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声源性癫痫中的大麻素:从神经网络到癫痫治疗的未来展望

Cannabinoids in Audiogenic Seizures: From Neuronal Networks to Future Perspectives for Epilepsy Treatment.

作者信息

Lazarini-Lopes Willian, Do Val-da Silva Raquel A, da Silva-Júnior Rui M P, Cunha Alexandra O S, Garcia-Cairasco Norberto

机构信息

Neuroscience and Behavioral Sciences Department, Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil.

Neurophysiology and Experimental Neuroethology Laboratory (LNNE), Physiology Department, Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil.

出版信息

Front Behav Neurosci. 2021 Feb 11;15:611902. doi: 10.3389/fnbeh.2021.611902. eCollection 2021.

Abstract

Cannabinoids and -derived compounds have been receiving especial attention in the epilepsy research scenario. Pharmacological modulation of endocannabinoid system's components, like cannabinoid type 1 receptors (CB1R) and their bindings, are associated with seizures in preclinical models. CB1R expression and functionality were altered in humans and preclinical models of seizures. Additionally, -derived compounds, like cannabidiol (CBD), present anticonvulsant activity in humans and in a great variety of animal models. Audiogenic seizures (AS) are induced in genetically susceptible animals by high-intensity sound stimulation. Audiogenic strains, like the Genetically Epilepsy Prone Rats, Wistar Audiogenic Rats, and Krushinsky-Molodkina, are useful tools to study epilepsy. In audiogenic susceptible animals, acute acoustic stimulation induces brainstem-dependent wild running and tonic-clonic seizures. However, during the chronic protocol of AS, the audiogenic kindling (AuK), limbic and cortical structures are recruited, and the initially brainstem-dependent seizures give rise to limbic seizures. The present study reviewed the effects of pharmacological modulation of the endocannabinoid system in audiogenic seizure susceptibility and expression. The effects of -derived compounds in audiogenic seizures were also reviewed, with especial attention to CBD. CB1R activation, as well -derived compounds, induced anticonvulsant effects against audiogenic seizures, but the effects of cannabinoids modulation and -derived compounds still need to be verified in chronic audiogenic seizures. The effects of cannabinoids and -derived compounds should be further investigated not only in audiogenic seizures, but also in epilepsy related comorbidities present in audiogenic strains, like anxiety, and depression.

摘要

大麻素及其衍生化合物在癫痫研究领域受到了特别关注。内源性大麻素系统成分的药理学调节,如大麻素1型受体(CB1R)及其结合,与临床前模型中的癫痫发作有关。在人类和癫痫发作的临床前模型中,CB1R的表达和功能发生了改变。此外,大麻素衍生化合物,如大麻二酚(CBD),在人类和多种动物模型中具有抗惊厥活性。通过高强度声音刺激在基因易感性动物中诱发听源性癫痫发作(AS)。听源性品系,如遗传性癫痫易感大鼠、Wistar听源性大鼠和Krushinsky-Molodkina大鼠,是研究癫痫的有用工具。在听源性易感动物中,急性声刺激会诱发脑干依赖性的狂奔和强直阵挛性癫痫发作。然而,在AS的慢性实验方案中,即听源性点燃(AuK)过程中,边缘和皮质结构被激活,最初依赖脑干的癫痫发作会引发边缘性癫痫发作。本研究综述了内源性大麻素系统的药理学调节对听源性癫痫易感性和表达的影响。还综述了大麻素衍生化合物在听源性癫痫发作中的作用,特别关注了CBD。CB1R激活以及大麻素衍生化合物对听源性癫痫发作具有抗惊厥作用,但大麻素调节和大麻素衍生化合物在慢性听源性癫痫发作中的作用仍需验证。大麻素及其衍生化合物的作用不仅应在听源性癫痫发作中进一步研究,还应在听源性品系中存在的癫痫相关合并症,如焦虑和抑郁中进行研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f41/7904685/40dc0fd4c265/fnbeh-15-611902-g0001.jpg

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