Voronkova K V, Alieva A M, Nikitin I G, Musina G M, Surskaya E V, Zaitseva O S, Mashkevich N G, Gomonova L V, Petrukhin A S
Pirogov Russian National Research Medical University, Moscow, Russia.
Petrovsky Russian Scientific Center for Surgery, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2023;123(2):151-157. doi: 10.17116/jnevro2023123021151.
Epilepsy is one of the most studied chronic neurological disorders in the world. Despite significant progress in epilepsy research, some patients continue to experience recurrent seizures. It has been proven that oxidative stress plays an important role in epilepsy. Targeting oxidative stress may provide a novel therapeutic intervention to attenuate epileptogenesis as well as cognitive and psychiatric impairment in patients with epilepsy. One of the promising directions in the search for new strategies for the treatment of epilepsy is the combined use of antiepileptic drugs with antioxidants that affect the pathogenetic links of this disease. The new Russian antiepileptic drug fenosanoic acid (Dibufelon) has an anticonvulsant effect due to the inhibition of lipid peroxidation of brain cells and the reconstruction of cell membranes. This mechanism of action also paves the way for an increase in the effectiveness of co-administered drugs with phenosanoic acid. The effect of the drug on the cognitive and mental functions of patients, the regression of asthenia phenomena is also observed. The clinical efficacy and safety of the combination of this drug with other antiepileptic drugs in epilepsy has been demonstrated in experimental and clinical studies.
癫痫是世界上研究最多的慢性神经系统疾病之一。尽管癫痫研究取得了重大进展,但一些患者仍会反复发作。事实证明,氧化应激在癫痫中起着重要作用。针对氧化应激可能提供一种新的治疗干预措施,以减轻癫痫患者的癫痫发生以及认知和精神障碍。寻找癫痫治疗新策略的一个有前景的方向是将抗癫痫药物与影响该疾病发病机制环节的抗氧化剂联合使用。俄罗斯新型抗癫痫药物非诺沙诺酸(地布氟龙)由于抑制脑细胞脂质过氧化和重建细胞膜而具有抗惊厥作用。这种作用机制也为增加与非诺沙诺酸联合使用药物的有效性铺平了道路。还观察到该药物对患者认知和心理功能的影响,以及乏力现象的消退。该药物与其他抗癫痫药物联合治疗癫痫的临床疗效和安全性已在实验和临床研究中得到证实。