Jiang Z, Guo M, Shi C, Wang H, Yao L, Liu L, Xie C, Pu S, LaChaud G, Shen J, Zhu M, Mu L, Ge H, Long Y, Wang X, Song Y, Sun J, Hou X, Zarringhalam A, Park S-H, Shi C, Shen H, Lin Z
Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Department of Neurosurgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Neuroscience. 2015 Dec 3;310:362-71. doi: 10.1016/j.neuroscience.2015.09.058. Epub 2015 Sep 28.
Epileptogenesis is a dynamic process initiated by insults to the brain that is characterized by progressive functional and structural alterations in certain cerebral regions, leading to the appearance of spontaneous recurrent seizures. Within the duration of the trauma to the brain and the appearance of spontaneous recurrent seizures, there is typically a latent period, which may offer a therapeutic window for preventing the emergence of epilepsy. Previous animal studies have shown that curcumin can attenuate acute seizure severity and brain oxidative stress, but the effect of curcumin on epileptogenesis has not been studied. We examined the effect of continued administration of curcumin during the latent period on epileptogenesis and the deleterious consequences of status epilepticus in adult rats in a post-status epilepticus model of temporal lobe epilepsy induced by kainic acid. We demonstrate that, while administration of curcumin treatment during the latent period does not prevent occurrence of spontaneous recurrent seizures after status epilepticus, it can attenuate the severity of spontaneous recurrent seizures and protect against cognitive impairment. Thus, treatment with curcumin during the latent period following status epilepticus is beneficial in modifying epileptogenesis.
癫痫发生是一个由脑损伤引发的动态过程,其特征是特定脑区出现进行性的功能和结构改变,导致自发性反复癫痫发作。在脑损伤至自发性反复癫痫发作出现的这段时间内,通常存在一个潜伏期,这可能为预防癫痫的发生提供一个治疗窗口。以往的动物研究表明,姜黄素可减轻急性癫痫发作的严重程度和脑氧化应激,但姜黄素对癫痫发生的影响尚未得到研究。我们在由海藻酸诱导的颞叶癫痫癫痫持续状态后模型中,研究了在潜伏期持续给予姜黄素对成年大鼠癫痫发生及癫痫持续状态有害后果的影响。我们证明,虽然在潜伏期给予姜黄素治疗不能预防癫痫持续状态后自发性反复癫痫发作的发生,但它可以减轻自发性反复癫痫发作的严重程度,并防止认知障碍。因此,癫痫持续状态后的潜伏期给予姜黄素治疗有利于改变癫痫发生。