To investigate the
antiepileptic and
neuroprotective effects of
dexmedetomidine (Dex) in
pilocarpine- (Pilo-) induced
status epilepticus (SE) juvenile rats, rats were randomly assigned to the following six groups (n = 20): normal, normal+Dex, SE, SE+Cap, SE+Dex, and SE+Dex+Cap. The rats were treated with either
diazepam (i.p., an
antiepileptic drug) or Dex after the onset of SE. The Morris water maze was used to assess rat cognitive behavior. Flow cytometry was used to detect the concentrations of Ca2+, mitochondrial membrane potential, and
reactive oxygen species. Transmission electron microscopy was performed to evaluate specimens of brain tissue. The levels of
caspase 3 and TRPV1 were examined by western blot and immunohistochemistry (IHC). Treatment with Dex significantly decreased the escape latency of the SE rats (P < 0.05).
Capsaicin, a TRPV1 agonist, delivery aggravated the performance of SE rats. Pathological changes in SE rat were attenuated by Dex and deteriorated by
capsaicin. Swollen mitochondria and abnormal endoplasmic reticulum were found in SE rats and were then aggravated by
capsaicin and reversed by Dex. Moreover, our data showed that Dex significantly restrained
calcium overload, ROS production, and mitochondrial membrane potential loss, all of which were induced by Pilo and
capsaicin (P < 0.05). Dex decreased the apoptotic rate in the Model SE group (P < 0.05) and TRPV1 and
caspase 3 expression in the Dex treatment group (P < 0.05). Interestingly, all these effects of Dex were partially counteracted by the TRPV1 agonist,
capsaicin (P < 0.05). Our study showed that Dex exerted a
neuroprotective effect in Pilo-induced SE rats by inhibiting TRPV1 expression and provided information for
therapy to SE patients.