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癫痫发生机制:神经回路功能障碍的汇聚。

Mechanisms of epileptogenesis: a convergence on neural circuit dysfunction.

机构信息

The Children's Hospital of Philadelphia, Division of Neurology, Colket Translational Research Building, 3501 Civic Center Boulevard, Philadelphia, Pennsylvania 19104-4399, USA.

出版信息

Nat Rev Neurosci. 2013 May;14(5):337-49. doi: 10.1038/nrn3482. Epub 2013 Apr 18.

DOI:10.1038/nrn3482
PMID:23595016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3982383/
Abstract

Epilepsy is a prevalent neurological disorder associated with significant morbidity and mortality, but the only available drug therapies target its symptoms rather than the underlying cause. The process that links brain injury or other predisposing factors to the subsequent emergence of epilepsy is termed epileptogenesis. Substantial research has focused on elucidating the mechanisms of epileptogenesis so as to identify more specific targets for intervention, with the hope of preventing epilepsy before seizures emerge. Recent work has yielded important conceptual advances in this field. We suggest that such insights into the mechanisms of epileptogenesis converge at the level of cortical circuit dysfunction.

摘要

癫痫是一种常见的神经障碍,与显著的发病率和死亡率相关,但唯一可用的药物治疗方法针对的是其症状,而不是根本原因。将脑损伤或其他易患因素与随后出现的癫痫联系起来的过程称为癫痫发生。大量研究集中在阐明癫痫发生的机制,以便为干预确定更具体的目标,希望在癫痫发作出现之前预防癫痫。最近的工作在这一领域取得了重要的概念进展。我们认为,对癫痫发生机制的这些认识在皮质电路功能障碍的层面上汇聚。

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Mechanisms of epileptogenesis: a convergence on neural circuit dysfunction.癫痫发生机制:神经回路功能障碍的汇聚。
Nat Rev Neurosci. 2013 May;14(5):337-49. doi: 10.1038/nrn3482. Epub 2013 Apr 18.
2
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Epilepsy in multiple sclerosis as a network disease.多发性硬化中的癫痫作为一种网络疾病。
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本文引用的文献

1
Protracted postnatal development of sparse, specific dentate granule cell activation in the mouse hippocampus.小鼠海马区稀疏特定颗粒细胞激活的延长性产后发育。
J Neurosci. 2013 Feb 13;33(7):2947-60. doi: 10.1523/JNEUROSCI.1868-12.2013.
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New insights into the classification and nomenclature of cortical GABAergic interneurons.皮层 GABA 能中间神经元分类和命名的新见解。
Nat Rev Neurosci. 2013 Mar;14(3):202-16. doi: 10.1038/nrn3444. Epub 2013 Feb 6.
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On-demand optogenetic control of spontaneous seizures in temporal lobe epilepsy.按需光遗传学控制颞叶癫痫的自发性癫痫发作。
Nat Commun. 2013;4:1376. doi: 10.1038/ncomms2376.
4
Abnormal neuronal patterning occurs during early postnatal brain development of Scn1b-null mice and precedes hyperexcitability.Scn1b 基因敲除小鼠在出生后早期大脑发育过程中出现神经元排列异常,这种异常先于过度兴奋发生。
Proc Natl Acad Sci U S A. 2013 Jan 15;110(3):1089-94. doi: 10.1073/pnas.1208767110. Epub 2012 Dec 31.
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Epigenetics and epilepsy.表观遗传学与癫痫
Epilepsia. 2012 Dec;53 Suppl 9(Suppl 9):2-10. doi: 10.1111/epi.12030.
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Intrinsic epileptogenicity of cortical tubers revealed by intracranial EEG monitoring.颅内 EEG 监测揭示皮质结节的内在致痫性。
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A homozygous mutation of voltage-gated sodium channel β(I) gene SCN1B in a patient with Dravet syndrome.先证者患有 Dravet 综合征,存在电压门控钠离子通道 β(I)亚单位基因 SCN1B 的纯合突变。
Epilepsia. 2012 Dec;53(12):e200-3. doi: 10.1111/epi.12040. Epub 2012 Nov 13.
8
Closed-loop optogenetic control of thalamus as a tool for interrupting seizures after cortical injury.闭环光遗传学控制丘脑作为皮质损伤后中断癫痫发作的工具。
Nat Neurosci. 2013 Jan;16(1):64-70. doi: 10.1038/nn.3269. Epub 2012 Nov 7.
9
Excessive activation of mTOR in postnatally generated granule cells is sufficient to cause epilepsy.mTOR 在出生后产生的颗粒细胞中的过度激活足以导致癫痫。
Neuron. 2012 Sep 20;75(6):1022-34. doi: 10.1016/j.neuron.2012.08.002.
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Specific deletion of NaV1.1 sodium channels in inhibitory interneurons causes seizures and premature death in a mouse model of Dravet syndrome.抑制性中间神经元中钠通道 Nav1.1 的特异性缺失导致 Dravet 综合征小鼠模型发生癫痫发作和过早死亡。
Proc Natl Acad Sci U S A. 2012 Sep 4;109(36):14646-51. doi: 10.1073/pnas.1211591109. Epub 2012 Aug 20.