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癫痫持续状态下细胞死亡途径的机制及相关治疗药物

Mechanism of cell death pathways in status epilepticus and related therapeutic agents.

作者信息

Du Ke, He Miao, Zhao Dongyi, Wang Yuting, Ma Chao, Liang Hongyue, Wang Wuyang, Min Dongyu, Xue Lei, Guo Feng

机构信息

Department of Pharmacology, School of Pharmaceutical Science, China Medical University, Shenyang 110001, China.

Department of Pharmaceutical Toxicology, School of Pharmaceutical Science, China Medical University, Shenyang 110001, China.

出版信息

Biomed Pharmacother. 2022 May;149:112875. doi: 10.1016/j.biopha.2022.112875. Epub 2022 Mar 31.

Abstract

The most severe form of epilepsy, status epilepticus (SE), causes brain damage and results in the development of recurring seizures. Currently, the management of SE remains a clinical challenge because patients do not respond adequately to conventional treatments. Evidence suggests that neural cell death worsens the occurrence and progression of SE. The main forms of cell death are apoptosis, necroptosis, pyroptosis, and ferroptosis. Herein, these mechanisms of neuronal death in relation to SE and the alleviation of SE by potential modulators that target neuronal death have been reviewed. An understanding of these pathways and their possible roles in SE may assist in the development of SE therapies and in the discovery of new agents.

摘要

癫痫最严重的形式即癫痫持续状态(SE),会导致脑损伤并引发癫痫反复发作。目前,癫痫持续状态的治疗仍是一项临床挑战,因为患者对传统治疗反应不佳。有证据表明,神经细胞死亡会使癫痫持续状态的发生和进展恶化。细胞死亡的主要形式包括凋亡、坏死性凋亡、细胞焦亡和铁死亡。本文综述了与癫痫持续状态相关的神经元死亡机制,以及靶向神经元死亡的潜在调节剂对癫痫持续状态的缓解作用。了解这些途径及其在癫痫持续状态中可能发挥的作用,或许有助于开发癫痫持续状态的治疗方法并发现新药物。

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