癫癎发作生物节律的研究进展

杨雯棋, 李宏

中国当代儿科杂志 ›› 2017, Vol. 19 ›› Issue (1) : 126-129.

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中国当代儿科杂志 ›› 2017, Vol. 19 ›› Issue (1) : 126-129. DOI: 10.7499/j.issn.1008-8830.2017.01.021
综述

癫癎发作生物节律的研究进展

  • 杨雯棋, 李宏
作者信息 +

Research advances in circadian rhythm of epileptic seizures

  • YANG Wen-Qi, LI Hong
Author information +
文章历史 +

摘要

随着对癫癎研究的不断深入,癫癎发作的时相性越来越受到关注。癫癎发作存在生物节律,同一类型的癫癎在不同时间段、不同状态(睡眠/觉醒、昼夜更替)发作频率不同。癫癎生物节律的分子机制、内分泌机制相当复杂,目前存在多种假说。明确癫癎发作的生物节律,根据其发作节律予以预防及治疗,既可以有效控制癫癎发作,也可以减少药物不良反应。癫癎发作生物节律的研究将为癫癎治疗提供新的思路。

Abstract

The time phase of epileptic seizures has attracted more and more attention. Epileptic seizures have their own circadian rhythm. The same type of epilepsy has different seizure frequencies in different time periods and states (such as sleeping/awakening state and natural day/night cycle). The circadian rhythm of epileptic seizures has complex molecular and endocrine mechanisms, and currently there are several hypotheses. Clarification of the circadian rhythm of epileptic seizures and prevention and administration according to such circadian rhythm can effectively control seizures and reduce the adverse effects of drugs. The research on the circadian rhythm of epileptic seizures provides a new idea for the treatment of epilepsy.

关键词

癫癎发作 / 昼夜节律 / 分子机制 / 内分泌机制

Key words

Epileptic seizure / Circadian rhythm / Molecular mechanism / Endocrine mechanism

引用本文

导出引用
杨雯棋, 李宏. 癫癎发作生物节律的研究进展[J]. 中国当代儿科杂志. 2017, 19(1): 126-129 https://doi.org/10.7499/j.issn.1008-8830.2017.01.021
YANG Wen-Qi, LI Hong. Research advances in circadian rhythm of epileptic seizures[J]. Chinese Journal of Contemporary Pediatrics. 2017, 19(1): 126-129 https://doi.org/10.7499/j.issn.1008-8830.2017.01.021

