Vieira Michele Juliane, Perosa Sandra Regina, Argaãaraz Gustavo Adolfo, Silva José Antônio, Cavalheiro Esper Abrão, Graça Naffah-Mazzacoratti Maria da
Departamento de Neurologia/Neurocirurgia, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Laboratório de Patologia Molecular, Faculdade de Ciências da Saúde, Universidade de Brasília, Brasilia, DF, Brazil.
Clinics (Sao Paulo). 2014 Sep;69(9):621-6. doi: 10.6061/clinics/2014(09)08.
Refractory status epilepticus is one of the most life-threatening neurological emergencies and is characterized by high morbidity and mortality. Additionally, the use of anti-inflammatory drugs during this period is very controversial. Thus, this study has been designed to analyze the effect of a low dose of indomethacin (a COX inhibitor) on the expression of inflammatory molecules.
The hippocampus of rats submitted to pilocarpine-induced long-lasting status epilepticus was analyzed to determine the expression of inflammatory molecules with RT-PCR and immunohistochemistry.
Compared with controls, reduced levels of the kinin B2 receptors IL1β and TNFα were found in the hippocampus of rats submitted to long-lasting status epilepticus and treated with indomethacin.
These data show that low doses of indomethacin could be employed to minimize inflammation during long-lasting status epilepticus.
难治性癫痫持续状态是最危及生命的神经急症之一,具有高发病率和高死亡率的特点。此外,在此期间使用抗炎药物存在很大争议。因此,本研究旨在分析低剂量吲哚美辛(一种环氧化酶抑制剂)对炎症分子表达的影响。
对接受匹鲁卡品诱导的长期癫痫持续状态的大鼠海马进行分析,采用逆转录聚合酶链反应(RT-PCR)和免疫组织化学方法测定炎症分子的表达。
与对照组相比,接受长期癫痫持续状态并接受吲哚美辛治疗的大鼠海马中缓激肽B2受体、白细胞介素1β(IL1β)和肿瘤坏死因子α(TNFα)的水平降低。
这些数据表明,低剂量吲哚美辛可用于在长期癫痫持续状态期间将炎症降至最低。