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Antimicrobial Agents and Chemotherapy, February 2002, p. 471-477, Vol. 46, No. 2
0066-4804/01/$04.00+0 DOI: 10.1128/AAC.46.2.471-477.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Department of Pharmaceutical Chemistry and Drug Analysis,1 Department of Neurology, University Hospital, Vrije Universiteit Brussel, 1090 Brussels, Belgium,3 Equipe Emergente Médicaments et BHE, Faculté de Médecine et Pharmacie, BP 199, 86005 Poitiers Cedex, France2
Received 23 March 2001/ Returned for modification 4 September 2001/ Accepted 26 October 2001
Fluoroquinolones are antibiotics with central excitatory side effects. These adverse effects presumably result from inhibition of
-aminobutyric acid (GABA) binding to GABAA receptors. This GABA antagonistic effect is greatly potentiated by the active metabolite of fenbufen, biphenylacetic acid (BPAA). Nevertheless, it remains questionable whether GABA receptor antagonism alone can explain the convulsant activity potentials of these antimicrobial agents. The present study was undertaken to investigate the possible effects of norfloxacin, both in the absence and in the presence of BPAA, on the extracellular hippocampal levels of GABA and glutamate, the main central inhibitory and excitatory amino acid neurotransmitters, respectively. This in vivo microdialysis approach with conscious rats allows monitoring of behavioral alterations and concomitant transmitter modulation in the hippocampus. Peroral administration of 100 mg of BPAA per kg of body weight had no effect on behavior and did not significantly alter extracellular GABA or glutamate concentrations. Intravenous perfusion of 300 mg of norfloxacin per kg did not change the rat's behavior or the concomitant neurotransmitter levels in about half of the experiments, while the remaining animals exhibited severe seizures. These norfloxacin-induced convulsions did not affect extracellular hippocampal GABA levels but were accompanied by enhanced glutamate concentrations. Half of the rats receiving both 100 mg of BPAA per kg and 50 mg of norfloxacin per kg displayed lethal seizures, while the remaining animals showed no seizure-related behavior. In the latter subgroup, again no significant alterations in extracellular GABA levels were observed, but glutamate overflow remained significantly elevated for at least 3 h. In conclusion, norfloxacin exerts convulsant activity in rats, accompanied by elevations of extracellular hippocampal glutamate levels but not GABA levels, even in the presence of BPAA.
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