参考文献

[1] 王春燕, 廖萍, 刘晓黎, 等. 生物钟紊乱与相关疾病关系的研究进展[J]. 临床与病理杂志, 2015, 35(4):676-680.
[2] Loddenkemper T. Chrono-epileptology:time to reconsider seizure timing[J]. Seizure, 2012, 21(6):411.
[3] Loddenkemper T, Lockley SW, Kaleyias J, et al. Chronobiology of epilepsy:diagnostic and therapeutic implications of chrono-epileptology[J]. J Clin Neurophysiol, 2011, 28(2):146-153.
[4] Cho CH. Molecular mechanism of circadian rhythmicity of seizures in temporal lobe epilepsy[J]. Front Cell Neurosci, 2012, 6:55.
[5] Wilson JV, Reynolds EH. Texts and documents. Translation and analysis of a cuneiform text forming part of a Babylonian treatise on epilepsy[J]. Med Hist, 1990, 34(2):185-198.
[6] Loddenkemper T, Vendrame M, Zarowski M, et al. Circadian patterns of pediatric seizures[J]. Neurology, 2011, 76(2):145-153.
[7] Hofstra WA, Spetgens WP, Leijten FS, et al. Diurnal rhythms in seizures detected by intracranial electrocorticographic monitoring:an observational study[J]. Epilepsy Behav, 2009, 14(4):617-621.
[8] Oostveen HV, Weerd AWD. Seizures, epilepsy, and circadian rhythms[J]. Sleep Medicine Clinics, 2012, 7(1):99-104.
[9] Loddenkemper T, Vendrame M, Zarowski M, et al. Circadian patterns of pediatric seizures[J]. Neurology, 2011, 76(2):145-153.
[10] Hofstra WA, Spetgens WP, Leijten FS, et al. Diurnal rhythms in seizures detected by intracranial electrocorticographic monitoring:an observational study[J]. Epilepsy Behav, 2009, 14(4):617-621.
[11] Unterberger I, Gabelia D, Prieschl M, et al. Sleep disorders and circadian rhythm in epilepsy revisited:a prospective controlled study[J]. Sleep Med, 2015, 16(2):237-242.
[12] Zarowski M, Loddenkemper T, Vendrame M, et al. Circadian distribution and sleep/wake patterns of generalized seizures in children[J]. Epilepsia, 2011, 52(6):1076-1083.
[13] Ramgopal S, Vendrame M, Shah A, et al. Circadian patterns of generalized tonic-clonic evolutions in pediatric epilepsy patients[J]. Seizure, 2012, 21(7):535-539.
[14] Bell-Pedersen D, Cassone VM, Earnest DJ, et al. Circadian rhythms from multiple oscillators:lessons from diverse organisms[J]. Nat Rev Genet, 2005, 6(7):544-556.
[15] Laplante M, Sabatini DM. mTOR signaling in growth control and disease[J]. Cell, 2012, 149(2):274-293.
[16] Cho CH. Frontier of epilepsy research-mTOR signaling pathway[J]. Exp Mol Med, 2011, 43(5):231-274.
[17] Ostendorf AP, Wong M. mTOR inhibition in epilepsy:rationale and clinical perspectives[J]. CNS Drugs, 2015, 29(2):91-99.
[18] 郭金虎, 徐璎, 张二荃, 等.生物钟研究进展及重要前沿科学问题[J]. 中国科学基金, 2014, 28(3):179-186.
[19] Zhang EE, Liu AC, Hirota T, et al. A genome-wide RNAi screen for modifiers of the circadian clock in human cells[J]. Cell, 2009, 139(1):199-210.
[20] Morin LP. Neuroanatomy of the extended circadian rhythm system[J]. Exp Neurol, 2013, 243(5):4-20.
[21] Rosenwasser AM, Turek FW. Neurobiology of circadian rhythm regulation[J]. Sleep Med Clin, 2015, 10(4):403-412.
[22] Krout KE, Kawano J, Mettenleiter TC, et al. CNS inputs to the suprachiasmatic nucleus of the rat[J]. Neuroscience, 2002, 110(1):73-92.
[23] Jinno S, Klausberger T, Marton LF, et al. Neuronal diversity in GABAergic long-range projections from the hippocampus[J]. J Neurosci, 2007, 27(33):8790-8804.
[24] Kalsbeek A, Foppen E, Schalij I, et al. Circadian control of the daily plasma glucose rhythm:an interplay of GABA and glutamate[J]. PLoS One, 2008, 3(9):e3194.
[25] Sarabdjitsingh RA, Jezequel J, Pasricha N, et al. Ultradian corticosterone pulses balance glutamatergic transmission and synaptic plasticity[J]. Proc Natl Acad Sci U S A, 2014, 111(39):14265-14270.
[26] 王勤华,张光磊,刘红南, 等. 肾上腺糖皮质激素节律性分泌及主要受控因素[J]. 动物营养学报, 2016, 28(2):379-384.
[27] van Campen JS, Valentijn FA, Jansen FE, et al. Seizure occurrence and the circadian rhythm of cortisol:a systematic review[J]. Epilepsy Behav, 2015, 47:132-137.
[28] Bruni O, Alonso-Alconada D, Besag F, et al. Current role of melatonin in pediatric neurology:clinical recommendations[J]. Eur J Paediatr Neurol, 2015, 19(2):122-133.
[29] Dabak O, Altun D, Arslan M, et al. Evaluation of plasma melatonin levels in children with afebrile and febrile seizures[J].Pediatr Neurol, 2016, 57:51-55.
[30] Jenwitheesuk A, Nopparat C, Mukda S, et al. Melatonin regulates aging and neurodegeneration through energy metabolism, epigenetics, autophagy and circadian rhythm pathways[J]. Int J Mol Sci, 2014, 15(9):16848-16884.
[31] Mosińska P, Socala K, Nieoczym D, et al. Anticonvulsant activity of melatonin, but not melatonin receptor agonists Neu-P11 and Neu-P67, in mice[J]. Behav Brain Res, 2016, 307:199-207.
[32] Esmail EH, Labib DM, Rabie WA. Association of serotonin transporter gene (5HTT) polymorphism and juvenile myoclonic epilepsy:a case-control study[J]. Acta Neurol Belg, 2015,115(3):247-251.
[33] da Fonseca NC, Joaquim HPG, Talib LL, et al. Hippocampal serotonin depletion is related to the presence of generalized tonic-clonic seizures, but not to psychiatric disorders in patients with temporal lobe epilepsy[J]. Epilepsy Res, 2015, 111:18-25.
[34] Landolt HP. Sleep homeostasis:a role for adenosine in humans[J]. Biochem Pharmacol, 2008, 75(11):2070-2079.
[35] Masino SA, Jr Kawamura M, Ruskin DN. Adenosine receptors and epilepsy:current evidence and future potential[J]. Int Rev Neurobiol, 2014, 119:233-255.
[36] Doná F, Conceição IM, Ulrich H, et al. Variations of ATP and its metabolites in the hippocampus of rats subjected to pilocarpine-induced temporal lobe epilepsy[J]. Purinergic Signal, 2016, 12(2):295-302.
[37] Nzwalo H, Menezes Cordeiro I, Santos AC, et al. 24-hour rhythmicity of seizures in refractory focal epilepsy[J]. Epilepsy Behav, 2016, 55:75-78.
[38] Guilhoto LM, Loddenkemper T,Vendrame M, et al. Higher evening antiepileptic drug dose for nocturnal and early-morning seizures[J]. Epilepsy Behav, 2011, 20(2):334-337.
[39] Ohdo S. Chronotherapeutic strategy:Rhythm monitoring, manipulation and disruption[J]. Adv Drug Deliv Rev, 2010, 62(9-10):859-875.
[40] Brigo F, Igwe SC. Melatonin as add-on treatment for epilepsy[J]. Cochrane Database Syst Rev, 2016, 3:CD006967.
[41] Boison D. Adenosine dysfunction in epilepsy[J]. Glia, 2012, 60(8):1234-1243
[42] Citraro R, Leo A, Constanti A, et al. mTOR pathway inhibition as a new therapeutic strategy in epilepsy and epileptogenesis[J]. Pharmacol Res, 2016, 107:333-343.
[43] Nguyen LH, Brewster AL, Clark ME, et al. mTOR inhibition suppresses established epilepsy in a mouse model of cortical dysplasia[J]. Epilepsia, 2015, 56(4):636-646.
[44] Wong M. Critical review of mTOR inhibitors and epilepsy:from basic science to clinical trials[J]. Expert Rev Neurother, 2013, 13(6):657-669.


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