Pharmacognosy Magazine

: 2018  |  Volume : 14  |  Issue : 59  |  Page : 520--527

Elucidation of the molecular mechanism of tempol in pentylenetetrazol-induced epilepsy in mice: Role of gamma-aminobutyric acid, tumor necrosis factor-alpha, interleukin-1β and c-Fos

Leguo Zhang1, Tao Wu2, Amit Kandhare3, Anwesha Mukherjee3, Gang Guo4, Subhash L Bodhankar3,  
1 Department of Internal Neurology, Cangzhou Central Hospital, Cangzhou, Hebei, China
2 Department of Neurosurgery, Linyi Central Hospital, Linyi, Shandong, China
3 Department of Pharmacology, Poona College of Pharmacy, Bharati Vidyapeeth Deemed University, Pune, Maharashtra, India
4 Innoscience Research SDB BDH, Subang Jaya, Selangor, Malaysia

Correspondence Address:
Subhash L Bodhankar
Department of Pharmacology, Poona College of Pharmacy, Bharati Vidyapeeth Deemed University, Erandwane, Paud Road, Pune - 411 038, Maharashtra


Background: Epilepsy is a chronic neurological disorder occurred due to periodic neuronal discharge and imbalance in brain electrical activity. 4-Hydroxy-TEMPO (Tempol) is a membrane-permeable radical scavenger moiety. Aim: The aim of this study is to evaluate the anticonvulsant potential of tempol against pentylenetetrazol (PTZ)-induced seizures in mice. Materials and Methods: Convulsion was produced in the male Swiss albino mice by administration of PTZ (90 mg/kg, i.p.). Mice were pretreated with either vehicle, tempol (50, 100 and 200 mg/kg, i.p.) or diazepam (5 mg/kg). Various behavioral, biochemical, molecular, and histological parameters were evaluated. Results: Mice pretreated with tempol (100 and 200 mg/kg) showed significantly (P < 0.01 and P < 0.001) delayed-onset on tonic-clonic convulsion, decrease the duration of convulsions and mortality in mice. Intraperitoneal administration of PTZ resulted in significant increase in oxido-nitrosative stress, whereas it significantly (P < 0.01 and P < 0.001) inhibited by the tempol administration. There was significant increased (P < 0.01 and P < 0.001) in the levels of brain monoamines (gamma-aminobutyric acid [GABA] and dopamine) and Na+ K+ ATPase activity, whereas significant decreased (P < 0.01 and P < 0.001) in xanthine oxidase activity in tempol pretreated mice. PTZ-induced up-regulated mRNA expressions of tumor necrosis factor-alpha, interleukin-1 beta , and c-Fos were significantly inhibited (P < 0.01 and P < 0.001) by tempol. It is also significantly down-regulated (P < 0.05 and P < 0.001) immunohistochemical c-Fos expressions. Conclusion: Pretreatment with tempol attenuates PTZ-induced tonic-clonic seizures via its anti-inflammatory, anti-oxidant and GABAergic potential. Abbreviations used: GABA: Gamma-aminobutyric acid; PTZ: Pentylenetetrazol; TNF-α: Tumor necrosis factor-alpha; 4-HT: 4-Hydroxy-TEMPO; DZP: Diazepam; GSH: Reduced glutathione; NO: Nitric oxide; MDA: Malondialdehyde; SOD: Superoxide dismutase; ROS: Reactive oxygen species; IL-1β: Interleukin-1 beta.

How to cite this article:
Zhang L, Wu T, Kandhare A, Mukherjee A, Guo G, Bodhankar SL. Elucidation of the molecular mechanism of tempol in pentylenetetrazol-induced epilepsy in mice: Role of gamma-aminobutyric acid, tumor necrosis factor-alpha, interleukin-1β and c-Fos.Phcog Mag 2018;14:520-527

How to cite this URL:
Zhang L, Wu T, Kandhare A, Mukherjee A, Guo G, Bodhankar SL. Elucidation of the molecular mechanism of tempol in pentylenetetrazol-induced epilepsy in mice: Role of gamma-aminobutyric acid, tumor necrosis factor-alpha, interleukin-1β and c-Fos. Phcog Mag [serial online] 2018 [cited 2022 Dec 8 ];14:520-527
Available from:

Full Text



Tempol is a membrane-permeable radical scavenger has an ability to crosses the blood-brain barrier. Pre-treatment with tempol attenuates PTZ-induced tonic-clonic seizures via its anti-inflammatory, anti-oxidant and GABAergic potential. This neuroprotective effect of tempol was exerted via inhibition of oxido-nitrosative stress, anti-inflammatory markers (TNF-α and IL-1β) and cFos expression as well as activation of brain neurotransmitter (GABA and dopamine) and membrane-bound inorganic enzymes in mice.


