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脑电图:大鼠、犬类和非人灵长类动物药物诱发癫痫发作的特征。

EEG: Characteristics of drug-induced seizures in rats, dogs and non-human primates.

作者信息

Authier Simon, Arezzo Joseph, Pouliot Mylène, Accardi Michael V, Boulay Emmanuel, Troncy Eric, Dubuc Mageau Michelle, Tan Wendy, Sanfacon Audrey, Mignault Goulet Stephanie, Paquette Dominique

机构信息

Citoxlab North America, 445 Armand-Frappier, Laval, QC, Canada; Groupe de recherche en pharmacologie animale du Québec (GREPAQ), Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.

Department of Neuroscience, Albert Einstein College of Medicine, United States; Department of Neurology, Albert Einstein College of Medicine, USA.

出版信息

J Pharmacol Toxicol Methods. 2019 May-Jun;97:52-58. doi: 10.1016/j.vascn.2019.03.004. Epub 2019 Mar 26.

Abstract

Seizures are amongst the most frequent neurological issues encountered in pre-clinical safety testing. The objective was to characterize EEG morphologies and premonitory signs in drug-induced seizures in preclinical species. A comparative (inter-species) retrospective analysis for drug-induced seizures recorded by video-telemetry was conducted in rats (n = 53), dogs (n = 195), and non-human primates (n = 234). The most frequent premonitory signs were, in rats, myoclonus (100%), tremors (93%), salivation (75%), partial ptosis (58%) and chewing/bruxism (58%); in dogs, tremors (77%), ataxia/uncoordination (60%), myoclonus (45%), salivation (43%), excessive licking (38%), high vocalization (38%) and decreased activity (34%); in non-human primates, tremors (79%), decreased activity (70%), myoclonus (57%), retching/emesis (37%), hunched posture (30%) and ataxia/uncoordination (27%). Seizure duration ranged from 3 s to 14 min with an average of 46 ± 21 s, comparable across species. At seizure onset, spike frequency averaged 9.4 Hz for the three species compared to 4.3 Hz at seizure end. Peak average amplitudes were attained at mid-seizure and amplitudes at seizure end decreased from peak but remained higher than onset amplitudes. Spike duration was inversely correlated with frequency and presented a crescendo pattern. Morphological characteristics can serve to refine automated EEG analysis. From a regulatory perspective, the most common paradigm is to use the most sensitive species in seizure liability studies but translational potential and clinical relevance may be under represented in the decision making process in some cases. EEG morphologies during drug-induced seizures presented remarkable similarities between species and tremors were identified as a predominant premonitory clinical sign in all species.

摘要

癫痫发作是临床前安全性测试中最常见的神经系统问题之一。目的是描述临床前物种药物诱发癫痫发作时的脑电图形态和先兆体征。对通过视频遥测记录的药物诱发癫痫发作进行了一项比较性(种间)回顾性分析,涉及大鼠(n = 53)、犬(n = 195)和非人灵长类动物(n = 234)。最常见的先兆体征在大鼠中为肌阵挛(100%)、震颤(93%)、流涎(75%)、部分眼睑下垂(58%)和咀嚼/磨牙(58%);在犬中为震颤(77%)、共济失调/不协调(60%)、肌阵挛(45%)、流涎(43%)、过度舔舐(38%)、高声吠叫(38%)和活动减少(34%);在非人灵长类动物中为震颤(79%)、活动减少(70%)、肌阵挛(57%)、干呕/呕吐(37%)、弓背姿势(30%)和共济失调/不协调(27%)。癫痫发作持续时间为3秒至14分钟,平均为46±21秒,各物种间相当。癫痫发作开始时,三种物种的棘波频率平均为9.4赫兹,而癫痫发作结束时为4.3赫兹。平均峰值振幅在癫痫发作中期达到,癫痫发作结束时的振幅从峰值下降,但仍高于发作开始时的振幅。棘波持续时间与频率呈负相关,并呈现出渐强模式。形态学特征有助于完善脑电图自动分析。从监管角度来看,最常见的模式是在癫痫发作易感性研究中使用最敏感的物种,但在某些情况下,转化潜力和临床相关性在决策过程中可能未得到充分体现。药物诱发癫痫发作期间的脑电图形态在物种间呈现出显著相似性,震颤被确定为所有物种中主要的先兆临床体征。

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