. Laboratory of Physiology of Reticular Formation, National Institute of Neurology and Neurosurgery-MVS, Insurgentes Sur 3877, La Fama, 14269 Mexico City, Mexico.
. Epilepsy Clinic, Hospital General de México Dr. Eduardo Liceaga. Dr. Balmis 148, Doctores, 06720 Mexico City, Mexico.
Int J Mol Sci. 2020 Nov 13;21(22):8573. doi: 10.3390/ijms21228573.
Epilepsy is a chronic brain disease that affects approximately 65 million people worldwide. However, despite the continuous development of antiepileptic drugs, over 30% patients with epilepsy progress to drug-resistant epilepsy. For this reason, it is a high priority objective in preclinical research to find novel therapeutic targets and to develop effective drugs that prevent or reverse the molecular mechanisms underlying epilepsy progression. Among these potential therapeutic targets, we highlight currently available information involving signaling pathways (Wnt/β-catenin, Mammalian Target of Rapamycin (mTOR) signaling and zinc signaling), enzymes (carbonic anhydrase), proteins (erythropoietin, copine 6 and complement system), channels (Transient Receptor Potential Vanilloid Type 1 (TRPV1) channel) and receptors (galanin and melatonin receptors). All of them have demonstrated a certain degree of efficacy not only in controlling seizures but also in displaying neuroprotective activity and in modifying the progression of epilepsy. Although some research with these specific targets has been done in relation with epilepsy, they have not been fully explored as potential therapeutic targets that could help address the unsolved issue of drug-resistant epilepsy and develop new antiseizure therapies for the treatment of epilepsy.
癫痫是一种慢性脑部疾病,影响着全球约 6500 万人。然而,尽管抗癫痫药物不断发展,仍有超过 30%的癫痫患者进展为难治性癫痫。因此,在临床前研究中找到新的治疗靶点并开发预防或逆转癫痫进展的分子机制的有效药物是一个高度优先的目标。在这些潜在的治疗靶点中,我们强调了目前涉及信号通路(Wnt/β-catenin、哺乳动物雷帕霉素靶蛋白 (mTOR) 信号和锌信号)、酶(碳酸酐酶)、蛋白质(促红细胞生成素、copine 6 和补体系统)、通道(瞬时受体电位香草酸型 1 (TRPV1) 通道)和受体(甘丙肽和褪黑素受体)的现有信息。所有这些靶点不仅在控制癫痫发作方面表现出一定的疗效,而且在显示神经保护活性和改变癫痫进展方面也具有一定的疗效。尽管针对这些特定靶点的一些研究已经在癫痫方面进行了,但它们尚未被充分探索作为潜在的治疗靶点,以帮助解决耐药性癫痫这一尚未解决的问题,并为癫痫的治疗开发新的抗癫痫疗法。