Abstract
Rationale
Valproic acid (VPA) is a psychoactive drug currently used for the treatment of epilepsy. Recently it has been introduced in psychiatry for the treatment of bipolar disorders, aggression, impulsivity, and resistant schizophrenia, although the mechanism by which VPA acts on these psychiatric diseases remains still unknown.
Objectives
The aim of this study was to analyze the distinct effects of sodium-(Na-) and magnesium-valproate (Mg-VPA) in pyramidal neurons of the medial prefrontal cortex (mPFC) and their interactions with gamma-aminobutyric acid (GABA) and excitatory amino acid responses.
Materials and methods
In vivo electrophysiology and microiontophoresis techniques were used to attend these goals.
Results
Both VPA salts decreased spontaneous neuronal firing activity in greater than 60% of recorded pyramidal neurons as well as potentiated GABA inhibitions. When injected at equal concentrations and currents, Mg-VPA blocked the excitatory responses induced by N-methyl-d-aspartate (NMDA) more frequently than Na-VPA. Both VPA salts equally blocked the excitatory responses of quisqualate and kainate.
Conclusions
These data suggest that VPA salts significantly modulate the activity of excitatory amino acid at mPFC pyramidal neurons and this mechanism should explain the therapeutic effects of valproate in psychiatric diseases involving NMDA, AMPA, and kainate receptors at the mPFC level.
Similar content being viewed by others
References
Ashby CR Jr, Minabe Y, Edwards E, Wang RY (1991a) 5HT3-like receptors in the rat medial prefrontal cortex: an electrophysiological study. Brain Res 550:181–191
Ashby CR Jr, Minabe Y, Edwards E, Wang RY (1991b) Comparison of the effects of various typical and atypical antipsychotic drugs on the suppressant action of 2-methylserotonin on medial prefrontal cortical cells in the rat. Synapse 8:155–161
Baldino F, Geller HM (1981) Sodium valproate enhancement of g-aminobutyric acid (GABA) inhibition: electrophysiological evidence for anticonvulsant activity. J Pharmacol Exp Ther 217:445–450
Bartho P, Hirase H, Monconduit L, Zugaro M, Harris KD, Buzsaki G (2004) Characterization of neocortical principal cells and interneurons by network interactions and extracellular features. J Neurophysiol 92:600–608
Blume HW, Lamour Y, Arnauld E, Layton BS, Renaud LP (1979) Sodium di-n-propylacetate (valproate) action on single neurons in rat cerebral cortex and hippocampus. Brain Res 168:182–185
Carlezon WA Jr, Nestler EJ (2002) Elevated levels of GluR1 in the midbrain: a trigger for sensitization to drugs of abuse? Trends Neurosci 25:610–615
Chapman A, Keane PE, Meldrum BS, Simiand J, Vernieres JC (1982) Mechanisms of anticonvulsant action of valproate. Prog Neurobiol 19:315–359
Chutkov JG (1981) The neurophysiological function of Mg: an update. Magnes Bull 3:115–120
Citrome L (2003) Schizophrenia and valproate. Psychopharmacol Bull 37(Suppl 2):74–88
Collins RM Jr, Zielke HR, Woody RC (1994) Valproate increases glutaminase and decreases glutamine synthetase activities in primary cultures of rat brain astrocytes. J Neurochem 62:1137–1143
Cunningham MO, Woodhall GL, Jones RS (2003) Valproate modifies spontaneous excitation and inhibition at cortical synapses in vitro. Neuropharmacology 45:907–917
Detich N, Bovenzi V, Szyf M (2003) Valproate induces replication-independent active DNA demethylation. J Biol Chem 278:27586–27592
Du J, Gray NA, Falke CA, Chen W, Yuan P, Szabo ST, Einat H, Manji HK (2004) Modulation of synaptic plasticity by antimanic agents: the role of AMPA glutamate receptor subunit 1 synaptic expression. J Neurosci 24:6578–6589
Ekwuru MO, Cunningham JM (1990) Phaclophen increases GABA release from valproate treated rats. Br J Pharmacol 99:251P (Suppl)
