PMID- 30017425 OWN - NLM STAT- MEDLINE DCOM- 20190322 LR - 20240229 IS - 1872-9711 (Electronic) IS - 0161-813X (Linking) VI - 68 DP - 2018 Sep TI - Molecular mechanisms of neuroprotective effect of adjuvant therapy with phenytoin in pentylenetetrazole-induced seizures: Impact on Sirt1/NRF2 signaling pathways. PG - 47-65 LID - S0161-813X(18)30109-8 [pii] LID - 10.1016/j.neuro.2018.07.006 [doi] AB - Current anticonvulsant therapies are principally aimed at suppressing neuronal hyperexcitability to prevent or control the incidence of seizures. However, the role of oxidative stress processes in seizures led to the proposition that antioxidant compounds may be considered as promising candidates for limiting the progression of epilepsy. Accordingly, the aim of this study is to determine if coenzyme Q10 (CoQ10) and alpha-tocopherol (alpha-Toc) have a neuroprotective effect in rats against the observed oxidative stress and inflammation during seizures induced by pentylenetetrazole (PTZ) in rats, and to study their interactions with the conventional antiseizure drug phenytoin (PHT), either alone or in combination. Overall, the data revealed that alpha-Toc and CoQ10 supplementation can ameliorate PTZ-induced seizures and recommended that nuclear factor erythroid 2-related factor 2 (NRF2) and silencing information regulator 1 (Sirt1) signaling pathways may exemplify strategic molecular targets for seizure therapies. The results of the present study provide novel mechanistic insights regarding the protective effects of antioxidants and suggest an efficient therapeutic strategy to attenuate seizures. Additionally, concurrent supplementation of CoQ10 and alpha-Toc may be more effective than either antioxidant alone in decreasing inflammation and oxidative stress in both cortical and hippocampal tissues. Also, CoQ10 and alpha-Toc effectively reverse the PHT-mediated alterations in the brain antioxidant status when compared to PHT only. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Nagib, Marwa M AU - Nagib MM AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy, Misr International University, Cairo, Egypt. Electronic address: marwa.naguib@miuegypt.edu.eg. FAU - Tadros, Mariane G AU - Tadros MG AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy, Ain Shams University, Cairo, Egypt. FAU - Al-Khalek, Hadwa Ali Abd AU - Al-Khalek HAA AD - Department of Histology and Cell biology, Faculty of Medicine, Ain Shams University, Cairo, Egypt. FAU - Rahmo, Rania M AU - Rahmo RM AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy, Misr International University, Cairo, Egypt. FAU - Sabri, Nagwa Ali AU - Sabri NA AD - Department of Clinical Pharmacy, Faculty of Pharmacy, Ain Shams University, Cairo, Egypt. FAU - Khalifa, Amani E AU - Khalifa AE AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy, Ain Shams University seconded to 57357 Children Cancer Hospital as the Scientific Consultant for Pharmacy Affairs, Cairo, Egypt. FAU - Masoud, Somaia I AU - Masoud SI AD - Former Head of Department of Clinical Pharmacology, Faculty of Medicine, Ain Shams University, Cairo, Egypt. LA - eng PT - Journal Article PT - Retracted Publication DEP - 20180711 PL - Netherlands TA - Neurotoxicology JT - Neurotoxicology JID - 7905589 RN - H4N855PNZ1 (alpha-Tocopherol) RN - 0 (Anticonvulsants) RN - 0 (Antioxidants) RN - EJ27X76M46 (coenzyme Q10) RN - 0 (Neuroprotective Agents) RN - WM5Z385K7T (Pentylenetetrazole) RN - 6158TKW0C5 (Phenytoin) RN - EC 3.5.1.- (Sirt1 protein, rat) RN - EC 3.5.1.- (Sirtuin 1) RN - 1339-63-5 (Ubiquinone) RN - 0 (NF-E2-Related Factor 2) SB - IM RIN - Neurotoxicology. 2023 Jul;97:157. PMID: 37316402 MH - Animals MH - Male MH - *alpha-Tocopherol/administration & dosage MH - *Anticonvulsants/administration & dosage MH - *Antioxidants/administration & dosage MH - Brain/drug effects/metabolism/pathology MH - Inflammation/chemically induced/metabolism MH - Neurons/drug effects/metabolism/pathology MH - *Neuroprotective Agents/administration & dosage MH - Oxidative Stress MH - *Pentylenetetrazole/administration & dosage MH - *Phenytoin/administration & dosage MH - Rats, Wistar MH - *Seizures/chemically induced/metabolism/prevention & control MH - Signal Transduction MH - Sirtuin 1/metabolism MH - *Ubiquinone/administration & dosage/analogs & derivatives MH - NF-E2-Related Factor 2/metabolism OTO - NOTNLM OT - Alpha-tocopherol OT - Coenzyme Q10 OT - Nuclear factor erythroid 2-related factor OT - Pentylenetetrazole OT - Sirt1 EDAT- 2018/07/19 06:00 MHDA- 2019/03/22 06:00 CRDT- 2018/07/19 06:00 PHST- 2018/04/06 00:00 [received] PHST- 2018/06/22 00:00 [revised] PHST- 2018/07/07 00:00 [accepted] PHST- 2018/07/19 06:00 [pubmed] PHST- 2019/03/22 06:00 [medline] PHST- 2018/07/19 06:00 [entrez] AID - S0161-813X(18)30109-8 [pii] AID - 10.1016/j.neuro.2018.07.006 [doi] PST - ppublish SO - Neurotoxicology. 2018 Sep;68:47-65. doi: 10.1016/j.neuro.2018.07.006. Epub 2018 Jul 11.