Pharmacodynamic and pharmacokinetic interactions between common antiepileptic drugs and acetone, the chief anticonvulsant ketone body elevated in the ketogenic diet in mice.

Abstract:

PURPOSE:Acetone is the principal ketone body elevated in the ketogenic diet (KD), with demonstrated robust anticonvulsant properties across a variety of seizure tests and models of epilepsy. Because the majority of patients continue to receive antiepileptic drugs (AEDs) during KD treatment, interactions between acetone and AEDs may have important clinical implications. Therefore, we investigated whether acetone could affect the anticonvulsant activity and pharmacokinetic properties of several AEDs against maximal electroshock (MES)-induced seizures in mice. METHODS:Effects of acetone given in subthreshold doses were tested on the anticonvulsant effects of carbamazepine (CBZ), lamotrigine (LTG), oxcarbazepine (OXC), phenobarbital (PB), phenytoin (PHT), topiramate (TPM) and valproate (VPA) against MES-induced seizures in mice. In addition, acute adverse effects of acetone-AEDs combinations were assessed in the chimney test (motor performance) and passive avoidance task (long-term memory). Pharmacokinetic interactions between acetone and AEDs were also studied in the mouse brain tissue. RESULTS:Acetone (5 or 7.5 mmol/kg, intraperitoneally [i.p.]) enhanced the anticonvulsant activity of CBZ, LTG, PB, and VPA against MES-induced seizures; effects of OXC, PHT, and TPM were not changed. Acetone (7.5 mmol/kg) did not enhance the acute adverse-effect profiles of the studied AEDs. Acetone (5 or 7.5 mmol/kg, i.p.) did not affect total brain concentrations of the studied AEDs. In contrast, VPA, CBZ, LTG, OXC, and TPM significantly decreased the concentration of free acetone in the brain; PB and PHT had no effect. CONCLUSIONS:Acetone enhances the anticonvulsant effects of several AEDs such as VPA, CBZ, LTG, and PB without affecting their pharmacokinetic and side-effect profiles.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Zarnowska I,Luszczki JJ,Zarnowski T,Buszewicz G,Madro R,Czuczwar SJ,Gasior M

doi

10.1111/j.1528-1167.2008.01864.x

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

1132-40

issue

5

eissn

0013-9580

issn

1528-1167

pii

EPI1864

journal_volume

50

pub_type

杂志文章
  • Influence of therapeutic phenobarbital and phenytoin medication on the polygraphic sleep of patients with epilepsy.

    abstract::Sleep is a modulator of seizure activity, and many antiepileptic drugs are modulators of sleep. Can influences on sleep organization be involved in antiepileptic drug action, and can these partly account for differences in drug response of various epileptic syndromes? Much more exact data must be collected before thes...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1528-1157.1984.tb03445.x

    authors: Wolf P,Röder-Wanner UU,Brede M

    更新日期:1984-08-01 00:00:00

  • Electromyography-based seizure detector: Preliminary results comparing a generalized tonic-clonic seizure detection algorithm to video-EEG recordings.

    abstract:OBJECTIVE:Automatic detection of generalized tonic-clonic seizures (GTCS) will facilitate patient monitoring and early intervention to prevent comorbidities, recurrent seizures, or death. Brain Sentinel (San Antonio, Texas, USA) developed a seizure-detection algorithm evaluating surface electromyography (sEMG) signals ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13083

    authors: Szabó CÁ,Morgan LC,Karkar KM,Leary LD,Lie OV,Girouard M,Cavazos JE

    更新日期:2015-09-01 00:00:00

  • Incidence of first epileptic seizures in the canton of Geneva, Switzerland.

    abstract:PURPOSE:We wished to determine the incidence of first provoked and nonprovoked epileptic seizures in the canton of Geneva, Switzerland. METHODS:Between June 1, 1990 and May 31, 1991, we collected all cases of suspected epileptic seizures referred to the two hospitals of the county of Geneva, Switzerland and to the pri...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1997.tb01139.x

    authors: Jallon P,Goumaz M,Haenggeli C,Morabia A

    更新日期:1997-05-01 00:00:00

  • Exacerbation of partial seizures and onset of nonepileptic myoclonus with carbamazepine.

    abstract::A child had two to three generalized tonic-clonic (GTC) seizures per week unresponsive to phenobarbital (PB) and valproate (VPA). Interictal EEG demonstrated left occipital spikes. When carbamazepine (CBZ) therapy was started, he developed very frequent (4-6/day) complex partial seizures (CPS) characterized on ictal E...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1991.tb05255.x

    authors: Dhuna A,Pascual-Leone A,Talwar D

    更新日期:1991-03-01 00:00:00

  • The erythropoietin-derived peptide mimetic pHBSP affects cellular and cognitive consequences in a rat post-status epilepticus model.