Epilepsy is a common chronic neurological disorder characterized by spontaneous recurrent seizures. This occurred due to periodic neuronal discharge, excessive cerebral neurons activation, and imbalance in brain electrical activity.[1] It has been reported as epilepsy is the second most chronic neurological disorder that affects 1%–2% of the world population.[2] The reported prevalence of chronic epilepsy is of 4–10/1000 people, whereas its incidence is common in children below the age of 7 years and individuals of above 55 years.[3] According to the World Health Organization, about 70 million people affected worldwide due to epilepsy among which 90% affected epileptic people present in developing countries such as India.[4] In India, it has been reported that overall prevalence of epilepsy is 3.0–11.9/1000 individual and incidence is of 0.2–0.6/1000 population in a year.[5] Thus, it is becoming the important medical problem and needs urgent medical attention.

There is an array of ictogenesis pathologies responsible for induction of maintenance of various neurodegenerative diseases such as epilepsy, Parkinson's disease, Alzheimer's disease, and ischemia.[6] It includes imbalance among excitatory and inhibitory neurotransmitters, hyperexcitability, and altered function of synaptic junctions. It has been well documented that an imbalance in the excitatory (glutamate) and inhibitory (gamma-aminobutyric acid [GABA]) neurotransmitters are the most important mechanism responsible for cell death in epileptic seizures.[7] Thus, considering these multifactorial neurochemical abnormalities in epileptic seizures, the various researcher has attempted to develop the antiepileptic drugs (AEDs) that help in reducing the neuronal damage as well as delayed in the onset of epileptic seizures.[8]

Currently, available synthetic AEDs includes sodium channel blocker, GABA-A receptors antagonist, glutamate blockers, etc. have been implicated in the management of epilepsy.[9] However, these available synthetic AEDs are associated with unwanted adverse events, high risk of toxicity, and drug interactions. Furthermore, they can provide adequate control for epileptic seizures in the only significant proportion of patients.[10] In addition, these associated side effects also produce significant economic burden in the healthcare management of epilepsy.[11] In spite of tremendous advances in the pharmaceutical drug industry, the availability of drugs capable of ameliorating epilepsy is still limited. Thus, there is an urgent need for developing newer AEDs with lower side effect and cost.

Animal models play a significant role in the development of new AEDs.[12] Generalized-onset motor seizures or tonic-clonic seizure is the most common type of clinical epilepsy.[13] Hence, pentylenetetrazol (PTZ)-induced seizures in mice the most common, reliable, reproducible, and widely used animal model to understand the pathogenesis as well as to develop new AEDs against the seizures.[14] In the last couple of decades, the considerable progress has been occurred in determining the active ingredients from the herbal origin for the treatment of different human ailments. One such frequently used moiety is Tempol, i.e., 4-Hydroxy-2,2,6,6-tetramethylpiperidine-N-oxyl (4-Hydroxy-TEMPO). Researchers have determined the potential of tempol for their pharmacological activities against the various disease state including oxidative stress, chronic kidney disease, diabetes, nephropathy, neuropathy, obesity, hyperlipidemia, anxiety, colitis, cardiac fibrosis, hypertension, and nonalcoholic fatty liver disease.[15],[16] The presence of tempol radicals have been documented in the leaves of Vitis vinifera.[17] It has been revealed that tempol can increase the antioxidant potential of various herbal medicines from natural sources including white seaberry (Hippophae rhamnoides), Chrysophyllum inornatum, Machaerium villosum, Pterogyne nitens, Pera glabrata, Iryantera juruensis, Copaifera langsdorffii, etc.[18]Numerous evidence showed that tempol is a low molecular weight (172 g/mol) moiety;[19] thus, it is a membrane-permeable radical scavenger has an ability to crosses the blood-brain barrier.[20] The researcher showed its neuroprotective potential for brain trauma and cerebral ischemia.[21] To the best of our knowledge, however, studies of anticonvulsant activity of tempol against PTZ-induced seizure have not been carried out. Hence, this study aimed to evaluate the anti-convulsion potential of tempol by using PTZ-induced convulsions by evaluation of various behavioral, biochemical, molecular, and histological parameters in mice.

 Materials and Methods

Experimental animals

Adult male Swiss albino mice (18–22 g) were purchased from the National Institute of Biosciences, Pune (India). They were maintained at 24°C ± 1°C with a relative humidity of 45%–55% and 12:12 h dark/light cycle. The animals had free access to standard pellet chow (Pranav Agro-industries Ltd., Sangli, India) and water throughout the experimental protocol. All experiments were carried out between 09:00 and 17:00 h. The experiment was performed by the guidelines of Committee for Control and Supervision of Experimentation on Animals, Government of India on animal experimentation. Animals were brought to the testing laboratory 1 h before the experimentation for adaptation purpose. The experimentation was carried out in noise-free area.

