.9. 2004 Abstract viewer/itinerary planner. Society for Neuroscience, Washington, DC. Online, San Diego, CA
McElroy SL, Keck PE Jr, Pope HG Jr, Hudson JI (1992) Valproate in the treatment of bipolar disorder: literature review and clinical guidelines. J Clin Psychopharmacol 12:42S–52S
McElroy SL, Suppes T, Keck PE, Frye MA, Denicoff KD, Altshuler LL, Brown ES, Nolen WA, Kupka RW, Rochussen J, Leverich GS, Post RM (2000) Open-label adjunctive topiramate in the treatment of bipolar disorders. Biol Psychiatry 47:1025–1033
McIntyre RS, Mancini DA, McCann S, Srinivasan J, Sagman D, Kennedy SH (2002) Topiramate versus bupropion SR when added to mood stabilizer therapy for the depressive phase of bipolar disorder: a preliminary single-blind study. Bipolar Disord 4:207–213
Pies R (2002) Combining lithium and anticonvulsants in bipolar disorder: a review. Ann Clin Psychiatry 14:223–232
Rapoport SI (2001) In vivo fatty acid incorporation into brain phosholipids in relation to plasma availability, signal transduction and membrane remodeling. J Mol Neurosci 16:243–261 (discussion 279–284)
Rapoport SI, Bosetti F (2002) Do lithium and anticonvulsants target the brain arachidonic acid cascade in bipolar disorder? Arch Gen Psychiatry 59:592–596
Reid MS, Ho LB, Hsu K, Fox L, Tolliver BK, Adams JU, Franco A, Berger SP (2002) Evidence for the involvement of cyclooxygenase activity in the development of cocaine sensitization. Pharmacol Biochem Behav 71:37–54
Rintala J, Seemann R, Chandrasekaran K, Rosenberger TA, Chang L, Contreras MA, Rapoport SI, Chang MC (1999) 85 kDa cytosolic phospholipase A2 is a target for chronic lithium in rat brain. NeuroReport 10:3887–3890
Ross BM, Brooks RJ, Lee M, Kalasinsky KS, Vorce SP, Seeman M, Fletcher PJ, Turenne SD (2002) Cyclooxygenase inhibitor modulation of dopamine-related behaviours. Eur J Pharmacol 450:141–151
Russo E, Constanti A (2004) Topiramate hyperpolarizes and modulates the slow poststimulus AHP of rat olfactory cortical neurones in vitro. Br J Pharmacol 141:285–301
Shaldubina A, Einat H, Szechtman H, Shimon H, Belmaker RH (2002) Preliminary evaluation of oral anticonvulsant treatment in the quinpirole model of bipolar disorder. J Neural Transm 109:433–440
Shank RP, Gardocki JF, Streeter AJ, Maryanoff BE (2000) An overview of the preclinical aspects of topiramate: pharmacology, pharmacokinetics, and mechanism of action. Epilepsia 41(Suppl 1):S3–S9
Shimizu T, Wolfe LS (1990) Arachidonic acid cascade and signal transduction. J Neurochem 55:1–15
Smith-Swintosky VL, Zhao B, Shank RP, Plata-Salaman CR (2001) Topiramate promotes neurite outgrowth and recovery of function after nerve injury. NeuroReport 12:1031–1034
Soares J, Bowden C (2002) March treatment trial grant. Stanley Medical Institute. http://www.stanleyresearch.org
Strokin M, Sergeeva M, Reiser G (2003) Docosahexaenoic acid and arachidonic acid release in rat brain astrocytes is mediated by two separate isoforms of phospholipase A2 and is differently regulated by cyclic AMP and Ca2+. Br J Pharmacol 139:1014–1022
Suppes T, Rush AJ (1996) Evolving clinical characteristics or distinct disorders. In: Shulman KI, Tohen M, Kutscher SP (eds) Mood disorders across the life span. Wiley-Liss, New York, pp 3–17
Vieta E, Torrent C, Garcia-Ribas G, Gilabert A, Garcia-Pares G, Rodriguez A, Cadevall J, Garcia-Castrillon J, Lusilla P, Arrufat F (2002) Use of topiramate in treatment-resistant bipolar spectrum disorders. J Clin Psychopharmacol 22:431–435
Watch D (2003) Psychotropic drugs. Formulary 38:448
Weerasinghe GR, Rapoport SI, Bosetti F (2004) The effect of chronic lithium on arachidonic acid release and metabolism in rat brain does not involve secretory phospholipase A(2) or lipoxygenase/cytochrome P450 pathways. Brain Res Bull 63:485–489
Williams MB, Jope RS (1995) Circadian variation in rat brain AP-1 DNA binding activity after cholinergic stimulation: modulation by lithium. Psychopharmacology (Berl) 122:363–368
Williams R, Ryves WJ, Dalton EC, Eickholt B, Shaltiel G, Agam G, Harwood AJ (2004) A molecular cell biology of lithium. Biochem Soc Trans 32:799–802
York DA, Singer L, Thomas S, Bray GA (2000) Effect of topiramate on body weight and body composition of Osborne–Mendel rats fed a high-fat diet: alterations in hormones, neuropeptide, and uncoupling-protein mRNAs. Nutrition 16:967–975
Zhang X, Velumian AA, Jones OT, Carlen PL (2000) Modulation of high-voltage-activated calcium channels in dentate granule cells by topiramate. Epilepsia 41(Suppl 1):S52–S60
Acknowledgements
This research was supported by the Intramural Program of the National Institute on Aging, NIH, as well as by a grant awarded to S.I. Rapoport by Johnson & Johnson Pharmaceutical Research and Development, L.L.C. (J&JPRD) entitled, “Effect of chronic administration of Topiramate, a drug used to treat bipolar disorder, on brain arachidonic acid signaling in awake rats.” The authors thank Dr. Richard Shank of J&JPRD for help in designing the topiramate administration regimen for this protocol, Dr. Kenneth Setchell (Children’s Hospital Medical Center, Cincinnati, OH) for measuring plasma topiramate, and Mr. Festus Ehizielen at the NIH for technical support.
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Ghelardoni, S., Bazinet, R.P., Rapoport, S.I. et al. Topiramate does not alter expression in rat brain of enzymes of arachidonic acid metabolism. Psychopharmacology 180, 523–529 (2005). https://doi.org/10.1007/s00213-005-2189-3
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DOI: https://doi.org/10.1007/s00213-005-2189-3