Prevention of seizure-induced sudden death in a chronic SUDEP model by semichronic administration of a selective serotonin reuptake inhibitor

Epilepsy Behav. 2011 Oct;22(2):186-90. doi: 10.1016/j.yebeh.2011.06.015. Epub 2011 Jul 23.

Abstract

DBA/1 mice are a chronically susceptible model of sudden unexpected death in epilepsy (SUDEP) that exhibit chronic audiogenic generalized convulsive seizures (GCSs), leading to death from respiratory arrest (RA) if not resuscitated. Serotonin (5-HT) normally enhances respiration in response to elevated CO(2) levels, which occur during GCSs in humans. Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine, increase 5-HT availability. We examined whether fluoxetine can block GCS-induced sudden death in DBA/1 mice. Fluoxetine (15-70 mg/kg ip) was administered acutely with seizure induction at 30minutes or semichronically in five daily doses (20mg/kg/day) with induction after 5 days. Acute fluoxetine (45 or 70 mg/kg) significantly reduced the incidence of RA without blocking seizure susceptibility. Semichronic fluoxetine did not block seizures, but significantly reduced seizure-induced RA, which is consistent with effects of SSRIs on respiration in patients with epilepsy [Bateman LM, Li DS,LiN TC, Seyal M. Epilepsia 2010;51:2211-4]. These findings suggest that treatment with SSRIs should be evaluated for reducing the incidence of SUDEP in patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acoustic Stimulation / adverse effects
  • Animals
  • Chi-Square Distribution
  • Death, Sudden / etiology*
  • Death, Sudden / prevention & control*
  • Death, Sudden, Cardiac
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Fluoxetine / administration & dosage*
  • Mice
  • Mice, Inbred DBA
  • Respiratory Paralysis / complications
  • Respiratory Paralysis / etiology
  • Respiratory Paralysis / prevention & control
  • Seizures / complications*
  • Seizures / drug therapy
  • Seizures / etiology
  • Serotonin Uptake Inhibitors / administration & dosage*
  • Time Factors

Substances

  • Serotonin Uptake Inhibitors
  • Fluoxetine