Experimental design

A previously reported protocol was followed to induced convulsion using PTZ (Sigma Chemical Co., St Louis, MO, USA).[14] Mice were randomly divided various groups (n = 6), namely, normal (distilled water (DW), 200 mg/kg, p.o.), PTZ control (DW, 10 mg/kg, p.o.), diazepam (DZP) (5 mg/kg, i.p.), and tempol (50, 100, and 200 mg/kg, i.p.).[22] All animals (except normal received saline [10 mg/kg, i.p.]) received PTZ (90 mg/kg, i.p.) 45 min after administration treatment. Immediately after PTZ administration mice were observed for next 30 min for symptoms such as the onset of convulsion, duration of clonic convulsion, duration of tonic convulsion, and incidence (number of mice showing convulsions) and mortality. Locomotor activity was determined by using actophotometer according to the previously reported method.[14]

Brain gamma-aminobutyric acid, dopamine, oxido-nitrosative stress, Na-K-ATPase, and xanthine oxidase estimation

Mice were sacrificed as soon as the onset of convulsions occurs, and the brain was isolated immediately. Brain GABA, dopamine, superoxide dismutase (SOD), reduced glutathione (GSH), lipid peroxidation (malondialdehyde [MDA] content), nitric oxide (NO content), Na+ K+ ATPase, and xanthine oxidase (XO) as described previously.[14],[23],[24]

Determination of tumor necrosis factor-alpha, interleukin-1 beta, and c-Fos by real-time polymerase chain reaction in mice brain hippocampus

The levels of mRNA were analyzed in brain hippocampus tissue using real-time polymerase chain reaction. Single-stranded cDNA was synthesized from 5 μg of total cellular RNA using reverse transcriptase kit (MP Biomedicals India Pvt. Ltd., India). The primer sequence was selected on the basis of the previous study.[25] Expression of all the genes was assessed by generating densitometry data for band intensities in different sets of experiments and was generated by analyzing the gel images on the Image J software (Version 1.33, Wayne Rasband, National Institutes of Health (NIH), Bethesda, MD, USA) semiquantitatively.

Determination of c-Fos by immunohistochemistry in mice brain hippocampus

The flash frozen brain stored at −80°C and immunohistochemistry for c-Fos protein was carried out as described previously.[26] The c-Fos antibody (Santa Cruz Biotechnology, USA) was a rabbit polyclonal antibody raised against a peptide mapping at the amino terminus of human c-Fos p62. The c-Fos-positive neurons were identified by the presence of dense immunohistochemical staining within the dentate gyrus of the hippocampus and medial prefrontal cortex under a light microscope.

Statistical analysis

Data were expressed as mean ± standard error mean and analyzed using GraphPad Prism 5.0 (GraphPad, San Diego, USA). The gel image and immunohistochemistry were analyzed by using the Image J program (Version 1.33, Wayne Rasband, NIH, Bethesda, MD, USA) semiquantitatively. Thevalue of P < 0.05 was considered statistically significant.


Effects of tempol on pentylenetetrazol-induced alteration in duration and onset of tonic-clonic convulsion as well as mortality in mice

The onset of convulsion was increased significantly (P < 0.05) and duration of tonic-clonic convulsion in decreased significantly (P < 0.05) in DZP (5 mg/kg) pretreated mice as compared to PTZ control mice. Tempol (100 and 200 mg/kg) pretreatment also showed significant protection (P < 0.05 and P < 0.01) against PTZ-induced onset of convulsion and duration of tonic-clonic convulsion when compared with PTZ control mice [Table 1].{Table 1}

Administration of PTZ resulted in mortality (100%) in mice, whereas administration of normal saline did not show any mortality in normal mice. When compared with PTZ control mice, DZP (5 mg/kg) pretreated mice did not show any death in mice and thus it significantly (P < 0.05) protected PTZ-induced mortality in mice. Tempol (50, 100, and 200 mg/kg) pretreatment significantly (P < 0.05, P < 0.01, and P < 0.01, respectively) and dose-dependently inhibited PTZ-induced mortality as compared to PTZ control mice [Table 1].

Effects of tempol on pentylenetetrazol-induced alteration in locomotor activity in mice

There was no significant difference in the locomotor activity of normal mice before intraperitoneal injection of saline as compared to after injection of saline. Furthermore, the locomotor activity did not differ significantly before treatment in normal, PTZ control as well as DZP (5 mg/kg) and tempol (50, 100, and 200 mg/kg) treated mice. Administration of DZP (5 mg/kg) resulted in significantly decreased (P < 0.05) locomotor activity as compared to normal mice. Tempol (50, 100, and 200 mg/kg) pretreated mice also showed significant and dose-dependent (P < 0.05, P < 0.001, and P < 0.001, respectively) in the locomotor activity as compared to normal mice [Table 1].

Effect of tempol on pentylenetetrazol-induced alteration in oxido-nitrosative stress in mice

There was statistically significant decrease (P < 0.001) in brain SOD and GSH levels whereas significant increased (P < 0.05) in brain MDA and NO levels in the PTZ control mice as compared to normal mice. Pretreatment with DZP (5 mg/kg) significantly (P < 0.001) attenuated PTZ-induced elevated oxidative stress as compared to PTZ control mice. Tempol (100 and 200 mg/kg) pretreatment significantly and dose-dependently (P < 0.001) inhibit PTZ-induced increased brain oxido-nitrosativeas compared to PTZ control mice [Table 2].{Table 2}

Effect of tempol on pentylenetetrazol-induced alteration in brain gamma-aminobutyric acid, dopamine, Na+ K+ ATPase, and xanthine oxidase level in mice

PTZ caused a significant decrease (P < 0.001) in brain GABA, dopamine and Na+ K+ ATPase activity whereas significantly (P < 0.001) increased in XO activity in PTZ control mice as compared to normal mice. When compared with PTZ control mice, DZP (5 mg/kg) pretreated mice showed statistically significant (P < 0.001) increase in brain GABA, dopamine, and Na+ K+ ATPase activity as well as statistically significant (P < 0.001) decrease in brain XO activity. Tempol (100 and 200 mg/kg) pretreated mice also showed statistically significant and dose-dependent (P < 0.01 and P < 0.001) attenuation in alterations of brain GABA, dopamine, Na+ K+ ATPase andXO activity as compared to PTZ control mice [Table 2].

