Abolishing spontaneous epileptiform activity in human brain tissue through AMPA receptor inhibition.


Journal

Annals of clinical and translational neurology
ISSN: 2328-9503
Titre abrégé: Ann Clin Transl Neurol
Pays: United States
ID NLM: 101623278

Informations de publication

Date de publication:
06 2020
Historique:
received: 10 01 2020
revised: 04 03 2020
accepted: 05 03 2020
pubmed: 20 5 2020
medline: 20 4 2021
entrez: 20 5 2020
Statut: ppublish

Résumé

The amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor (AMPAR) is increasingly recognized as a therapeutic target in drug-refractory pediatric epilepsy. Perampanel (PER) is a non-competitive AMPAR antagonist, and pre-clinical studies have shown the AMPAR-mediated anticonvulsant effects of decanoic acid (DEC), a major medium-chain fatty acid provided in the medium-chain triglyceride ketogenic diet. Using brain tissue resected from children with intractable epilepsy, we recorded the effects of PER and DEC in vitro. We found resected pediatric epilepsy tissue exhibits spontaneous epileptic activity in vitro, and showed that DEC and PER inhibit this epileptiform activity in local field potential recordings as well as excitatory synaptic transmission. This study confirms AMPAR antagonists inhibit epileptiform discharges in brain tissue resected in a wide range of pediatric epilepsies.

Identifiants

pubmed: 32426918
doi: 10.1002/acn3.51030
pmc: PMC7318092
doi:

Substances chimiques

Anticonvulsants 0
Decanoic Acids 0
Nitriles 0
Pyridones 0
Receptors, AMPA 0
decanoic acid 4G9EDB6V73
perampanel H821664NPK

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

883-890

Informations de copyright

© 2020 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association.

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Auteurs

Sukhvir K Wright (SK)

Aston Neuroscience Institute, School of Life and Health Sciences, Aston University, Birmingham, UK.
Department of Paediatric Neurology, The Birmingham Women's and Children's Hospital NHS Foundation Trust, Birmingham, UK.

Max A Wilson (MA)

Aston Neuroscience Institute, School of Life and Health Sciences, Aston University, Birmingham, UK.

Richard Walsh (R)

Department of Paediatric Neurosurgery, The Birmingham Women's and Children's Hospital NHS Foundation Trust, Birmingham, UK.

William B Lo (WB)

Department of Paediatric Neurosurgery, The Birmingham Women's and Children's Hospital NHS Foundation Trust, Birmingham, UK.

Nilesh Mundil (N)

Department of Paediatric Neurosurgery, The Birmingham Women's and Children's Hospital NHS Foundation Trust, Birmingham, UK.

Shakti Agrawal (S)

Department of Paediatric Neurology, The Birmingham Women's and Children's Hospital NHS Foundation Trust, Birmingham, UK.

Sunny Philip (S)

Department of Paediatric Neurology, The Birmingham Women's and Children's Hospital NHS Foundation Trust, Birmingham, UK.

Stefano Seri (S)

Aston Neuroscience Institute, School of Life and Health Sciences, Aston University, Birmingham, UK.
Department of Clinical Neurophysiology, The Birmingham Women's and Children's Hospital, NHS Foundation Trust, Birmingham, UK.

Stuart D Greenhill (SD)

Aston Neuroscience Institute, School of Life and Health Sciences, Aston University, Birmingham, UK.

Gavin L Woodhall (GL)

Aston Neuroscience Institute, School of Life and Health Sciences, Aston University, Birmingham, UK.

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