Division of Neurology, Department of Pediatrics, School of Medicine, University of Colorado Denver, Aurora, Colorado, USA.
Prog Mol Biol Transl Sci. 2012;105:57-82. doi: 10.1016/B978-0-12-394596-9.00003-2.
Epilepsy is one of the most common neurological conditions that affect people of all ages. Epilepsy is characterized by occurrence of spontaneous recurrent seizures. Currently available drugs are ineffective in controlling seizures in approximately one-third of patients with epilepsy. Moreover, these drugs are associated with adverse effects, and none of them are effective in preventing development of epilepsy following an insult or injury. To develop an effective therapeutic strategy that can interfere with the process of development of epilepsy (epileptogenesis), it is crucial to study the changes that occur in the brain after an injury and before epilepsy develops. It is not possible to determine these changes in human tissue for obvious ethical reasons. Over the years, experimental models of epilepsies have contributed immensely in improving our understanding of mechanism of epileptogenesis as well as of seizure generation. There are many models that replicate at least some of the characteristics of human epilepsy. Each model has its advantages and disadvantages, and the investigator should be aware of this before selecting a specific model for his/her studies. Availability of a good animal model is a key to the development of an effective treatment. Unfortunately, there are many epilepsy syndromes, specifically pediatric, which still lack a valid animal model. It is vital that more research is done to develop animal models for such syndromes.
癫痫是一种最常见的影响所有年龄段人群的神经系统疾病。癫痫的特征是自发地反复发生癫痫发作。目前可用的药物在大约三分之一的癫痫患者中无法有效地控制癫痫发作。此外,这些药物与不良反应有关,而且它们都不能有效地预防损伤或伤害后癫痫的发展。为了开发一种有效的治疗策略,可以干扰癫痫(癫痫发生)发展的过程,研究损伤后和癫痫发生前大脑中发生的变化至关重要。由于明显的伦理原因,不可能在人体组织中确定这些变化。多年来,癫痫实验模型在提高我们对癫痫发生机制以及癫痫发作产生的理解方面做出了巨大贡献。有许多模型至少复制了人类癫痫的一些特征。每种模型都有其优点和缺点,研究人员在为其研究选择特定模型之前应该了解这一点。良好的动物模型的可用性是开发有效治疗方法的关键。不幸的是,仍有许多癫痫综合征,特别是儿科,缺乏有效的动物模型。至关重要的是,要为这些综合征开发更多的动物模型。