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用于治疗犬特发性癫痫的石杉碱缓释制剂——病例报告

Extended release huperzine for the treatment of idiopathic epilepsy in dogs - a Case Report.

作者信息

Grant Kylie L, Long Sam N

机构信息

Veterinary Referral Hospital, Melbourne, VIC, Australia.

出版信息

Front Vet Sci. 2025 Mar 13;12:1518379. doi: 10.3389/fvets.2025.1518379. eCollection 2025.

DOI:10.3389/fvets.2025.1518379
PMID:40151570
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11948622/
Abstract

Huperzine is a naturally occurring alkaloid derived from the Chinese clubmoss . It is a potent acetylcholinesterase inhibitor, among other properties, and has demonstrated protection against induced seizures in a mouse model of Dravet's syndrome as well as nerve-agent induced seizures and is being explored as a novel anticonvulsant in a human clinical trial for focal impaired awareness seizures. It is also being explored as a treatment for Alzheimer's, via neuroprotective effects and an ability to ameliorate neuroinflammation. Here we present a case series of 6 dogs with idiopathic epilepsy treated with huperzine to investigate this potential novel anticonvulsant. Despite a 50% drop out rate over the course of the study due to various causes including unexplained death, humane euthanasia and systemic disease, huperzine was generally well tolerated and showed some positive effects on demeanor. This study highlights the need for more research to investigate its efficacy as a novel antiepileptic medication in dogs.

摘要

石杉碱是一种从中国石松中提取的天然生物碱。它是一种强效的乙酰胆碱酯酶抑制剂,具有多种特性,在德雷维特综合征小鼠模型以及神经毒剂诱发的癫痫发作中均显示出对诱发癫痫的保护作用,目前正在一项针对局灶性意识障碍性癫痫发作的人体临床试验中作为一种新型抗惊厥药物进行探索。它还通过神经保护作用和改善神经炎症的能力,被探索用于治疗阿尔茨海默病。在此,我们展示了一个用石杉碱治疗6只特发性癫痫犬的病例系列,以研究这种潜在的新型抗惊厥药物。尽管在研究过程中由于各种原因,包括不明原因死亡、安乐死和全身性疾病,有50%的脱落率,但石杉碱总体耐受性良好,并对犬的行为表现出一些积极影响。这项研究强调需要更多研究来调查其作为犬类新型抗癫痫药物的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4504/11948622/5d06b45b4f29/fvets-12-1518379-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4504/11948622/cb93697ec5a9/fvets-12-1518379-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4504/11948622/dddfe519ad0b/fvets-12-1518379-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4504/11948622/5d06b45b4f29/fvets-12-1518379-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4504/11948622/cb93697ec5a9/fvets-12-1518379-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4504/11948622/dddfe519ad0b/fvets-12-1518379-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4504/11948622/5d06b45b4f29/fvets-12-1518379-g003.jpg

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本文引用的文献

1
Long-term outcome of epileptic dogs treated with implantable vagus nerve stimulators.植入式迷走神经刺激器治疗癫痫犬的长期疗效。
J Vet Intern Med. 2023 Nov-Dec;37(6):2102-2108. doi: 10.1111/jvim.16908. Epub 2023 Oct 20.
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Probable Sudden Unexpected Death in Dogs With Epilepsy (pSUDED).癫痫犬可能的突然意外死亡(pSUDED)
Front Vet Sci. 2021 Apr 27;8:600307. doi: 10.3389/fvets.2021.600307. eCollection 2021.
3
Huperzine A ameliorates cognitive dysfunction and neuroinflammation in kainic acid-induced epileptic rats by antioxidant activity and NLRP3/caspase-1 pathway inhibition.
石杉碱甲通过抗氧化活性和抑制NLRP3/半胱天冬酶-1途径改善红藻氨酸诱导的癫痫大鼠的认知功能障碍和神经炎症。
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4
Huperzine A: A promising anticonvulsant, disease modifying, and memory enhancing treatment option in Alzheimer's disease.石杉碱甲:一种治疗阿尔茨海默病的、有前景的抗惊厥、改善疾病及增强记忆的治疗选择。
Med Hypotheses. 2017 Feb;99:57-62. doi: 10.1016/j.mehy.2016.12.006. Epub 2016 Dec 22.
5
Huperzine A Provides Robust and Sustained Protection against Induced Seizures in Mutant Mice.石杉碱甲为突变小鼠的诱发性癫痫提供强大而持久的保护。
Front Pharmacol. 2016 Oct 17;7:357. doi: 10.3389/fphar.2016.00357. eCollection 2016.
6
Evaluation of the in vitro and in vivo metabolic pathway and cytochrome P450 inhibition/induction profile of Huperzine A.石杉碱甲的体外和体内代谢途径及细胞色素P450抑制/诱导谱的评估。
Biochem Biophys Res Commun. 2016 Nov 11;480(2):248-253. doi: 10.1016/j.bbrc.2016.10.039. Epub 2016 Oct 15.
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Quality-of-life aspects in idiopathic epilepsy in dogs.犬特发性癫痫的生活质量方面
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2015 ACVIM Small Animal Consensus Statement on Seizure Management in Dogs.2015年美国兽医内科学会犬癫痫发作管理小动物共识声明。
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