Effect of tempol on pentylenetetrazol-induced alteration in tumor necrosis factor-alpha, interleukin-1 Beta and c-Fos mRNA expression in mice

The mRNA expression of brain tumor necrosis factor-alpha (TNF-α), interleukin-1 beta (IL-1β), and c-Fos in PTZ control mice was up-regulated significantly (P < 0.001) as compared to normal mice. DZP (5 mg/kg) pretreated mice showed a significant down-regulation (P < 0.01, P < 0.001 and P < 0.001) in brain TNF-α, IL-1β and c-Fos mRNA expression as compared to PTZ control mice. When as compared to PTZ control mice, tempol (100 and 200 mg/kg) pretreated mice showed statistically significant, and dose-dependent down-regulation (P < 0.01 and P < 0.001) in brain TNF-α, IL-1β, and c-Fos mRNA expression [Figure 1].{Figure 1}

Effect of tempol on pentylenetetrazol-induced histological alteration in mice brain

Histological analysis of brain tissue from normal mice showed the normal architecture of neurons without any inflammation and necrosis. It is devoid of any pyknosis reflected by the presence of darkly-stained nucleus and cytoplasm [Figure 2]a. Intraperitoneal administration of PTZ resulted in inflammatory infiltration with the presence of necrosis. It showed the presence of pyknosis with a reduced number of neurons. The arrangement of neurons was irregular in the brain of PTZ control mice [Figure 2]b. Histology of brain tissue from DZP (5 mg/kg) and tempol (100 and 200 mg/kg) pretreated mice showed the presence of mild inflammatory infiltration and necrosis [Figure 2]c, e and f, respectively]. It did not show the presence of any pyknosis, and also the neuronal arrangement was linear. Tempol (50 g/kg) pretreated mice showed the distorted architecture of brain tissue reflected by the presence of inflammatory infiltration, pyknosis, and necrosis [Figure 2]d.{Figure 2}

Effect of tempol on pentylenetetrazol-induced alteration in c-Fos expression in mice hippocampus

[Figure 3] depicts the effect of Tempol and DZP on PTZ-induced alteration in c-Fos expression in mice hippocampus. The c-Fos expression was up-regulated significantly (P < 0.001) in PTZ control mice as compared to normal mice. Pretreatment with DZP (5 mg/kg) showed significant attenuation (P < 0.05) in this PTZ-induced up-regulated in c-Fos expression in mice hippocampus as compared to PTZ control mice. The up-regulated c-Fos expression in mice hippocampus was significantly and dose-dependently (P < 0.05 and P < 0.001) down-regulated by pretreatment with tempol (100 and 200 mg/kg) as compared to PTZ control mice [Figure 3].{Figure 3}


Epilepsy is a chronic disorder of abnormal and hypersynchronous release of cortical neurons. There is various underlying mechanism has been established for epilepsy which includes the imbalance between excitatory and inhibitory pathways of the brain, abnormalities in the voltage and ion gated channels, increase in the level of cyclic guanosine monophosphate (cGMP), the release of reactive oxygen species (ROS), etc. In the present investigation, epilepsy was induced in the mice by intraperitoneal administration of PTZ that resulted in the production of tonic-clonic seizures. Furthermore, anticonvulsant effect of tempol was evaluated against intraperitoneal administration of PTZ, results showed that tempol significantly attenuated the PTZ-induced convulsion by inhibiting elevated levels of oxido-nitrosative stress, inflammatory release (TNF-α and IL-1β) and improved release monoamines (GABA and dopamine) along with membrane-bound inorganic phosphate enzymes (Na+ K+ ATPase) to decrease incidence and mortality in PTZ-induced convulsion.

It has been well documented that, various neurotransmitter such as GABA, dopamine, serotonin (5-hydroxytryptamine) played a vital role in the induction, spread, maintenance and termination of epileptic seizures.[14] The alteration in the balance between excitatory and inhibitory neurotransmitter pathways in the brain resulted in epileptogenesis. The available evidence suggested that GABA, dopamine, serotonin, and noradrenaline involved in the pathways of epileptogenesis. Furthermore, PTZ-induced convulsion also associated with a decrease in these levels of neurotransmitters. Among various experimental seizure models, the levels of glutamate, serotonin, GABA, aspartate, and taurine been found to decrease in the brain region.[14] Various clinical studies also implicate the decrease in the activity of this neurotransmitter during the epileptic period.[27],[28] Thus, most of the AEDs was developed to increase the potential of inhibitory monoamines such as GABA and dopamine as well as to reduce the levels of excitatory neurotransmission in the brain. In the present investigation, intraperitoneal administration of PTZ resulted in a decrease in the level of GABA and dopamine, whereas pretreatment with tempol showed significant protection against the PTZ-induced decrease in these levels of monoamines.

