摘要
3-羟基-3-甲戊二酰辅酶A(HMG-CoA)还原酶抑制剂(他汀)是强效的降胆固醇药,它也具有有益的抗氧化剂,抗炎,免疫调节,抗兴奋性毒性的作用。而且,他汀被证明对一些神经病具有神经保护作用,如:中风,局部脑缺血,老年痴呆,帕金森病,多发性硬化和脑外伤。相对地,关于他汀对癫痫的潜在抗惊厥作用和可能涉及的潜在保护机理的研究开展得很少。这篇综述总结了关于他汀调节癫痫发作(有时是不利的)以及在不同试验模型和临床研究中的癫痫发生的最新数据。此外,我们分析了文献中一些较普遍被报道的他汀类解痉药的相互作用的结果,我们还讨论了临床实践中遇到的一些他汀的不良反应和对他汀治疗癫痫潜在有效性的的意见。
关键词: 不良反应,阿托伐他汀,癫痫发生,氟伐他汀,洛伐他汀,普伐他汀,惊厥,辛伐他汀,他汀类抗癫痫药(AED)相互作用,他汀。
图形摘要
Current Drug Targets
Title:Statins and epilepsy: preclinical studies, clinical trials and statin-anticonvulsant drug interactions
Volume: 16 Issue: 7
Author(s): Francesca Scicchitano, Andrew Constanti, Rita Citraro, Giovambattista De Sarro and Emilio Russo
Affiliation:
关键词: 不良反应,阿托伐他汀,癫痫发生,氟伐他汀,洛伐他汀,普伐他汀,惊厥,辛伐他汀,他汀类抗癫痫药(AED)相互作用,他汀。
摘要: 3-hydroxy-3-methylglutaryl-CoA (HMG-CoA) reductase inhibitors (statins) are potent cholesterol- lowering drugs which also possess beneficial antioxidant, antiinflammatory, immunomodulatory, and antiexcitotoxic effects. In addition, statins have proven neuroprotective effects in several neurological diseases: stroke, cerebral ischemia, Alzheimer’s and Parkinson’s disease, multiple sclerosis and traumatic brain injury. Relatively few studies have investigated the potential anti-seizure properties of statins in epilepsy and the possible underlying protective mechanisms that may be involved. This review summarizes the currently available data concerning statin effects in modulating seizure activity (sometimes adversely) and epileptogenesis in different experimental models as well as in clinical studies. Furthermore, we analyze the consequences of some of the more commonly reported statin–anticonvulsant drug interactions in the literature, discuss some of the adverse effects of statins encountered in clinical practice and comment on the potential future usefulness of statins in epilepsy therapy.
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Cite this article as:
Francesca Scicchitano, Andrew Constanti, Rita Citraro, Giovambattista De Sarro and Emilio Russo , Statins and epilepsy: preclinical studies, clinical trials and statin-anticonvulsant drug interactions , Current Drug Targets 2015; 16 (7) . https://dx.doi.org/10.2174/1389450116666150330114850
DOI https://dx.doi.org/10.2174/1389450116666150330114850 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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