Pitkänen Asla, McIntosh Tracy K
Epilepsy Research Laboratory, AI Virtanen Institute for Molecular Sciences, University of Kuopio, Kuopio, Finland.
J Neurotrauma. 2006 Feb;23(2):241-61. doi: 10.1089/neu.2006.23.241.
Epilepsy is a major unfavorable long-term consequence of traumatic brain injury (TBI). Moreover, TBI is one of the most important predisposing factors for the development of epilepsy, particularly in young adults. Understanding the molecular and cellular cascades that lead to the development of post-traumatic epilepsy (PTE) is key for preventing its development or modifying the disease process in such a way that epilepsy, if it develops, is milder and easier-to-treat. Tissue from TBI patients undergoing epileptogenesis is not available for such studies, which underscores the importance of developing clinically relevant animal models of PTE. The goal of this review is to (1) provide a description of PTE in humans, which is critical for the development of clinically relevant models of PTE, (2) review the characteristics of currently available PTE models, and (3) provide suggestions for the development of future models of PTE based on our current understanding of the mechanisms of TBI and epilepsy. The development of clinically relevant models of PTE is critical to advance our understanding of the mechanisms of post-traumatic epileptogenesis and epilepsy, as well as for producing breakthroughs in the development and testing of novel antiepileptogenic treatments.
癫痫是创伤性脑损伤(TBI)的一个主要不良长期后果。此外,TBI是癫痫发生的最重要诱发因素之一,尤其是在年轻成年人中。了解导致创伤后癫痫(PTE)发生的分子和细胞级联反应是预防其发生或改变疾病进程的关键,这样如果癫痫发生,其症状会更轻且更容易治疗。正在经历癫痫发生过程的TBI患者的组织无法用于此类研究,这凸显了开发具有临床相关性的PTE动物模型的重要性。本综述的目的是:(1)描述人类PTE,这对开发具有临床相关性的PTE模型至关重要;(2)综述当前可用的PTE模型的特征;(3)基于我们目前对TBI和癫痫机制的理解,为未来PTE模型的开发提供建议。开发具有临床相关性的PTE模型对于推进我们对创伤后癫痫发生机制和癫痫的理解,以及在新型抗癫痫发生治疗的开发和测试中取得突破至关重要。