The antiepileptic drug valproic acid and other medium-chain fatty acids acutely reduce phosphoinositide levels independently of inositol in Dictyostelium

Dis Model Mech. 2012 Jan;5(1):115-24. doi: 10.1242/dmm.008029. Epub 2011 Aug 29.

Abstract

Valproic acid (VPA) is the most widely prescribed epilepsy treatment worldwide, but its mechanism of action remains unclear. Our previous work identified a previously unknown effect of VPA in reducing phosphoinositide production in the simple model Dictyostelium followed by the transfer of data to a mammalian synaptic release model. In our current study, we show that the reduction in phosphoinositide [PtdInsP (also known as PIP) and PtdInsP(2) (also known as PIP(2))] production caused by VPA is acute and dose dependent, and that this effect occurs independently of phosphatidylinositol 3-kinase (PI3K) activity, inositol recycling and inositol synthesis. In characterising the structural requirements for this effect, we also identify a family of medium-chain fatty acids that show increased efficacy compared with VPA. Within the group of active compounds is a little-studied group previously associated with seizure control, and analysis of two of these compounds (nonanoic acid and 4-methyloctanoic acid) shows around a threefold enhanced potency compared with VPA for protection in an in vitro acute rat seizure model. Together, our data show that VPA and a newly identified group of medium-chain fatty acids reduce phosphoinositide levels independently of inositol regulation, and suggest the reinvestigation of these compounds as treatments for epilepsy.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anticonvulsants / chemistry
  • Anticonvulsants / pharmacology*
  • Anticonvulsants / therapeutic use
  • Dictyostelium / drug effects*
  • Dictyostelium / enzymology
  • Dictyostelium / metabolism*
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Epilepsy / drug therapy
  • Epilepsy / pathology
  • Inositol / metabolism*
  • Models, Biological
  • Mutation / genetics
  • Phosphatidylinositol 3-Kinases / metabolism
  • Phosphatidylinositols / metabolism*
  • Rats
  • Signal Transduction / drug effects
  • Time Factors
  • Valproic Acid / chemistry
  • Valproic Acid / pharmacology*
  • Valproic Acid / therapeutic use

Substances

  • Anticonvulsants
  • Phosphatidylinositols
  • Inositol
  • Valproic Acid
  • Phosphatidylinositol 3-Kinases