Wolf G, Keilhoff G
Institut für Biologie, Medizinischen Akademie Magdeburg.
Psychiatr Neurol Med Psychol (Leipz). 1987 Nov;39(11):662-7.
At present most authors agree with the hypothesis that epilepsy is primarily caused by an imbalance of inhibitory and excitatory transmitter systems of CNS in favour of the latter. Epilepsy research focuses more and more on disorders in structures using amino acids as transmitters. There is a world-wide searching for new antiepileptic strategies with an emphasis on a causally guided therapy. Besides possibilities of pharmacological enhancement of GABA-mediated inhibition, e.g. by recently tested GABA prodrugs, highly potent antagonists of transmitter glutamate, acting as anticonvulsant drugs, are expected to gain in significance for clinical practice.
目前,大多数作者认同这样的假说:癫痫主要是由中枢神经系统抑制性和兴奋性递质系统失衡所致,且这种失衡更倾向于兴奋性递质系统。癫痫研究越来越关注以氨基酸作为递质的结构中的功能紊乱。全球都在寻找新的抗癫痫策略,重点是进行因果导向治疗。除了通过诸如最近测试的γ-氨基丁酸前药等药物增强γ-氨基丁酸介导的抑制作用外,作为抗惊厥药物的高效能递质谷氨酸拮抗剂有望在临床实践中发挥更大作用。