PMID- 28983622 OWN - NLM STAT- MEDLINE DCOM- 20180626 LR - 20180626 IS - 1791-3004 (Electronic) IS - 1791-2997 (Linking) VI - 16 IP - 6 DP - 2017 Dec TI - Novel insights into the effect of paroxetine administration in pilocarpine‑induced chronic epileptic rats. PG - 8245-8252 LID - 10.3892/mmr.2017.7659 [doi] AB - The aim of the present study was to investigate the role of paroxetine intervention in epilepsy, and its association with the expression of serotonin transporter (SERT) and hippocampal apoptosis. Thirty adult male Sprague Dawley rats were divided into control vehicle (n=6) and epileptic (n=24) groups. Status epilepticus (SE) was induced via systemic injection of pilocarpine, and seizure activity was monitored via video electroencephalogram. The epileptic group was then randomly divided into two groups; Four weeks following SE induction, paroxetine (5 mg/kg/day; SE + paroxetine group) or normal saline (SE group) was intraperitoneally injected for 4 weeks. Brain tissue was collected to evaluate apoptosis via terminal deoxynucleotidyl transferase dUTP nick‑end labeling. SERT, B‑cell lymphoma‑2 (Bcl‑2) and brain derived neurotropic factor (BDNF) expression levels were evaluated by western blotting, and miR‑16 expression was evaluated by reverse transcription‑quantitative polymerase chain reaction. Paroxetine did not affect the mortality of the pilocarpine‑induced chronic epileptic rats. Spontaneous recurrent seizures (SSRs) were observed 7‑28 days following SE induction. The frequency and stage of the SSRs were reduced by paroxetine administration. Apoptotic cells were observed in the epileptic hippocampus. Following paroxetine intervention, the staining intensity and number of apoptotic cells were significantly decreased. Expression levels of BDNF and Bcl‑2 were lower in the SE group compared with the vehicle group. The former was not altered by paroxetine injection; however, the latter was increased. In the SE group, SERT expression was not altered in the raphe nucleus but was decreased in the hippocampus. Following paroxetine administration, SERT expression was decreased in the raphe nucleus and increased in the hippocampus. In the SE group, miR‑16 expression was decreased in the raphe nucleus and increased in the hippocampus. Following paroxetine administration, miR‑16 expression was not altered in the raphe nucleus but was reduced in the hippocampus. In conclusion, the seizures and hippocampal apoptosis observed in chronic epileptic rats were alleviated by paroxetine treatment. This effect may be associated with the reduced Bcl‑2 and BDNF expression and the modulation of SERT expression. The alterations in miR‑16 expression may provide a potential explanation for the modulation of apoptosis; however, further research is required to determine the complete underlying molecular mechanism. FAU - Lin, Wan-Hui AU - Lin WH AD - Department of Neurology and Geriatrics, Union Hospital of Fujian Medical University, Fuzhou, Fujian 350001, P.R. China. FAU - Li, Xiao-Feng AU - Li XF AD - Department of Neurology, Union Hospital of Fujian Medical University, Fuzhou, Fujian 350001, P.R. China. FAU - Lin, Ming-Xing AU - Lin MX AD - Department of Pediatrics, Union Hospital of Fujian Medical University, Fuzhou, Fujian 350001, P.R. China. FAU - Zhou, Ying AU - Zhou Y AD - Neuroscience Research Center of Fujian Medical University, Fuzhou, Fujian 350001, P.R. China. FAU - Huang, Hua-Pin AU - Huang HP AD - Department of Neurology and Geriatrics, Union Hospital of Fujian Medical University, Fuzhou, Fujian 350001, P.R. China. LA - eng PT - Journal Article DEP - 20170928 PL - Greece TA - Mol Med Rep JT - Molecular medicine reports JID - 101475259 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Serotonin Plasma Membrane Transport Proteins) RN - 01MI4Q9DI3 (Pilocarpine) RN - 41VRH5220H (Paroxetine) SB - IM MH - Animals MH - Behavior, Animal MH - Brain/metabolism/pathology MH - Brain-Derived Neurotrophic Factor/genetics/metabolism MH - Disease Models, Animal MH - Epilepsy/*chemically induced/drug therapy/*physiopathology MH - Hippocampus/metabolism/pathology MH - Immunohistochemistry MH - Male MH - Paroxetine/*administration & dosage MH - Pilocarpine/*adverse effects MH - Proto-Oncogene Proteins c-bcl-2/genetics/metabolism MH - Rats MH - Serotonin Plasma Membrane Transport Proteins/genetics/metabolism EDAT- 2017/10/07 06:00 MHDA- 2018/06/27 06:00 CRDT- 2017/10/07 06:00 PHST- 2016/07/12 00:00 [received] PHST- 2017/05/09 00:00 [accepted] PHST- 2017/10/07 06:00 [pubmed] PHST- 2018/06/27 06:00 [medline] PHST- 2017/10/07 06:00 [entrez] AID - 10.3892/mmr.2017.7659 [doi] PST - ppublish SO - Mol Med Rep. 2017 Dec;16(6):8245-8252. doi: 10.3892/mmr.2017.7659. Epub 2017 Sep 28.