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Cannabidiol attenuates seizures and EEG abnormalities in Angelman syndrome model mice.大麻二酚可减轻 Angelman 综合征模型小鼠的癫痫发作和脑电图异常。
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2
Evaluation of Cannabidiol in Animal Seizure Models by the Epilepsy Therapy Screening Program (ETSP).癫痫治疗筛选项目(ETSP)对动物癫痫模型中大麻二酚的评估。
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3
Cannabidiol reduces seizures and associated behavioral comorbidities in a range of animal seizure and epilepsy models.大麻二酚可减少多种动物癫痫发作和癫痫模型中的癫痫发作和相关行为共病。
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Efficacy of the FDA-approved cannabidiol on the development and persistence of temporal lobe epilepsy and complex focal onset seizures.美国食品和药物管理局批准的大麻二酚对颞叶癫痫和复杂部分性发作性癫痫的发展和持续的疗效。
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Cannabidiol (CBD) reduces anxiety-related behavior in mice via an FMRP-independent mechanism.大麻二酚(CBD)通过一种不依赖于脆性 X 智力低下蛋白(FMRP)的机制减少小鼠的焦虑相关行为。
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The anticonvulsant effects of cannabidiol in experimental models of epileptic seizures: From behavior and mechanisms to clinical insights.大麻二酚在癫痫发作实验模型中的抗惊厥作用:从行为和机制到临床见解。
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Cannabidiol exerts anti-convulsant effects in animal models of temporal lobe and partial seizures.大麻二酚在颞叶和部分癫痫发作的动物模型中发挥抗惊厥作用。
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Perceived efficacy of cannabidiol-enriched cannabis extracts for treatment of pediatric epilepsy: A potential role for infantile spasms and Lennox-Gastaut syndrome.富含大麻二酚的大麻提取物治疗小儿癫痫的感知疗效:对婴儿痉挛症和伦诺克斯-加斯托综合征的潜在作用。
Epilepsy Behav. 2015 Jun;47:138-41. doi: 10.1016/j.yebeh.2015.04.009. Epub 2015 Apr 29.

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1
Acute administration of lovastatin had no pronounced effect on motor abilities, motor coordination, gait nor simple cognition in a mouse model of Angelman syndrome.在天使综合征小鼠模型中,急性给予洛伐他汀对运动能力、运动协调性、步态或简单认知均无显著影响。
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Peptidomimetic inhibitors targeting TrkB/PSD-95 signaling improves cognition and seizure outcomes in an Angelman Syndrome mouse model.靶向TrkB/PSD-95信号通路的拟肽抑制剂可改善天使综合征小鼠模型的认知和癫痫发作结果。
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Cannabidiol ameliorates mitochondrial disease via PPARγ activation in preclinical models.大麻二酚通过激活过氧化物酶体增殖物激活受体γ改善临床前模型中的线粒体疾病。
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Successful use of cannabidiol in nonconvulsive status epilepticus in Angelman syndrome.大麻二酚在天使综合征非惊厥性癫痫持续状态中的成功应用。
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Trans-ancestry epigenome-wide association meta-analysis of DNA methylation with lifetime cannabis use.全血统外显子组关联荟萃分析 DNA 甲基化与终生大麻使用的关系。
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Appl Clin Genet. 2023 Apr 6;16:41-52. doi: 10.2147/TACG.S372708. eCollection 2023.
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Optogenetic and chemogenetic manipulation of seizure threshold in mice.光遗传学和化学遗传学调控小鼠癫痫发作阈值。
STAR Protoc. 2023 Mar 17;4(1):102019. doi: 10.1016/j.xpro.2022.102019. Epub 2023 Jan 12.
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Advances and Challenges of Cannabidiol as an Anti-Seizure Strategy: Preclinical Evidence.大麻二酚作为抗癫痫策略的进展和挑战:临床前证据。
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Cannabidiol reveals a disruptive strategy for 21st century epilepsy drug discovery.大麻二酚揭示了 21 世纪癫痫药物发现的颠覆性策略。
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Promising therapeutic aspects in human genetic imprinting disorders.人类遗传印记疾病的治疗前景。
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本文引用的文献

