Inserm, U676, Paris, France.
Neurotherapeutics. 2012 Apr;9(2):245-61. doi: 10.1007/s13311-012-0119-8.
When mimicking epileptic processes in a laboratory setting, it is important to understand the differences between experimental models of seizures and epilepsy. Because human epilepsy is defined by the appearance of multiple spontaneous recurrent seizures, the induction of a single acute seizure without recurrence does not constitute an adequate epilepsy model. Animal models of epilepsy might be useful for various tasks. They allow for the investigation of pathophysiological mechanisms of the disease, the evaluation, or the development of new antiepileptic treatments, and the study of the consequences of recurrent seizures and neurological and psychiatric comorbidities. Although clinical relevance is always an issue, the development of models of pediatric epilepsies is particularly challenging due to the existence of several key differences in the dynamics of human and rodent brain maturation. Another important consideration in modeling pediatric epilepsy is that "children are not little adults," and therefore a mere application of models of adult epilepsies to the immature specimens is irrelevant. Herein, we review the models of pediatric epilepsy. First, we illustrate the differences between models of pediatric epilepsy and models of the adulthood consequences of a precipitating insult in early life. Next, we focus on new animal models of specific forms of epilepsies that occur in the developing brain. We conclude by emphasizing the deficiencies in the existing animal models and the need for several new models.
当在实验室环境中模拟癫痫过程时,了解癫痫发作和癫痫的实验模型之间的差异非常重要。因为人类癫痫的定义是出现多次自发性复发性发作,所以单次急性发作而不复发并不构成足够的癫痫模型。癫痫动物模型可能对各种任务有用。它们允许研究疾病的病理生理机制、评估或开发新的抗癫痫治疗方法,以及研究复发性发作和神经精神合并症的后果。尽管临床相关性一直是一个问题,但由于人类和啮齿动物大脑成熟的动力学存在几个关键差异,儿科癫痫模型的开发尤其具有挑战性。在模拟儿科癫痫时另一个重要的考虑因素是“儿童不是小大人”,因此将成人癫痫模型简单地应用于不成熟的标本是不相关的。本文综述了儿科癫痫模型。首先,我们说明了儿科癫痫模型与生命早期诱发因素对成年期后果的模型之间的差异。接下来,我们专注于发生在发育中大脑的特定形式癫痫的新动物模型。最后,我们强调了现有动物模型的缺陷以及需要几种新模型。