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辅酶Q10缺乏导致癫痫患者癫痫发作的持续时间和频率增加。

Coenzyme Q10 Insufficiency Contributes to the Duration and Frequency of Seizures in Epileptic Patients.

作者信息

Simani Leila, Rezaei Omidvar, Ryan Fari, Sadeghi Masoumeh, Hooshmandi Etrat, Ramezani Mahtab, Pakdaman Hossin

机构信息

Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Brain Mapping Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Basic Clin Neurosci. 2020 Nov-Dec;11(6):765-771. doi: 10.32598/bcn.11.6.1100.1. Epub 2020 Nov 1.

DOI:10.32598/bcn.11.6.1100.1
PMID:33850613
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8019840/
Abstract

INTRODUCTION

Oxidative stress has recently emerged as a possible mechanism in the pathogenesis of epilepsy. Coenzyme Q10 (CoQ10) is a strong endogenous antioxidant that protects cells from lipid oxidation and Reactive Oxygen Species (ROS) production; however, the impact of CoQ10 on seizure characteristics in epileptic patients is unclear.

METHODS

The current study enrolled patients with Epileptic Seizure (ES) to evaluate their serum concentration of CoQ10 and to investigate whether a relationship exists between CoQ10 levels with the duration, frequency, and type of seizure.

RESULTS

A total of 39 patients with epileptic seizures and 35 healthy controls were included in the study. The levels of CoQ10 in ES patients were significantly lower in comparison with healthy controls (11.99±5.93 vs (ng/ml). 16.48±4.20 (ng/ml) P<0.001). We also found that the duration of epilepsy and seizure frequency was negatively correlated with serum CoQ10 levels.

CONCLUSION

These findings indicate that CoQ10 deficiency might substantially contribute to the clinical signs of epileptic patients.

摘要

引言

氧化应激最近已成为癫痫发病机制中的一种可能机制。辅酶Q10(CoQ10)是一种强大的内源性抗氧化剂,可保护细胞免受脂质氧化和活性氧(ROS)生成的影响;然而,CoQ10对癫痫患者发作特征的影响尚不清楚。

方法

本研究纳入癫痫发作(ES)患者,以评估其血清CoQ10浓度,并调查CoQ10水平与发作持续时间、频率和类型之间是否存在关系。

结果

本研究共纳入39例癫痫发作患者和35例健康对照。与健康对照相比,ES患者的CoQ10水平显著降低(11.99±5.93 vs(纳克/毫升)。16.48±4.20(纳克/毫升)P<0.001)。我们还发现癫痫持续时间和发作频率与血清CoQ10水平呈负相关。

结论

这些发现表明,CoQ10缺乏可能在很大程度上导致癫痫患者的临床症状。

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本文引用的文献

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Serum Coenzyme Q10 Is Associated with Clinical Neurological Outcomes in Acute Stroke Patients.血清辅酶 Q10 与急性脑卒中患者的临床神经结局相关。
J Mol Neurosci. 2018 Sep;66(1):53-58. doi: 10.1007/s12031-018-1115-1. Epub 2018 Aug 9.
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Neuroprotective mechanism of Coenzyme Q10 (CoQ10) against PTZ induced kindling and associated cognitive dysfunction: Possible role of microglia inhibition.辅酶Q10(CoQ10)对戊四氮诱导的点燃及相关认知功能障碍的神经保护机制:小胶质细胞抑制的可能作用
Pharmacol Rep. 2016 Dec;68(6):1301-1311. doi: 10.1016/j.pharep.2016.07.005. Epub 2016 Jul 22.
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Neuroprotection and antioxidants.神经保护与抗氧化剂
Neural Regen Res. 2016 Jun;11(6):865-74. doi: 10.4103/1673-5374.184447.
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Antioxidants as a preventive treatment for epileptic process: a review of the current status.抗氧化剂作为癫痫过程的预防性治疗:现状综述
Curr Neuropharmacol. 2014 Dec;12(6):527-50. doi: 10.2174/1570159X12666140923205715.
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Serum antioxidant enzymes activities and oxidative stress levels in patients with acute ischemic stroke: influence on neurological status and outcome.急性缺血性脑卒中患者血清抗氧化酶活性及氧化应激水平:对神经状态和预后的影响
Wien Klin Wochenschr. 2016 Mar;128(5-6):169-74. doi: 10.1007/s00508-015-0742-6. Epub 2015 Apr 9.
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Oxidative stress associated with neuronal apoptosis in experimental models of epilepsy.癫痫实验模型中与神经元凋亡相关的氧化应激。
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