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Diadenosine-Polyphosphate Analogue AppCH2ppA Suppresses Seizures by Enhancing Adenosine Signaling in the Cortex

A. Pons-Bennaceur, V. Tsintsadze, TT. Bui, T. Tsintsadze, M. Minlebaev, M. Milh, D. Scavarda, R. Giniatullin, R. Giniatullina, S. Shityakov, M. Wright, AD. Miller, N. Lozovaya, N. Burnashev,

. 2019 ; 29 (9) : 3778-3795. [pub] 20190814

Language English Country United States

Document type Journal Article, Research Support, Non-U.S. Gov't

Epilepsy is a multifactorial disorder associated with neuronal hyperexcitability that affects more than 1% of the human population. It has long been known that adenosine can reduce seizure generation in animal models of epilepsies. However, in addition to various side effects, the instability of adenosine has precluded its use as an anticonvulsant treatment. Here we report that a stable analogue of diadenosine-tetraphosphate: AppCH2ppA effectively suppresses spontaneous epileptiform activity in vitro and in vivo in a Tuberous Sclerosis Complex (TSC) mouse model (Tsc1+/-), and in postsurgery cortical samples from TSC human patients. These effects are mediated by enhanced adenosine signaling in the cortex post local neuronal adenosine release. The released adenosine induces A1 receptor-dependent activation of potassium channels thereby reducing neuronal excitability, temporal summation, and hypersynchronicity. AppCH2ppA does not cause any disturbances of the main vital autonomous functions of Tsc1+/- mice in vivo. Therefore, we propose this compound to be a potent new candidate for adenosine-related treatment strategies to suppress intractable epilepsies.

A 1 Virtanen Institute for Molecular Sciences Department of Neurobiology University of Eastern Finland Kuopio Finland

APHM Department of Pediatric Neurosurgery and Neurology CHU Timone Marseille Cedex 5 France

B and A Therapeutics Ben Ari Institute of Neuroarcheology Batiment Beret Delaage Zone Luminy Biotech Entreprises Marseille Cedex 09 France

Department of Anaesthesia and Critical Care University of Würzburg Josef Schneider Street 2 Würzburg Germany

INSERM UMR1249 Mediterranean Institute of Neurobiology Aix Marseille University Parc Scientifique de Luminy Marseille France

INSERM UMR1249 Mediterranean Institute of Neurobiology Aix Marseille University Parc Scientifique de Luminy Marseille France Knight Cardiovascular Institute Oregon Health and Science University OR USA

INSERM UMR1249 Mediterranean Institute of Neurobiology Aix Marseille University Parc Scientifique de Luminy Marseille France Laboratory of Neurobiology Kazan Federal University Kazan Russia

Laboratory of Neurobiology Kazan Federal University Kazan Russia A 1 Virtanen Institute for Molecular Sciences Department of Neurobiology University of Eastern Finland Kuopio Finland

School of Cancer and Pharmaceutical Sciences King's College London Franklin Wilkins Building Waterloo Campus 150 Stamford Street London UK

School of Cancer and Pharmaceutical Sciences King's College London Franklin Wilkins Building Waterloo Campus 150 Stamford Street London UK Veterinary Research Institute Hudcova 296 70 Brno Czech Republic KP Therapeutics Ltd 86 Deansgate Manchester UK

References provided by Crossref.org

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