1
Electrophysiological Phenotype in Angelman Syndrome Differs Between Genotypes.Angelman 综合征不同基因型的电生理表型存在差异。
Biol Psychiatry. 2019 May 1;85(9):752-759. doi: 10.1016/j.biopsych.2019.01.008. Epub 2019 Jan 19.
2
Long-term cannabidiol treatment in patients with Dravet syndrome: An open-label extension trial.Dravet 综合征患者的长期大麻二醇治疗:一项开放性扩展试验。
Epilepsia. 2019 Feb;60(2):294-302. doi: 10.1111/epi.14628. Epub 2018 Dec 23.
3
A Systematic Review on the Pharmacokinetics of Cannabidiol in Humans.大麻二酚在人体中药代动力学的系统评价。
Front Pharmacol. 2018 Nov 26;9:1365. doi: 10.3389/fphar.2018.01365. eCollection 2018.
4
Ube3a reinstatement mitigates epileptogenesis in Angelman syndrome model mice.UBE3A 重新表达缓解 Angelman 综合征模型小鼠的癫痫发生。
J Clin Invest. 2019 Jan 2;129(1):163-168. doi: 10.1172/JCI120816. Epub 2018 Nov 19.
5
A behavioral test battery for mouse models of Angelman syndrome: a powerful tool for testing drugs and novel mutants.用于 Angelman 综合征小鼠模型的行为测试组合:一种测试药物和新型突变体的有力工具。
Mol Autism. 2018 Sep 14;9:47. doi: 10.1186/s13229-018-0231-7. eCollection 2018.
6
Open-label use of highly purified CBD (Epidiolex®) in patients with CDKL5 deficiency disorder and Aicardi, Dup15q, and Doose syndromes.高纯度大麻二酚(Epidiolex®)在患有CDKL5缺乏症、艾卡里迪综合征、Dup15q综合征和杜斯综合征患者中的开放标签使用。
Epilepsy Behav. 2018 Sep;86:131-137. doi: 10.1016/j.yebeh.2018.05.013. Epub 2018 Jul 11.
7
Effect of Cannabidiol on Drop Seizures in the Lennox-Gastaut Syndrome.大麻二酚对 Lennox-Gastaut 综合征癫痫发作的影响。
N Engl J Med. 2018 May 17;378(20):1888-1897. doi: 10.1056/NEJMoa1714631.
8
Effect of epilepsy on autism symptoms in Angelman syndrome.癫痫对 Angelman 综合征自闭症症状的影响。
Mol Autism. 2018 Jan 8;9:2. doi: 10.1186/s13229-017-0185-1. eCollection 2018.
9
Cannabidiol attenuates seizures and social deficits in a mouse model of Dravet syndrome.大麻二酚可减轻 Dravet 综合征小鼠模型的癫痫发作和社交障碍。
Proc Natl Acad Sci U S A. 2017 Oct 17;114(42):11229-11234. doi: 10.1073/pnas.1711351114. Epub 2017 Oct 2.
10
Strain-dependence of the Angelman Syndrome phenotypes in Ube3a maternal deficiency mice.Ube3a 母源缺失小鼠 Angelman 综合征表型的应变依赖性。
Sci Rep. 2017 Aug 16;7(1):8451. doi: 10.1038/s41598-017-08825-x.

大麻二酚可减轻 Angelman 综合征模型小鼠的癫痫发作和脑电图异常。

Cannabidiol attenuates seizures and EEG abnormalities in Angelman syndrome model mice.

机构信息

Department of Cell Biology and Physiology.

Neuroscience Center.

出版信息

J Clin Invest. 2019 Dec 2;129(12):5462-5467. doi: 10.1172/JCI130419.

DOI:10.1172/JCI130419
PMID:31503547
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6877312/
Abstract

Angelman syndrome (AS) is a neurodevelopmental disorder characterized by intellectual disability, lack of speech, ataxia, EEG abnormalities, and epilepsy. Seizures in individuals with AS are common, debilitating, and often drug resistant. Thus, there is an unmet need for better treatment options. Cannabidiol (CBD), a major phytocannabinoid constituent of cannabis, has shown antiseizure activity and behavioral benefits in preclinical and clinical studies for some disorders associated with epilepsy, suggesting that the same could be true for AS. Here, we show that acute CBD (100 mg/kg) treatment attenuated hyperthermia- and acoustically induced seizures in a mouse model of AS. However, neither acute CBD nor a 2-week-long course of CBD administered immediately after a kindling protocol could halt the proepileptogenic plasticity observed in AS model mice. CBD had a dose-dependent sedative effect but did not have an impact on motor performance. CBD abrogated the enhanced intracortical local field potential power, including the delta and theta rhythms observed in AS model mice, indicating that CBD administration could also help normalize the EEG deficits observed in individuals with AS. We believe our results provide critical preclinical evidence supporting CBD treatment of seizures and alleviation of EEG abnormalities in AS and will thus help guide the rational development of CBD as a treatment for AS.

摘要

天使综合征(AS)是一种神经发育障碍,其特征为智力残疾、无法说话、共济失调、脑电图异常和癫痫。AS 患者的癫痫发作很常见,且具有致残性,且往往对药物有抗性。因此,需要更好的治疗方法。大麻素中的主要植物大麻素成分大麻二酚(CBD)在一些与癫痫相关的疾病的临床前和临床研究中显示出抗癫痫发作活性和行为益处,这表明 AS 也可能如此。在这里,我们表明急性 CBD(100mg/kg)治疗可减轻 AS 小鼠模型中的高热和听觉诱导性癫痫发作。然而,无论是急性 CBD 还是在点燃方案后立即进行的为期两周的 CBD 治疗,都无法阻止 AS 模型小鼠中观察到的致痫性可塑性。CBD 具有剂量依赖性镇静作用,但对运动表现没有影响。CBD 阻断了增强的皮质内局部场电位功率,包括 AS 模型小鼠中观察到的 delta 和 theta 节律,这表明 CBD 给药还可以帮助纠正 AS 个体中观察到的 EEG 缺陷。我们相信,我们的研究结果提供了关键的临床前证据,支持 CBD 治疗 AS 的癫痫发作和缓解 EEG 异常,并将有助于指导 CBD 作为 AS 治疗方法的合理开发。