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女性癫痫大鼠模型:一种研究内分泌系统与癫痫发作之间生理相互作用的工具。

A rat model of epilepsy in women: a tool to study physiological interactions between endocrine systems and seizures.

作者信息

Scharfman Helen E, Malthankar-Phatak Gauri H, Friedman Daniel, Pearce Patrice, McCloskey Daniel P, Harden Cynthia L, Maclusky Neil J

机构信息

The Nathan Kline Institute, Orangeburg, New York 10962, USA.

出版信息

Endocrinology. 2009 Sep;150(9):4437-42. doi: 10.1210/en.2009-0135. Epub 2009 May 14.

Abstract

Epilepsy in women is influenced by endocrine status and antiepileptic drugs, but without an animal model, the effects of endocrine variables and antiepileptic drugs cannot be easily dissociated from the influence of epilepsy itself. Animal models have had limited utility because experimentally induced seizures typically result in reproductive failure. This study was conducted to develop an improved animal model. The muscarinic convulsant pilocarpine was used to elicit status epilepticus (SE) in adult female Sprague Dawley rats. The selective estrogen receptor modulator raloxifene was administered 30 min before pilocarpine. An anticonvulsant barbiturate, pentobarbital, was injected 5-10 min after the onset of SE and at least once thereafter to minimize acute convulsions. Mortality, morbidity, estrous cyclicity, and the ultimate success of the procedure (i.e. induction of recurrent, spontaneous seizures) were monitored. The combination of raloxifene and pentobarbital led to significantly improved estrous cyclicity compared with previous methods. Animals treated with raloxifene and pentobarbital became epileptic, as defined by the recurrence of spontaneous convulsions in the weeks after SE. The results of this study provide an improved animal model to examine the interactions between seizures and ovarian hormone secretion. The results also suggest that treatment of SE with raloxifene may benefit women with SE.

摘要

女性癫痫受内分泌状态和抗癫痫药物的影响,但在缺乏动物模型的情况下,内分泌变量和抗癫痫药物的作用难以与癫痫本身的影响区分开来。动物模型的效用有限,因为实验诱导的癫痫发作通常会导致生殖功能衰竭。本研究旨在开发一种改进的动物模型。使用毒蕈碱惊厥剂毛果芸香碱在成年雌性Sprague Dawley大鼠中诱发癫痫持续状态(SE)。在注射毛果芸香碱前30分钟给予选择性雌激素受体调节剂雷洛昔芬。在SE发作后5 - 10分钟注射一种抗惊厥巴比妥类药物戊巴比妥,此后至少再注射一次,以尽量减少急性惊厥。监测死亡率、发病率、发情周期以及该过程的最终成功率(即诱导复发性、自发性癫痫发作)。与先前方法相比,雷洛昔芬和戊巴比妥的联合使用显著改善了发情周期。用雷洛昔芬和戊巴比妥治疗的动物出现癫痫,这是根据SE后数周内自发性惊厥的复发来定义的。本研究结果提供了一种改进的动物模型,用于研究癫痫发作与卵巢激素分泌之间的相互作用。结果还表明,用雷洛昔芬治疗SE可能对患有SE的女性有益。

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