Furthermore, the recent clinical study suggested that the onset and duration of the acute convulsion are depended on the release of various neurotransmitter during the epileptogenesis.[29] The delayed-onset of convulsion is associated with the balanced level of both excitatory (GABA) and inhibitory (glutamic acid) neurotransmitter.[7] In the present investigation pretreatment with tempol significantly delayed the onset of convulsion which may be due to its GABAergic potential. In addition, an elevated level of brain GABA is also associated with the decreased locomotor activity. Evidence suggesting that the locomotor activity serves as a notion for the alertness and decrease in its activity reflect the sedative effect.[30] Pretreatment with tempol also showed the decrease in the locomotor activity which may be due to an increase in the GABA level in the brain. Results of the present investigation are in line with the findings of the previous investigator where administration AEDs caused a significant decrease in the locomotor activity.[30]

The antioxidant defense system is consists of various endogenous anti-oxidative enzymes such as SOD, glutathione peroxidase (GPx), and substances like GSH.[31] These SOD, GPx, and GSH serve as a prominent cellular defense against oxidative stress by quenching the free radical and thus reduces the elevated ROS levels.[24] The neuroprotective role of this antioxidant is extensively studied during the epileptic seizures. Numerous scientific reviews and studies demonstrate that PTZ-induced seizures are mediated by increases in oxidative stress and a decrease in the levels of antioxidants such as SOD and GSH.[6],[32] Findings of the present investigation are also in line with previous investigatory where intraperitoneal administration of PTZ resulted in decreased activities of SOD and GSH.[32] Mice pretreated with tempol showed increased activity of antioxidants suggesting its preventive role against deleterious effects induced by free radicals. Furthermore, a researcher reported that tempol is a cell membrane-permeable amphibolite and it can catalyzes to facilitates hydrogen peroxide metabolism which in turn increases the endogenous levels of SOD.[33] It is also reported to have an ability to reduce the concentration of toxic hydroxyl radicals via Fenton reactions.[33] Thus, tempol may serve as an important antioxidant to detoxifying these ROS, thereby an impairment of antioxidant defense system to alleviates PTZ-induced convulsions.

NO has been reported to play an important role in the pathophysiology of epilepsy via regulating the endothelial permeability to lipoproteins.[23] In addition, it also serves as a vital neuronal messenger or neurotransmitter thus it is an integral part of the central nervous system. It can cause DNA damage and also increases the cGMP level via activation of soluble guanylyl cyclase which played an important role in the regulation of seizure intensity.[34] XO is another important source of oxygen free radical. Increase in the level of cGMP stimulates the XO to release free radical in the tissue, thereby increasing the oxidative stress.[35] In the present investigation, administration of PTZ is associated with elevated levels of NO and XO, whereas administration of tempol attenuates these elevated levels. The previous researcher also showed that treatment with tempol reduces the NO formation in the brain region.[36] Results of the present study are in line with the findings of previous investigator[36] where administration of tempol decreases the release of NO that in turn might attenuate PTZ-induced release of XO to ameliorates convulsions.

A growing body of evidence has suggested that Na+ K+ ATPase, a neuronal membrane-bound inorganic phosphatase enzyme plays crucial in the regulation of membrane potential and transmembrane Ca2+ fluxes, maintenance of cellular ionic gradient and cell volume.[37],[38] The maintenance of Na+ and K+ gradients between the intracellular and extracellular compartments is important for basic cellular homeostasis. Imbalance in these results in increased neuronal excitability and convulsions.[37] The decrease in the level of Na+ K+ ATPase enzyme causes uncontrolled dendritic discharges in the rat cerebellum's Purkinje cells leads to epileptogenesis in mice.[38] Many preclinical and clinical studies reported that activity of Na+ K+ ATPase altered in experimental models of epilepsy[37],[38] and postmortem epileptic human brain.[39] In the present investigation, the sensitivity of Na+ K+ ATPase enzyme activity impaired by intraperitoneal administration of PTZ injection resulted in hyperexcitability and convulsions. Administration of tempol showed significant improvement in the Na+ K+ ATPase enzyme activity in the brain which in accordance with the findings of the previous researcher.[40]

Inflammatory cytokines play a crucial role in mediating the development of epileptic seizures.[6],[41] Proinflammatory cytokines such as TNF-α and IL's plays a decisive role in the release of glutamatergic neurotransmission.[42] Experimental studies showed that increased mRNA expression of inflammatory cytokines in rodent forebrain after epileptic seizures.[43] Clinically, human epileptic tissue also showed the elevated IL-1β immunoreactivity[44] and elevated level of cytokines was also reported in the serum and cerebrospinal fluid from epileptic patients.[45] It has been found that IL-1β increases the synthesis of other cytokines such as IL-6 and TNF-α that impaired GABAergic neurotransmission in microglia.[44] Induction of generalized tonic-clonic seizures by PTZ associated with elevated expression of TNF-α and IL-1β in the rat hippocampus after. In the present investigation, there was also an increase in the expressions of brain TNF-α and IL-1β followed by PTZ administration. However, administration of tempol significantly attenuated this PTZ-induced increase in TNF-α and IL-1β expressions in mice brain. These findings confirm the results of the previous study that showed the inhibition of elevated levels of TNF-α and IL's by administration of tempol.[46] The histopathological finding of mice brain also supports this notion where inflammatory infiltration was attenuated by tempol pretreated.

