Anticonvulsant Drug Development (ADD) Program, Department of Pharmacology & Toxicology, University of Utah, USA.
Neuropharmacology. 2020 Apr;166:107811. doi: 10.1016/j.neuropharm.2019.107811. Epub 2019 Nov 30.
The Epilepsy Therapy Screening Program (ETSP), formerly known as the Anticonvulsant Screening Program (ASP), has played an important role in the preclinical evaluation of many of the antiseizure drugs (ASDs) that have been approved by the FDA and thus made available for the treatment of seizures. Recent changes to the animal models used at the contract site of the ETSP at the University of Utah have been implemented in an attempt to better model the unmet clinical needs of people with pharmacoresistant epilepsy and thus identify improved therapies. In this review, we describe the changes that have occurred over the last several years in the screening approach used at the contract site and, in particular, detail the pharmacology associated with several of the animal models and assays that are either new to the program or have been recently characterized in more depth. There is optimism that the refined approach used by the ETSP contract site, wherein etiologically relevant models that include those with spontaneous seizures are used, will identify novel, potentially disease modifying therapies for people with pharmacoresistant epilepsy and those at risk for developing epilepsy. This article is part of the special issue entitled 'New Epilepsy Therapies for the 21st Century - From Antiseizure Drugs to Prevention, Modification and Cure of Epilepsy'.
癫痫治疗筛选计划(ETSP),前称抗惊厥筛选计划(ASP),在许多已获美国食品药品监督管理局(FDA)批准并可用于治疗癫痫的抗癫痫药物(ASD)的临床前评估中发挥了重要作用。犹他大学 ETSP 合同研究点最近对所使用的动物模型进行了修改,试图更好地模拟对耐药性癫痫患者未满足的临床需求,从而识别出更好的治疗方法。在这篇综述中,我们描述了过去几年中合同研究点在筛选方法上的变化,特别是详细介绍了与几个动物模型和检测方法相关的药理学知识,这些模型和检测方法要么是该项目的新内容,要么最近进行了更深入的描述。人们乐观地认为,ETSP 合同研究点使用的改良方法,包括使用具有自发性癫痫的病因相关模型,将为耐药性癫痫患者以及有癫痫发病风险的患者确定新的、潜在的疾病修正治疗方法。本文是题为“21 世纪的新型癫痫治疗方法 - 从抗癫痫药物到癫痫的预防、治疗和治愈”的特刊的一部分。