Campos-Castelló J, Canelón de López M, García-Fernández M
Servicio de Neuropediatría, Hospital Clínico Universitario San Carlos, Madrid, España.
Rev Neurol. 2000 Jun;30 Suppl 1:S42-6.
One of the recent findings in the investigation of epileptogenesis is the localization of new gene situses and mutations of the ion channels. The pathology of these ion channel disorders is responsible for a considerable number of disorders affecting the central nervous and musculoskeletal systems. Their clinical expression is often paroxystic. Mutations cause inactivation of the channel, which depending of the degree, conditions the phenotype of the disorder.
We studied the main ion channel disorders related to simply inherited idiopathic epileptic syndromes in which four genes have been codified to date: benign familial neonatal convulsions, generalized epilepsy with febrile seizures plus and autosomal dominant nocturnal frontal lobe epilepsy.
The ion channels, both voltage dependent and receptor channels, are involved in the genesis of idiopathic epileptics syndromes. Their importance is due to their contribution to the understanding of epileptogenesis and its application to the investigation of drugs which modify the initial cause of the seizure. At present, it may be affirmed that the idiopathic epilepsies, or at least some of them, seem to form a family of ion channel disorders.
癫痫发生机制研究的最新发现之一是新基因位点的定位以及离子通道的突变。这些离子通道疾病的病理学是导致相当数量影响中枢神经和肌肉骨骼系统疾病的原因。它们的临床表型通常呈发作性。突变导致通道失活,其程度决定了疾病的表型。
我们研究了与单纯遗传性特发性癫痫综合征相关的主要离子通道疾病,目前已有四个基因被编码:良性家族性新生儿惊厥、热性惊厥附加症伴全面性癫痫和常染色体显性夜间额叶癫痫。
电压依赖性离子通道和受体通道均参与特发性癫痫综合征的发生。它们的重要性在于有助于理解癫痫发生机制,并应用于研究改变癫痫发作初始病因的药物。目前,可以肯定的是,特发性癫痫,或至少其中一些,似乎构成了一个离子通道疾病家族。