A previous study suggested that cFos expression is commonly implicated in the determination of neuronal activation patterns.[47] Activation of cFos expression also represents the intensity of neurons that undergo the seizure-induced depolarization.[48] Thus, induction of cFos expression is played a crucial role in seizures development.[49] Furthermore, cFos expression labeling has been used widely for determination of neuronal activation patterns in PTZ-induced convulsions.[26] In the present investigation, there was a significant increase in the cFos expression in mice brain after PTZ administration whereas pretreatment with tempol inhibited this PTZ-induced increased in cFos expression. These results of the present study agree with the findings of previous studies that have shown that administration of tempol decreases cFos expression in rodent brain.[15]

An array of plant-based bioactive moieties, such as chrysin, fisetin, rutin, vitexin, Eugenol, α-terpineol, have been shown to possess potent anti-convulsant activity. A recent study showed that the isolated moieties from the herbal origin had been implicated in the clinical management of epilepsy.[50] Various alternative and complementary medication have been clinically used for the treatment of epilepsy in children.[51] Furthermore, oral administration cannabidiol isolated from marijuana in a patient with drug-resistant seizures showed a significant reduction in convulsive-seizure frequency.[52] Due to the low molecular weight of tempol, it can be cross-linked with various potent antioxidant molecules derived from natural origin. Thus, this tailored tempol may serve as important therapeutic moieties for targeted drug delivery with site-specific binding in the management of epilepsy. Thus, finding from present investigation may open novel vistas as an alternative option with natural antioxidants like tempol to prevent tonic-clonic seizures.


Pretreatment with tempol attenuates PTZ-induced tonic-clonic seizures via its anti-inflammatory, anti-oxidant and GABAergic potential. This neuroprotective effect of tempol was exerted via inhibition of oxido-nitrosative stress, anti-inflammatory markers (TNF-α and IL-1β) and cFos expression as well as activation of brain neurotransmitter (GABA and dopamine) and membrane-bound inorganic enzymes in mice.


The authors would like to acknowledge Dr. S. S. Kadam, Chancellor, and Dr. K. R. Mahadik, Principal, Poona College of Pharmacy, Bharati Vidyapeeth Deemed University, Pune for providing necessary facilities to carry out the study.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.


