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乙醇、γ-氨基丁酸与癫痫

Ethanol, GABA and epilepsy.

作者信息

Brailowsky S, García O

机构信息

Department of Neurosciences, Universidad Nacional Autónoma de México (UNAM), México, D.F.

出版信息

Arch Med Res. 1999 Jan-Feb;30(1):3-9. doi: 10.1016/s0188-0128(98)00013-x.

Abstract

Ethanol exerts its behavioral effects largely by interacting with receptors to brain neurotransmitters. The molecular mechanisms involving these interactions are still not well known since an ideal model for their study is currently unavailable. In addition, responses to alcohol may vary due to factors such as genetic predisposition, ethanol concentration consumed, and stimuli such as stress, socialization, etc. The chronic consumption of alcohol, similar to that of other drugs such as benzodiazepines and barbiturates, is linked to GABAergic neurotransmission. GABA is the predominant inhibitory neurotransmitter in the brain. In a context of substance abuse, these three drugs first cause a gratifying effect, later tolerance and finally, physical and psychological dependence. If consumption is interrupted abruptly, a withdrawal syndrome occurs. The Alcohol Withdrawal Syndrome (AWS) is a state of hyperexcitability characterized by anxiety, fear, muscular rigidity and tonic-clonic seizures with epileptiform-type characteristics. The epileptic seizures seen during AWS are often similar to those seen in experimental epilepsy models such as "kindling" or GABA Withdrawal Syndrome (GWS) models. A possible correlation between these models and AWS will allow for a better understanding of the cellular and molecular effects that alcohol exerts on the brain.

摘要

乙醇主要通过与大脑神经递质的受体相互作用来发挥其行为效应。由于目前尚无用于研究这些相互作用的理想模型,涉及这些相互作用的分子机制仍不清楚。此外,对酒精的反应可能因遗传易感性、摄入的乙醇浓度以及压力、社交等刺激因素而有所不同。长期饮酒与苯二氮䓬类和巴比妥类等其他药物一样,与GABA能神经传递有关。GABA是大脑中主要的抑制性神经递质。在药物滥用的情况下,这三种药物首先会产生愉悦感,随后产生耐受性,最终导致身体和心理依赖。如果突然中断饮酒,就会出现戒断综合征。酒精戒断综合征(AWS)是一种过度兴奋状态,其特征为焦虑、恐惧、肌肉僵硬以及具有癫痫样特征的强直阵挛性发作。在AWS期间出现的癫痫发作通常与在“点燃”或GABA戒断综合征(GWS)模型等实验性癫痫模型中看到的发作相似。这些模型与AWS之间的可能关联将有助于更好地理解酒精对大脑产生的细胞和分子效应。

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