This study aims to investigate the role of
zolpidem in
lithium-
pilocarpine induced
status epilepticus (SE) and probable mechanisms involved in seizure threshold alteration. In the present study,
lithium chloride (127mg/kg) was administered 20h prior to
pilocarpine (60mg/kg) to induce SE in adult male Wistar rats. Different doses of
zolpidem (0.1, 1, 2, 5, 10mg/kg) were injected 30min before
pilocarpine administration. Furthermore, to find out whether
nitric oxide (NO) plays a role in the observed effect,
L-arginine and
L-NAME were injected 15min before
zolpidem. Afterward, we identified the particular NO
isoform mediating the effect of
zolpidem by injecting
aminoguanidine (AG) and
7-Nitroindazole (7-NI) 15min prior to
zolpidem. Moreover, in both 6 and 24h after
pilocarpine injection, experimental groups underwent hippocampectomy to evaluate
cyclooxygenase-2 (COX-2) and
inducible nitric oxide synthase (iNOS) genes expression by quantitative reverse transcription-PCR (qRT-PCR). Pre-treatment with
zolpidem significantly prevented the onset of SE in a dose-dependent manner. AG and
L-NAME significantly potentiated the
anticonvulsant effect of
zolpidem while
L-arginine inverted this effect. Our qRT-PCR exerted that there was a continuous elevation of iNOS and COX-2 genes expression over 6 and 24h after
pilocarpine administration in SE and L-arginine+Zolpidem groups while in AG/L-NAME+Zolpidem and
zolpidem groups this upregulation was prevented. Our study indicates that
zolpidem prevents the onset of SE through inhibition of iNOS/COX-2 genes upregulation following
lithium-
pilocarpine administration. Consistent with our results, we suggest that iNOS activation could be probably upstream of COX-2 gene expression.