COMPARATIVE STUDY OF LACOSAMIDE, LAMOTRIGINE AND TOPIRAMATE TREATMENT ON PASSIVE LEARNING AND MEMORY IN NAÏVE RATS

Authors

  • Michaela Shishmanova-Doseva Medical University - Plovdiv, Bulgaria

Keywords:

Lacosamide, Lamotrigine, Topiramate, passive learning ad memory

Abstract

Epilepsy, as a socially significant disease affecting nearly 50 million people worldwide, is a neurological
disorder characterized by spontaneous recurrent seizures which impair patients' quality of life. Its pathogenesis and
development, as well as therapy with most of the drugs, lead to cognitive impairment. In the last decades, new
antiepileptic drugs (AEDs) such as lacosamide, lamotrigine, topiramate have been introduced. In addition to their
broad-spectrum therapeutic effects against different forms of epilepsy, some of them are considered significantly
rarer to lead to severe consequences on cognitive functions compared to the classic AEDs. The aim of the present
study was to investigate the effects of low doses of lacosamide, lamotrigine and topiramate on changes in passive
learning and memory in naïve animals. Material and methods: We used 32 male rats (Wistar) randomly divided into
4 groups (n = 8), as follows: 1st group – C-veh (treated with saline p.o.); 2nd group (LCM-group) – treated with
lacosamide 3 mg/kg p.o.; 3rd group (LTG-group) – treated with lamotrigine 5 mg/kg p.o. and the 4th group (TPMgroup)
– treated with topiramate 5 mg/kg p.o. In the two passive avoidance tests (step-through and step-down), the
training session was conducted on two consecutive days. 24 hours after the last learning session was the test for
short-term memory traces. The test for long-term memory traces in the step-through was performed on the 10th day.
The latency of reactions (the rat remaining in the light chamber of the device for more than 178 sec in 2 consecutive
training sessions) was considered as a criterion for acquisition and retention. In the step-down test, the long-term
memory was tested on the 8th day. The latency of reactions (the rat remaining on the platform for more than 60 sec
in 2 consecutive training sessions) was taken as a criterion for acquisition and retention. Results: One-way ANOVA
showed that during the learning session in the step-through test, the three groups treated with LCM, LTG, and TPM
had shorter the latency time compared to the control animals, without the difference being statistically significant.
On the 3rd and 10th day, during the tests for short-term and long-term memory traces, the three groups had similar
results to those of the control animals regarding their stay in the light chamber of the device. In the step-down
passive avoidance test, we found a significantly longer latency time of the control group on the 3rd (p<0.05) and 8th
(p<0.05) days compared to the first day of the same group. During the learning session, the three groups treated with
LCM, LTG, and TPM stayed longer on the platform compared to day 1 of the same group without the difference
being statistically significant. The LCM group had a longer latency time on day 1 compared to the control animals
(p<0.05). During both tests for short-term and long-term memory traces, the latency time of the three experimental
groups treated with the drugs were comparable to those of the control animals. Conclusion: The three drugs,
administered in low doses of 3 mg/kg for LCM and 5 mg/kg for lamotrigine and topiramate, did not affect
negatively both passive learning and the formation of short-term and long-term memory traces.

Author Biography

Michaela Shishmanova-Doseva, Medical University - Plovdiv, Bulgaria

Department of Pharmacology, Toxicology and Pharmacotherapy

References

Шишманова, М., & Пейчев, Л. (2012). Сравнително проучване на процесите на обучение и памет с шатълбокс на плъхове, третирани с Lacosamide, Lamotrigine и Topiramate. Научни трудове на Съюза на учените в България-Пловдив, серия Б. Естествени и хуманитарни науки, 14, 105-110.

Aldenkamp, A. P., & Baker, G. (2001). A systematic review of the effects of lamotrigine on cognitive function and quality of life. Epilepsy and Behavior, 2, 85–91.

Blum, D., Meador, K., Biton, V., Fakhoury, T., Shneker, B., Chung, S., Mills, K., Hammer, A., & Isojärvi, J. (2006). Cognitive effects of lamotrigine compared with topiramate in patients with epilepsy. Neurology, 67, 400-406.

Celikyurt, I. K., Ulak, G., Multu, O., Akar, F.Y., Erden, F., Komsuoglu, S. S. (2012). Lamotrigine, a mood stabilizer, may have beneficial effects on memory acquisition and retrieval in mice. Life Sciences, 91, 1270-1274.

de Lima, M.N., Presti-Torres, J., Dornelles, A., et al. (2007). Differential effects of low and high doses of topiramate on consolidation and retrieval of novel object recognition memory in rats. Epilepsy and Behavior, 10(1), 32-37.

