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生酮饮食对癫痫发作的抗惊厥作用及其潜在机制。

The Anticonvulsant Effects of Ketogenic Diet on Epileptic Seizures and Potential Mechanisms.

机构信息

Jilin Provincial Key Laboratory on Molecular and Chemical Genetic, The Second Hospital of Jilin University, 218 Ziqiang Street, Changchun 130041, China.

出版信息

Curr Neuropharmacol. 2018;16(1):66-70. doi: 10.2174/1570159X15666170517153509.

DOI:10.2174/1570159X15666170517153509
PMID:28521671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5771386/
Abstract

BACKGROUND

Epilepsy is a syndrome of brain dysfunction induced by the aberrant excitability of certain neurons. Despite advances in surgical technique and anti-epileptic drug in recent years, recurrent epileptic seizures remain intractable and lead to a serious morbidity in the world. The ketogenic diet refers to a high-fat, low-carbohydrate and adequate-protein diet. Currently, its beneficial effects on epileptic seizure reduction have been well established. However, the detailed mechanisms underlying the anti-epileptic effects of ketogenic diet are still poorly understood. In this article, the possible roles of ketogenic diet on epilepsy were discussed.

METHODS

Data was obtained from the websites including Web of Science, Medline, Pubmed, Scopus, based on these keywords: "Ketogenic diet" and "epilepsy".

RESULTS

As shown in both clinical and basic studies, the therapeutic effects of ketogenic diet might involve neuronal metabolism, neurotransmitter function, neuronal membrane potential and neuron protection against ROS.

CONCLUSION

In this review, we systematically reviewed the effects and possible mechanisms of ketogenic diet on epilepsy, which may optimize the therapeutic strategies against epilepsy.

摘要

背景

癫痫是由特定神经元异常兴奋引起的脑功能障碍综合征。尽管近年来手术技术和抗癫痫药物有所进步,但复发性癫痫发作仍难以治疗,并在世界范围内导致严重的发病率。生酮饮食是指一种高脂肪、低碳水化合物和适量蛋白质的饮食。目前,其对减少癫痫发作的有益效果已得到充分证实。然而,生酮饮食抗癫痫作用的详细机制仍知之甚少。本文讨论了生酮饮食在癫痫中的可能作用。

方法

从 Web of Science、Medline、Pubmed、Scopus 等网站获取数据,基于以下关键词:“生酮饮食”和“癫痫”。

结果

临床和基础研究均表明,生酮饮食的治疗效果可能涉及神经元代谢、神经递质功能、神经元膜电位和神经元对 ROS 的保护。

结论

在本综述中,我们系统地综述了生酮饮食对癫痫的作用及其可能的机制,这可能优化了针对癫痫的治疗策略。

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The Anticonvulsant Effects of Ketogenic Diet on Epileptic Seizures and Potential Mechanisms.生酮饮食对癫痫发作的抗惊厥作用及其潜在机制。
Curr Neuropharmacol. 2018;16(1):66-70. doi: 10.2174/1570159X15666170517153509.
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本文引用的文献

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The effects of herbal medicine on epilepsy.草药对癫痫的影响。
Oncotarget. 2017 Jul 18;8(29):48385-48397. doi: 10.18632/oncotarget.16801.
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The α2δ Subunit and Absence Epilepsy: Beyond Calcium Channels?α2δ亚基与失神癫痫:超越钙通道?
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MED23-associated refractory epilepsy successfully treated with the ketogenic diet.生酮饮食成功治疗与MED23相关的难治性癫痫。
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Cognitive and behavioral impact of the ketogenic diet in children and adolescents with refractory epilepsy: A randomized controlled trial.生酮饮食对难治性癫痫儿童和青少年的认知及行为影响:一项随机对照试验。
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Valproate effect on ketosis in children under ketogenic diet.丙戊酸盐对生酮饮食儿童酮症的影响。
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Metabotropic Glutamate Receptors and Interacting Proteins in Epileptogenesis.代谢型谷氨酸受体及其相互作用蛋白在癫痫发生中的作用
Curr Neuropharmacol. 2016;14(5):551-62. doi: 10.2174/1570159x14666160331142228.
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Efficacy of the classic ketogenic and the modified Atkins diets in refractory childhood epilepsy.经典生酮饮食和改良阿特金斯饮食对儿童难治性癫痫的疗效。
Epilepsia. 2016 Jan;57(1):51-8. doi: 10.1111/epi.13256. Epub 2015 Dec 10.
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The Effects of Calorie Restriction in Depression and Potential Mechanisms.热量限制对抑郁症的影响及潜在机制
Curr Neuropharmacol. 2015;13(4):536-42. doi: 10.2174/1570159x13666150326003852.
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TRPV1 Channel: A Potential Drug Target for Treating Epilepsy.瞬时受体电位香草酸亚型1通道:一种治疗癫痫的潜在药物靶点。
Curr Neuropharmacol. 2015;13(2):239-47. doi: 10.2174/1570159x13666150216222543.