Department of Cell Biology and Physiology.
Neuroscience Center.
J Clin Invest. 2019 Dec 2;129(12):5462-5467. doi: 10.1172/JCI130419.
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.
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。