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缺氧和缺血性癫痫发作模型。

Models of hypoxia and ischemia-induced seizures.

作者信息

Sun Hongyu, Juul Halvor M, Jensen Frances E

机构信息

Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.

Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.

出版信息

J Neurosci Methods. 2016 Feb 15;260:252-60. doi: 10.1016/j.jneumeth.2015.09.023. Epub 2015 Oct 3.

Abstract

Despite greater understanding and improved management, seizures continue to be a major problem in childhood. Neonatal seizures are often refractory to conventional antiepileptic drugs, and can result in later life epilepsy and cognitive deficits, conditions for which there are no specific treatments. Hypoxic and/or ischemic encephalopathy (HIE) is the most common cause for neonatal seizures, and accounts for more than two-thirds of neonatal seizure cases. A better understanding of the cellular and molecular mechanisms is essential for identifying new therapeutic strategies that control the neonatal seizures and its cognitive consequences. This heavily relies on animal models that play a critical role in discovering novel mechanisms underlying both epileptogenesis and associated cognitive impairments. To date, a number of animal models have provided a tremendous amount of information regarding the pathophysiology of HIE-induced neonatal seizures. This review provides an overview on the most important features of the main animal models of HIE-induced seizures. In particular, we focus on the methodology of seizure induction and the characterizations of post-HIE injury consequences. These aspects of HIE-induced seizure models are discussed in the light of the suitability of these models in studying human HIE-induced seizures.

摘要

尽管对癫痫的认识有所提高且管理有所改善,但癫痫仍是儿童期的一个主要问题。新生儿癫痫通常对传统抗癫痫药物难治,可导致日后发生癫痫和认知缺陷,而针对这些病症尚无特效治疗方法。缺氧和/或缺血性脑病(HIE)是新生儿癫痫最常见的病因,占新生儿癫痫病例的三分之二以上。更好地了解细胞和分子机制对于确定控制新生儿癫痫及其认知后果的新治疗策略至关重要。这在很大程度上依赖于动物模型,这些模型在发现癫痫发生和相关认知障碍的新机制方面发挥着关键作用。迄今为止,一些动物模型已经提供了大量关于HIE诱导的新生儿癫痫病理生理学的信息。本综述概述了HIE诱导癫痫的主要动物模型的最重要特征。特别是,我们关注癫痫诱导方法以及HIE损伤后后果的特征。根据这些模型在研究人类HIE诱导癫痫方面的适用性,对HIE诱导癫痫模型的这些方面进行了讨论。

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