Gean PW, Huang CC, Hung CR, Tsai JJ (1993) Valproic acid suppresses the synaptic response mediated by the NMDA receptors in rat amygdalar slices. Brain Res Bull 33:333–336
Gent JP, Phillips NI (1980) Sodium di-n-propylacetate (valproate) potentiates responses to GABA and muscimol on single central neurons. Brain Res 197:275–278
Gobbi G, Janiri L (1999) Clozapine blocks dopamine, 5-HT2 and 5-HT3 responses in the medial prefrontal cortex: an in vivo microiontophoretic study. Eur Neuropsychopharmacol 10:43–49
Gobbi G, Debonnel G (2003) What is a recommended treatment for aggression in a patient with schizophrenia? J Psychiatry Neurosci 28:320
Gram L, Larsson OM, Johnsen AH, Schousboe A (1988) Effects of valproate, vibagatrin and aminooxyacetic acid on release of endogenous and exogenous GABA from cultured neurons. Epilepsy Res 2:87–95
Gregg TR, Siegel A (2001) Brain structures and neurotransmitters regulating aggression in cats: implications for human aggression. Prog Neuropsychopharmacol Biol Psychiatry 25:91–140
Hajos N, Nusser Z, Rancz EA, Freund TF, Mody I (2000) Cell type- and synapse-specific variability in synaptic GABAA receptor occupancy. Eur J Neurosci 12:810–818
Hao Y, Creson T, Zhang L, Li P, Du F, Yuan P, Gould TD, Manji HK, Chen G (2004) Mood stabilizer valproate promotes ERK pathway-dependent cortical neuronal growth and neurogenesis. J Neurosci 24:6590–6599
Hollander E, Tracy KA, Swann AC, Coccaro EF, McElroy SL, Wozniak P, Sommerville KW, Nemeroff CB (2003) Divalproex in the treatment of impulsive aggression: efficacy in cluster B personality disorders. Neuropsychopharmacology 28:1186–1197
Hollander E, Swann AC, Coccaro EF, Jiang P, Smith TB (2005) Impact of trait impulsivity and state aggression on divalproex versus placebo response in borderline personality disorder. Am J Psychiatr 162:621–624
Javitt DC (2004) Glutamate as a therapeutic target in psychiatric disorders. Mol Psychiatry 9:984–997, 979
Johannessen CU (2000) Mechanisms of action of valproate: a commentatory. Neurochem Int 37:103–110
Kerwin RW, Olpe HR, Schumt ZM (1980) The effect of sodium-n-dipropyl acetate on gamma-aminobutyric acid-dependent inhibition in the rat cortex and substantia nigra in relation to its anticonvulsant activity. Br J Pharmacol 71:545–551
Konradi C, Heckers S (2003) Molecular aspects of glutamate dysregulation: implications for schizophrenia and its treatment. Pharmacol Ther 97(2):153–179
Lindenmayer JP, Kotsaftis A (2000) Use of sodium valproate in violent and aggressive behaviors: a critical review. J Clin Psychiatry 61:123–128
Loscher W, Vetter M (1985) In vivo effects of aminooxyacetic acid and valproic acid on nerve terminal (synaptosomal) GABA levels in discrete brain areas of the rat. Correlation to pharmacological activities. Biochem Pharmacol 34:1747–1756
Loscher W (1993) Effects of the antiepileptic drug valproate on metabolism and function of inhibitory and excitatory amino acids in the brain. Neurochem Res 18(4):485–502
Loscher W, Horstermann D (1994) Differential effects of vigabatrin, gamma-acetylenic GABA, aminooxyacetic acid, and valproate on levels of various amino acids in rat brain regions and plasma. Naunyn Schmiedebergs Arch Pharmacol 349:270–278
Malinow R, Malenka RC (2002) AMPA receptor trafficking and synaptic plasticity. Annu Rev Neurosci 25:103–126
Mayer ML, Westbrook GL (1987) The physiology of excitatory amino acids in the vertebrate central nervous system. Prog Neurobiol 28:213–219
McLean MJ, Macdonald RL (1986) Sodium valproate, but not ethosuximide, produces use- and voltage-dependent limitation of high frequency repetitive firing of action potentials of mouse central neurons in cell culture. J Pharmacol Exp Ther 237:1001–1011
