DIFFERENTIAL-EFFECTS OF VIGABATRIN, GAMMA-ACETYLENIC GABA, AMINOOXYACETIC ACID, AND VALPROATE ON LEVELS OF VARIOUS AMINO-ACIDS IN RAT-BRAIN REGIONS AND PLASMA

Drugs which elevate brain levels of the inhibitory amino acid neurotransmitter GABA by inhibiting the GABA catabolizing enzyme GABA transaminase (GABA-T) have been developed for treatment of brain disease, such as epilepsy. Among all GABA-T inhibitors available, vigabatrin is thought to be the most selective compound, and this drug is the only GABA-T inhibitor in clinical use. However, some previous studies have indicated that vigabatrin might affect the metabolism of several amino acids not directly linked to the GABA shunt. In the present study, various amino acids, involving inhibitory and excitatory neurotransmitters, were determined in 12 brain regions and plasma of rats after treatment with anticonvulsant doses of vigabatrin and the less selective GABA-T inhibitors aminooxyacetic acid (AOAA) and gamma-acetylenic GABA (GAG). Furthermore, the antiepileptic drug valproate, which is also thought to act via the GABA system, was included for comparison The GABA-T inhibitors markedly enhanced GABA levels in all brain regions examined, while valproate induced only moderate increases in some regions. All drugs, including valproate, significantly decreased aspartate in the brain to a similar extent, and the GABA-T inhibitors but not valproate decreased levels of glutamate. The decreases in aspartate and glutamate levels were not correlated with the different magnitudes of GABA increase produced by GABA-T inhibitors, suggesting that these effects were not simply due to the altered GABA degradation. In addition to glutamate and aspartate, alanine levels were decreased by GABA-T inhibitors but not valproate in several regions. Brain levels of glutamine were decreased by GAG and vigabatrin but increased by valproate and partly also by AOAA. Additional alterations were found in levels of glycine, taurine, serine, arginine, asparagine and threonine in some discrete brain areas. In plasma, the most marked changes in amino acids were obtained with vigabatrin, while valproate did not change plasma amino acids in rats. The data substantiate that vigabatrin is less specific than generally thought but, similar to AOAA and GAG, apparently affects several other cerebral enzymes and/or interacts with other neurotransmitter systems as well.