1Fisher RS, van Emde Boas W, Blume W, Elger C, Genton P, Lee P, et al. Epileptic seizures and epilepsy: Definitions proposed by the International League Against Epilepsy (ILAE) and The International Bureau for Epilepsy (IBE). Epilepsia 2005;46:470-2.
2Saberi M, Rezvanizadeh A, Bakhtiarian A. The antiepileptic activity of Vitex agnus castus extract on amygdala kindled seizures in male rats. Neurosci Lett 2008;441:193-6.
3Nag D. Gender and epilepsy: A Clinician's experience. Neurol India 2000;48:99-104.
4World Health Organization. Neurological Disorders: Public Health Challenges. Geneva, Switzerland: World Health Organization; 2006.
5Amudhan S, Gururaj G, Satishchandra P. Epilepsy in India I: Epidemiology and public health. Ann Indian Acad Neurol 2015;18:263-77.
6Uttara B, Singh AV, Zamboni P, Mahajan RT. Oxidative stress and neurodegenerative diseases: A review of upstream and downstream antioxidant therapeutic options. Curr Neuropharmacol 2009;7:65-74.
7Achliya G, Wadodkar S, Dorle A. Evaluation of CNS activity of Bramhi Ghrita. Indian J Pharmacol 2005;37:33.
8Pitkänen A. Efficacy of current antiepileptics to prevent neurodegeneration in epilepsy models. Epilepsy Res 2002;50:141-60.
9Costa J, Fareleira F, Ascenção R, Borges M, Sampaio C, Vaz-Carneiro A, et al. Clinical comparability of the new antiepileptic drugs in refractory partial epilepsy: A systematic review and meta-analysis. Epilepsia 2011;52:1280-91.
10Gupta YK, Malhotra J. Antiepileptic drug therapy in the twenty first century. Indian J Physiol Pharmacol 2000;44:8-23.
11de Kinderen RJ, Evers SM, Rinkens R, Postulart D, Vader CI, Majoie MH, et al. Side-effects of antiepileptic drugs: The economic burden. Seizure 2014;23:184-90.
12Kandhare A, Raygude K, Ghosh P, Gosavi T, Bodhankar S. Patentability of animal models: India and the globe. Int J Pharm Biol Arc 2011;2:1024-32.
13Fisher RS. The new classification of seizures by the international league against epilepsy 2017. Curr Neurol Neurosci Rep 2017;17:48.
14Patil MV, Kandhare AD, Ghosh P, Bhise SD. Determination of role of GABA and nitric oxide in anticonvulsant activity of Fragaria vesca L. ethanolic extract in chemically induced epilepsy in laboratory animals. Orient Pharm Exp Med 2012;12:255-64.
15Patki G, Salvi A, Liu H, Atrooz F, Alkadhi I, Kelly M, et al. Tempol treatment reduces anxiety-like behaviors induced by multiple anxiogenic drugs in rats. PLoS One 2015;10:e0117498.
16Shahidi S, Jabbarpour Z, Saidijam M, Esmaeili R, Komaki A, Hashemi FN. The effects of the synthetic antioxidant, tempol, on serum glucose and lipid profile of diabetic and non-diabetic rats. Avicenna J Med Biochem 2016;4:e31043.
17Stopka P, Křížová J, Vrchotová N, Babikova P, Tříska J, Balik J, et al. Antioxidant activity of wines and related matters studied by EPR spectroscopy. Czech J Food Sci 2008;26:49-54.
18Santos AB, Silva DH, Bolzani Vd, Santos LÁ, Schmidt TM, Baffa O. Antioxidant properties of plant extracts: An EPR and DFT comparative study of the reaction with DPPH, TEMPOL and spin trap DMPO. J Braz Chem Soc 2009;20:1483-92.
19Laight DW, Andrews TJ, Haj-Yehia AI, Carrier MJ, Anggård EE. Microassay of superoxide anion scavenging activity in vitro. Environ Toxicol Pharmacol 1997;3:65-8.
20Chatterjee PK, Cuzzocrea S, Brown PA, Zacharowski K, Stewart KN, Mota-Filipe H, et al. Tempol, a membrane-permeable radical scavenger, reduces oxidant stress-mediated renal dysfunction and injury in the rat. Kidney Int 2000;58:658-73.
21Leker RR, Teichner A, Lavie G, Shohami E, Lamensdorf I, Ovadia H, et al. The nitroxide antioxidant tempol is cerebroprotective against focal cerebral ischemia in spontaneously hypertensive rats. Exp Neurol 2002;176:355-63.
22Samaiya PK, Narayan G, Kumar A, Krishnamurthy S. Tempol (4 hydroxy-tempo) inhibits anoxia-induced progression of mitochondrial dysfunction and associated neurobehavioral impairment in neonatal rats. J Neurol Sci 2017;375:58-67.
23Adil M, Kandhare AD, Ghosh P, Venkata S, Raygude KS, Bodhankar SL, et al. Ameliorative effect of naringin in acetaminophen-induced hepatic and renal toxicity in laboratory rats: Role of FXR and KIM-1. Ren Fail 2016;38:1007-20.
24Kandhare AD, Aswar UM, Mohan V, Thakurdesai PA. Ameliorative effects of type-A procyanidins polyphenols from cinnamon bark in compound 48/80-induced mast cell degranulation. Anat Cell Biol 2017;50:275-83.
25Kandhare AD, Ghosh P, Bodhankar SL. Naringin, a flavanone glycoside, promotes angiogenesis and inhibits endothelial apoptosis through modulation of inflammatory and growth factor expression in diabetic foot ulcer in rats. Chem Biol Interact 2014;219:101-12.
26Li B, Wang L, Sun Z, Zhou Y, Shao D, Zhao J, et al. The anticonvulsant effects of SR 57227 on pentylenetetrazole-induced seizure in mice. PLoS One 2014;9:e93158.
27Kurian MA, Gissen P, Smith M, Heales S Jr., Clayton PT. The monoamine neurotransmitter disorders: An expanding range of neurological syndromes. Lancet Neurol 2011;10:721-33.
28Yang Z, Liu X, Yin Y, Sun S, Deng X. Involvement of 5-HT7 receptors in the pathogenesis of temporal lobe epilepsy. Eur J Pharmacol 2012;685:52-8.
