Cambiaghi Marco, Magri Laura, Cursi Marco
Università degli Studi di Torino, Department of Neuroscience, Turin, Italy.
Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, United States; Department of Genetics and Genomics, Icahn School of Medicine at Mount Sinai, New York, NY, United States; Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Seizure. 2015 Apr;27:30-9. doi: 10.1016/j.seizure.2015.02.015. Epub 2015 Feb 24.
The development of new drugs for the treatment of epilepsy is a major challenge for modern neurology and its first steps demand basic research. Preclinical studies on animal models of epilepsy are mainly based on the analysis of brain electrical activity to detect seizures, when they are not just limited to behavioral tests like the Racine scale.
In the present review, we discuss the importance of using time-locked video and EEG recordings (Video-EEG) coupled with behavioral tests as tools to monitor and analyze the effects of anti-epileptic drugs in pre-clinical research. Particularly, we focus on the utility of a multimodal approach based on EEG/behavioral analysis to study the beneficial effects of chronic rapamycin treatment as a potential anti-epileptogenic therapy for a broad spectrum of epilepsy, including both genetic (as in tuberous sclerosis complex) and acquired diseases.
Changes and synchronization of neuronal activity of different areas have been correlated with specific behavior in both physiological and pathological conditions. In the epileptic brain, during a seizure there is an abnormal activation of many cells all at once, altering different networks.
A multimodal approach based on video, EEG analysis and behavioral tests would be the best option in preclinical studies of epilepsy.
开发治疗癫痫的新药是现代神经病学面临的一项重大挑战,其初步工作需要基础研究。癫痫动物模型的临床前研究主要基于对脑电活动的分析来检测癫痫发作,当然也不仅限于像拉辛量表这样的行为测试。
在本综述中,我们讨论了使用与行为测试相结合的锁时视频和脑电图记录(视频脑电图)作为监测和分析抗癫痫药物在临床前研究中效果的工具的重要性。特别是,我们重点关注基于脑电图/行为分析的多模态方法在研究慢性雷帕霉素治疗作为一种针对包括遗传性(如结节性硬化症)和后天性疾病在内的广泛癫痫的潜在抗癫痫发生疗法的有益效果方面的实用性。
在生理和病理条件下,不同区域神经元活动的变化和同步与特定行为相关。在癫痫脑中,癫痫发作期间许多细胞会同时异常激活,改变不同的神经网络。
基于视频、脑电图分析和行为测试的多模态方法将是癫痫临床前研究的最佳选择。