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转化兽医癫痫学:人类神经学与兽医神经学的双赢局面。

Translational veterinary epilepsy: A win-win situation for human and veterinary neurology.

作者信息

Charalambous Marios, Fischer Andrea, Potschka Heidrun, Walker Matthew C, Raedt Robrecht, Vonck Kristl, Boon Paul, Lohi Hannes, Löscher Wolfgang, Worrell Gregory, Leeb Tosso, McEvoy Andrew, Striano Pasquale, Kluger Gerhard, Galanopoulou Aristea S, Volk Holger A, Bhatti Sofie F M

机构信息

Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Hannover 30559, Germany.

Centre for Clinical Veterinary Medicine, Ludwig-Maximilians-University Munich, Munich 80539, Germany.

出版信息

Vet J. 2023 Mar;293:105956. doi: 10.1016/j.tvjl.2023.105956. Epub 2023 Feb 13.

Abstract

Epilepsy is a challenging multifactorial disorder with a complex genetic background. Our current understanding of the pathophysiology and treatment of epilepsy has substantially increased due to animal model studies, including canine studies, but additional basic and clinical research is required. Drug-resistant epilepsy is an important problem in both dogs and humans, since seizure freedom is not achieved with the available antiseizure medications. The evaluation and exploration of pharmacological and particularly non-pharmacological therapeutic options need to remain a priority in epilepsy research. Combined efforts and sharing knowledge and expertise between human medical and veterinary neurologists are important for improving the treatment outcomes or even curing epilepsy in dogs. Such interactions could offer an exciting approach to translate the knowledge gained from people and rodents to dogs and vice versa. In this article, a panel of experts discusses the similarities and knowledge gaps in human and animal epileptology, with the aim of establishing a common framework and the basis for future translational epilepsy research.

摘要

癫痫是一种具有挑战性的多因素疾病,其遗传背景复杂。由于包括犬类研究在内的动物模型研究,我们目前对癫痫病理生理学和治疗的理解有了显著提高,但仍需要更多的基础和临床研究。耐药性癫痫在犬类和人类中都是一个重要问题,因为现有的抗癫痫药物无法实现无癫痫发作。在癫痫研究中,评估和探索药理学尤其是非药理学治疗选择仍应是优先事项。人类医学和兽医神经学家共同努力并分享知识和专业技能,对于改善犬类癫痫的治疗效果甚至治愈癫痫至关重要。这种互动可以提供一种令人兴奋的方法,将从人类和啮齿动物获得的知识转化为犬类的知识,反之亦然。在本文中,一组专家讨论了人类和动物癫痫学的相似之处和知识差距,旨在建立一个共同框架以及未来转化性癫痫研究的基础。

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