29Kourdougli N, Pellegrino C, Renko JM, Khirug S, Chazal G, Kukko-Lukjanov TK, et al. Depolarizing γ-aminobutyric acid contributes to glutamatergic network rewiring in epilepsy. Ann Neurol 2017;81:251-65.
30Mahendran S, Thippeswamy BS, Veerapur VP, Badami S. Anticonvulsant activity of embelin isolated from Embelia ribes. Phytomedicine 2011;18:186-8.
31Honmore V, Kandhare A, Zanwar AA, Rojatkar S, Bodhankar S, Natu A, et al. Artemisia pallens alleviates acetaminophen induced toxicity via modulation of endogenous biomarkers. Pharm Biol 2015;53:571-81.
32Tawfik MK. Coenzyme Q10 enhances the anticonvulsant effect of phenytoin in pilocarpine-induced seizures in rats and ameliorates phenytoin-induced cognitive impairment and oxidative stress. Epilepsy Behav 2011;22:671-7.
33Wilcox CS, Pearlman A. Chemistry and antihypertensive effects of tempol and other nitroxides. Pharmacol Rev 2008;60:418-69.
34García-Cardoso J, Vela R, Mahillo E, Mateos-Cáceres PJ, Modrego J, Macaya C, et al. Increased cyclic guanosine monophosphate production and endothelial nitric oxide synthase level in mononuclear cells from sildenafil citrate-treated patients with erectile dysfunction. Int J Impot Res 2010;22:68-76.
35Sagor MA, Tabassum N, Potol MA, Alam MA. Xanthine oxidase inhibitor, allopurinol, prevented oxidative stress, fibrosis, and myocardial damage in isoproterenol induced aged rats. Oxid Med Cell Longev 2015;2015:478039.
36Beiser T, Numa R, Kohen R, Yaka R. Chronic treatment with tempol during acquisition or withdrawal from CPP abolishes the expression of cocaine reward and diminishes oxidative damage. Sci Rep 2017;7:11162.
37Paciorkowski AR, McDaniel SS, Jansen LA, Tully H, Tuttle E, Ghoneim DH, et al. Novel mutations in ATP1A3 associated with catastrophic early life epilepsy, episodic prolonged apnea, and postnatal microcephaly. Epilepsia 2015;56:422-30.
38Holm TH, Lykke-Hartmann K. Insights into the pathology of the α3 Na(+)/K(+)-ATPase ion pump in neurological disorders; lessons from animal models. Front Physiol 2016;7:209.
39Grisar T, Guillaume D, Delgado-Escueta AV. Contribution of Na+, K(+)-ATPase to focal epilepsy: A brief review. Epilepsy Res 1992;12:141-9.
40Maiti AK, Islam MT, Satou R, Majid DS. Enhancement in cellular Na+K+ATPase activity by low doses of peroxynitrite in mouse renal tissue and in cultured HK2 cells. Physiol Rep 2016;4. pii: e12766.
41Reeta KH, Mehla J, Gupta YK. Curcumin is protective against phenytoin-induced cognitive impairment and oxidative stress in rats. Brain Res 2009;1301:52-60.
42Devkar ST, Kandhare AD, Zanwar AA, Jagtap SD, Katyare SS, Bodhankar SL, et al. Hepatoprotective effect of withanolide-rich fraction in acetaminophen-intoxicated rat: Decisive role of TNF-α, IL-1β, COX-II and iNOS. Pharm Biol 2016;54:2394-403.
43Gómez CD, Buijs RM, Sitges M. The anti-seizure drugs vinpocetine and carbamazepine, but not valproic acid, reduce inflammatory IL-1β and TNF-α expression in rat hippocampus. J Neurochem 2014;130:770-9.
44Lorigados Pedre L, Morales Chacón LM, Pavón Fuentes N, Robinson Agramonte MLA, Serrano Sánchez T, Cruz-Xenes RM, et al. Follow-up of peripheral IL-1β and IL-6 and relation with apoptotic death in drug-resistant temporal lobe epilepsy patients submitted to surgery. Behav Sci (Basel) 2018;8. pii: E21.
45Ravizza T, Gagliardi B, Noé F, Boer K, Aronica E, Vezzani A, et al. Innate and adaptive immunity during epileptogenesis and spontaneous seizures: Evidence from experimental models and human temporal lobe epilepsy. Neurobiol Dis 2008;29:142-60.
46Francischetti IM, Gordon E, Bizzarro B, Gera N, Andrade BB, Oliveira F, et al. Tempol, an intracellular antioxidant, inhibits tissue factor expression, attenuates dendritic cell function, and is partially protective in a murine model of cerebral malaria. PLoS One 2014;9:e87140.
47Malhi SM, Jawed H, Hanif F, Ashraf N, Zubair F, Siddiqui BS, et al. Modulation of c-fos and BDNF protein expression in pentylenetetrazole-kindled mice following the treatment with novel antiepileptic compound HHL-6. Biomed Res Int 2014;2014:876712.
48Mohod SM, Kandhare AD, Bodhankar SL. Gastroprotective potential of pentahydroxy flavone isolated from Madhuca indica J. F. Gmel. Leaves against acetic acid-induced ulcer in rats: The role of oxido-inflammatory and prostaglandins markers. J Ethnopharmacol 2016;182:150-9.
49Yu Z, Iryo Y, Matsuoka M, Igisu H, Ikeda M. Suppression of pentylenetetrazol-induced seizures by carnitine in mice. Naunyn Schmiedebergs Arch Pharmacol 1997;355:545-9.
50Liu W, Ge T, Pan Z, Leng Y, Lv J, Li B, et al. The effects of herbal medicine on epilepsy. Oncotarget 2017;8:48385-97.
51Ma R, Li S, Li X, Hu S, Sun X, Liu Y, et al. Clinical observation on 930 child epilepsy cases treated with anti-epilepsy capsules. J Tradit Chin Med 2003;23:109-12.
52Devinsky O, Cross JH, Laux L, Marsh E, Miller I, Nabbout R, et al. Trial of cannabidiol for drug-resistant seizures in the dravet syndrome. N Engl J Med 2017;376:2011-20.