Michael N, Erfurth A, Ohrmann P, Gossling M, Arolt V, Heindel W, Pfleiderer B (2003) Acute mania is accompanied by elevated glutamate/glutamine levels within the left dorsolateral prefrontal cortex. Psychopharmacology 168(3):344–346
Moghaddam B, Adams BW (1998) Reversal of phencyclidine effects by a group II metabotropic glutamate receptor agonist in rats. Science 281:1349–1352
Paxinos G, Watson C (1986) The rat brain in the stereotaxic coordinates. Academic, New York
Rigo JM, Hans G, Nguyen L, Rocher V, Belachew S, Malgrange B, Leprince P, Moonen G, Selak I, Matagne A, Klitgaard H (2002) The anti-epileptic drug levetiracetam reverses the inhibition by negative allosteric modulators of neuronal GABA- and glycine-gated currents. Br J Pharmacol 136:659–672
Scarr E, Pavey G, Sundram S, MacKinnon A, Dean B (2003) Decreased hippocampal NMDA, but not kainate or AMPA receptors in bipolar disorder. Bipolar Disord 5:257–264
Steppuhn KG, Turski L (1993) Modulation of the seizure threshold for excitatory amino acids in mice by antiepileptic drugs and chemoconvulsants. J Pharmacol Exp Ther 265:1063–1070
Swadlow HA (2003) Fast-spike interneurons and feedforward inhibition in awake sensory neocortex. Cereb Cortex 13:25–32
Taverna S, Mantegazza M, Franceschetti S, Avanzini G (1998) Valproate selectively reduces the persistent fraction of Na+ current in neocortical neurons. Epilepsy Res 32:304–308
Tian LM, Alkadhi KA (1994) Valproic acid inhibits the depolarizing rectification in neurons of rat amygdala. Neuropharmacology 33:1131–1138
Tremolizzo L, Carboni G, Ruzicka WB, Mitchell CP, Sugaya I, Tueting P, Sharma R, Grayson DR, Costa E, Guidotti A (2002) An epigenetic mouse model for molecular and behavioral neuropathologies related to schizophrenia vulnerability. Proc Natl Acad Sci U S A 99(26):17095–17100
Tremolizzo L, Doueiri MS, Dong E, Grayson DR, Davis J, Pinna G, Tueting P, Rodriguez-Menendez V, Costa E, Guidotti A (2005) Valproate corrects the schizophrenia-like epigenetic behavioral modifications induced by methionine in mice. Biol Psychiatry 57:500–509
Turski L, Niemann W, Stephens DN (1990) Differential effects of antiepileptic drugs and beta-carbolines on seizures induced by excitatory amino acids. Neuroscience 39(3):799–807
Wang RY, de Montigny C, Gold BI, Roth RH, Aghajanian GK (1979) Denervation supersensitivity to serotonin in rat forebrain: single cell studies. Brain Res 17:479–497
Winterer G, Hermann WM (2000) Valproate and the symptomatic treatment of schizophrenia spectrum patients. Pharmacopsychiatry 33:182–188
Zeise ML, Kasparow S, Zieglgänsberger W (1991) Valproate suppresses N-methyl-d-aspartate-evoked, transient depolarizations in the rat neocortex in vitro. Brain Res 544:345–348
Acknowledgements
The authors wish to thank Sigma-Tau, Pomezia (Italy), which kindly supplied sodium- and magnesium-valproate and the drugs used in this work. G.G. received a salary award and a grant from Fonds de la Recherche en Santé du Quebéc (no.1991) and from Canadian Psychiatric Research Foundation (CPRF). LJ received a research grant (no. 7010861) from the Italian Ministry of University and Scientific–Technological Research (MURST). The authors also wish to thank Dr. Paolo Montuschi (Institute of Pharmacology, Catholic University, Rome), Dr. Umberto Lombardi for their helpful assistance, Mr. Noam Katz for editing the manuscript, and Dr. Guy Debonnel and Dr. Guillaume Lucas (McGill University, Montreal) for feedback on the manuscript and for stimulating discussion.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Gobbi, G., Janiri, L. Sodium- and magnesium-valproate in vivo modulate glutamatergic and GABAergic synapses in the medial prefrontal cortex. Psychopharmacology 185, 255–262 (2006). https://doi.org/10.1007/s00213-006-0317-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00213-006-0317-3