2005
DOI: 10.1016/j.eplepsyres.2005.03.002
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Inhibition of human TREK-1 channels by caffeine and theophylline

Abstract: Caffeine (1,3,7-trimethylxanthine) and theophylline (1,3-dimethylxanthine) are used for therapeutic purposes and can cause life-threatening convulsive seizures due to systemic toxicity. The mechanisms for the epileptogenicity of caffeine and theophylline are not clear. TWIK-related K + channels (TREK-1) are highly expressed in the human central nervous system and have a major role in the control of neuronal excitability by regulating the resting membrane potential. In view of their physiological significance, … Show more

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Cited by 17 publications
(11 citation statements)
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“…The mechanism of seizures is, however, still unclear. Most relevant to the pharmacological and toxicological effects of caffeine are (1) the blockade of adenosine receptors, (2) the inhibition of cyclic nucleotide phosphodiesterases, (3) the sensitization to calcium of the cyclic adenosine diphosphate ribose-modulated calcium-release channel associated with certain intracellular stores of calcium, (4) the inhibition of inhibitory GABA-A and glycine receptors, and (5) the enhancement of N-methyl-D-aspartic acid (NMDA) receptor neurotransmission (Daly, 2000;Harinath and Sikdar, 2005). As shown in Fig.2 and Table 2, in the caffeine model, although amiodarone had no effect on the convulsion rates and the mortality, it had prolonged the latency time and the time to death; amiodarone was more effective in the PTZ model than in the caffeine model.…”
Section: Discussionmentioning
confidence: 99%
“…The mechanism of seizures is, however, still unclear. Most relevant to the pharmacological and toxicological effects of caffeine are (1) the blockade of adenosine receptors, (2) the inhibition of cyclic nucleotide phosphodiesterases, (3) the sensitization to calcium of the cyclic adenosine diphosphate ribose-modulated calcium-release channel associated with certain intracellular stores of calcium, (4) the inhibition of inhibitory GABA-A and glycine receptors, and (5) the enhancement of N-methyl-D-aspartic acid (NMDA) receptor neurotransmission (Daly, 2000;Harinath and Sikdar, 2005). As shown in Fig.2 and Table 2, in the caffeine model, although amiodarone had no effect on the convulsion rates and the mortality, it had prolonged the latency time and the time to death; amiodarone was more effective in the PTZ model than in the caffeine model.…”
Section: Discussionmentioning
confidence: 99%
“…The actions of caffeine include the release of calcium from intracellular stores (14,64), inhibition of phosphodiesterase (PDE) (46,63), and antagonism of adenosine receptors (51). It has also been demonstrated that caffeine at high concentrations acts as an inhibitor of several potassium channels, including depolarization-activated potassium channels in sympathetic neurons, secretory cells (59), taste receptor cells (93), and ventricular myocytes (67); calciumactivated potassium (K Ca ) channels in GH 3 pituitary cells (41), sympathetic neurons (59), secretory cells (59), vascular smooth muscle cells (54), and taste receptor cells (93); human ether a-go-go-related gene potassium (hERG) channels in transfected mammalian cells (17); Kir channels in GH 3 rat anterior pituitary cells (9), ventricular myocytes (15,67,85), and taste receptor cells (93); K ATP channels in pancreatic ␤-cells (36) and smooth muscle cells (80); and recombinant two-pore domain potassium channel TREK-1 in Chinese hamster ovary (CHO) cells (26). On the other hand, caffeine has also been shown to increase potassium efflux in skeletal muscle (86) and to activate K Ca channels in adrenal chromaffin cells (55).…”
mentioning
confidence: 99%
“…In addition to activation by mechanical stretch, K 2P 2.1 opens in response to high temperatures (6), lysophospholipids (7), internal acidosis (8), arachidonic acid (9), volatile general anesthetics (10), and other agents. K 2P 2.1 activity is down-regulated upon phosphorylation by protein kinases A and C (2) and inhibited by various compounds such as fluoxetine (Prozac) (12), caffeine, and theophylline (13). It has been suggested that K 2P 2.1 is an important target for volatile anesthetics and participates in protection against epilepsy and neuroprotection during brain and spinal chord ischemia (14).…”
mentioning
confidence: 99%