Errington, A., Stohr, T., Heers, C., & Lees, G. (2008). The investigational anticonvulsant lacosamide selectively enhances slow inactivation of voltage-gated sodium channels. Molecular Pharmacology, 73, 157-169.

Falco-Walter, J. (2020). Epilepsy-Definition, Classification, Pathophysiology, and Epidemiology. Seminars in Neurology, 40(6), 617-623.

Hakami, T. (2021). Neuropharmacology of Antiseizure Drugs. Neuropsychopharmacology reports, 41(3), 336-351.

Hansen, C. C., Ljung, H., Brodtkorb, E., & Reimers, A. (2018). Mechanisms Underlying Aggressive Behavior Induced by Antiepileptic Drugs: Focus on Topiramate, Levetiracetam, and Perampanel. Behavioural Neurology, 2064027. doi: 10.1155/2018/2064027. PMID: 30581496; PMCID: PMC6276511.

Helmstaedter, C., Witt, J. A. (2013).The longer-term cognitive effects of adjunctive antiepileptic treatment with lacosamide in comparison with lamotrigine and topiramate in a naturalistic outpatient setting. Epilepsy and Behavior, 26(2), 182-187.

Hillenbrand, B., Wisniewski, I., Jürges, U., et al. (2011). Add-on lacosamide: A retrospective study on the relationship between serum concentration, dosage, and adverse events. Epilepsy and Behavior. 22, 548-551.

Kilova, K., & Kitova, Т. (2021). Student opinion on the quality of distance medical learning in pandemic conditions. Journal of Environmental Protection and Ecology; 22(4), 1706-1714.

Lee, S., Sziklas, V., Andermann, F. Farnham, S., Risse, G., Gustafson, M., Gates, J., Penovich, P., Al-Asmi, A., Dubeau, F., & Jones-Gotman, M. (2003). The effects of adjunctive topiramate on cognitive function in patients with epilepsy. Epilepsiа. 44, 339-347.

Martin, R., Kuzniecky, R., Ho, S., Hetherington, H., Pan, J., Sinclair, K., Gilliam, F., & Faught, E. (1999). Cognitive effects of topiramate, gabapentin, and lamotrigine in healthy young adults. Neurology, 52, 321-327.

Meador, K. J., Loring, D. W., Vahle, V. J., et al. (2005). Cognitive and behavioral effects of lamotrigine and topiramate in healthy volunteers. Neurology, 64, 2108-2114.

Sankar, R., & Holmes, G. L. (2004). Mechanisms of action for the commonly used antiepileptic drugs: relevance to antiepileptic drug-associated neurobehavioral adverse effects. Journal of Child Neurology, 19(1), S6–14.

Shannon, H. E., & Love, P.L. (2004). Effects of antiepileptic drugs on working memory as assessed by spatial alternation performance in rats. Epilepsy and Behavior, 5, 857-865.

Shannon, H. E., & Love, P.L. (2005). Effects of antiepileptic drugs on attention as assessed by a five-choice serial reaction time task in rats. Epilepsy and Behavior, 7(4), 620-628.

Shannon, H. E., & Love, P.L. (2007). Effects of antiepileptic drugs on learning as assessed by a repeated acquisition of response sequences task in rats. Epilepsy and Behavior, 10 (1), 16-25.

Shishmanova-Doseva, M., Peychev, L., Koeva, Y., Terzieva, D., Georgieva, K., & Peychev, Z. (2018). Chronic treatment with the new anticonvulsant drug lacosamide impairs learning and memory processes in rats: A possible role of BDNF/TrkB ligand receptor system. Pharmacology Biochemistry and Behavior, 169, 1-9.

Watkins, L.V., Pickrell, W.O., & Kerr, M.P. (2019). Treatment of psychiatric comorbidities in patients with epilepsy and intellectual disabilities: Is there a role for the neurologist? Epilepsy and Behavior, 98(Pt B), 322-327.

Zaccara, G., Perucca, P., Loiacono, G., Giovannelli, F., & Verrotti, A. (2013). The adverse event profile of lacosamide: A systematic review and meta-analysis of randomized controlled trials. Epilepsia, 54(1), 66-74.

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Published

2022-12-16

How to Cite

Shishmanova-Doseva, M. (2022). COMPARATIVE STUDY OF LACOSAMIDE, LAMOTRIGINE AND TOPIRAMATE TREATMENT ON PASSIVE LEARNING AND MEMORY IN NAÏVE RATS. KNOWLEDGE - International Journal , 55(4), 771–776. Retrieved from http://ikm.mk/ojs/index.php/kij/article/view/5828