    abstract:PURPOSE:The selection of a minimal active sequence of erythropoietin allowed the design of peptide mimetics that exert beneficial effects in the central nervous system but lack an erythropoietic effect. Erythropoietin has been suggested as a promising therapeutic and prophylactic for epilepsies based on its neuroprotec...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03302.x

    authors: Seeger N,Zellinger C,Rode A,Roloff F,Bicker G,Russmann V,Fischborn S,Wendt H,Potschka H

    更新日期:2011-12-01 00:00:00

  • Antiepileptogenic and antiictogenic effects of retigabine under conditions of rapid kindling: an ontogenic study.

    abstract:PURPOSE:To examine antiepileptogenic and antiictogenic potential of retigabine (RTG) under conditions of rapid kindling epileptogenesis during different stages of development. METHODS:The experiments were performed in postnatal day 14 (P14), P21, and P35 male Wistar rats. After stereotaxic implantation of hippocampal ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01674.x

    authors: Mazarati A,Wu J,Shin D,Kwon YS,Sankar R

    更新日期:2008-10-01 00:00:00

  • Expression of 5alpha-reductase and 3alpha-hydroxisteroid oxidoreductase in the hippocampus of patients with chronic temporal lobe epilepsy.

    abstract:PURPOSE:The hippocampus is one of the principal target areas for neurosteroidal action, and the major neuroendocrine conversion of progesterone appears to be 5alpha-reduction and 3alpha-hydroxysteroid oxidoreduction, leading to the potent neurosteroid 3alpha,5alpha-tetrahydroxyprogesterone. To investigate whether the h...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb00133.x

    authors: Stoffel-Wagner B,Beyenburg S,Watzka M,Blümcke I,Bauer J,Schramm J,Bidlingmaier F,Elger CE

    更新日期:2000-02-01 00:00:00

  • Self-efficacy and social support as mediators in the relation between disease severity and quality of life in patients with epilepsy.

    abstract:PURPOSE:This study examined the influence of two psychosocial variables mediating between disease severity and quality of life (QoL) in epilepsy; social support and mastery (measured by locus of control and self-efficacy). A model placing these two variables as mediators between disease severity and QoL was tested with...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1999.tb02078.x

    authors: Amir M,Roziner I,Knoll A,Neufeld MY

    更新日期:1999-02-01 00:00:00

  • Effect of anticonvulsants on cortical focal seizure in cats.

    abstract::Electrical stimulation of the visual cortex evoked the cortical focal seizure restricted in the neighbor cortex of the stimulated area in gallamine-immobilized cats. The present experiment was performed to clarify the participation of anticonvulsants in the cortex itself. Phenytoin and carbamazepine depressed the foca...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1977.tb05588.x

    authors: Ito T,Hori M,Yoshida K,Shimizu M

    更新日期:1977-03-01 00:00:00

  • Analysis of a quantitative trait locus for seizure susceptibility in mice using bacterial artificial chromosome-mediated gene transfer.

    abstract:PURPOSE:Previous quantitative trait loci (QTL) mapping studies from our laboratory identified a 6.6 Mb segment of distal chromosome 1 that contains a gene (or genes) having a strong influence on the difference in seizure susceptibility between C57BL/6 (B6) and DBA/2 (D2) mice. A gene transfer strategy involving a bacte...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01126.x

    authors: Ferraro TN,Golden GT,Dahl JP,Smith GG,Schwebel CL,MacDonald R,Lohoff FW,Berrettini WH,Buono RJ

    更新日期:2007-09-01 00:00:00

  • Stress sensitivity of childhood epilepsy is related to experienced negative life events.

    abstract:PURPOSE:To evaluate the effect of stress on seizure frequency in childhood epilepsy, and to assess possible differences between children in whom seizures are precipitated by stress and those in whom they are not. METHODS:Parents or caregivers of children with active epilepsy (aged 2-16 years) were sent questionnaires ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03566.x

    authors: van Campen JS,Jansen FE,Steinbusch LC,Joëls M,Braun KP

    更新日期:2012-09-01 00:00:00

  • Differential antiepileptic sensitivity between cortical sites in the rat.

    abstract::The relative efficacies of phenobarbital (PB), phenytoin (PHT), carbamazepine (CBZ), and valproic acid (VPA) in the suppression of focal and generalized seizures produced by electrical stimulation of two different cortical sites (areas 3 and 10) were evaluated in the rat. The two cortical sites were distinguished by s...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1986.tb03530.x

    authors: Moss KA,Kalichman MW,Iragui VJ

    更新日期:1986-05-01 00:00:00

  • Neurocognitive effects of brivaracetam, levetiracetam, and lorazepam.

    abstract:PURPOSE:Brivaracetam (BRV) is a new anticonvulsant under development. Although BRV is an analog of levetiracetam (LEV), in addition to being an SV2A ligand, it also inhibits sodium channels in a voltage-dependent manner. The cognitive effects of BRV are uncertain. METHODS:A randomized, double-blind, placebo-controlled...

    journal_title:Epilepsia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1528-1167.2010.02746.x

    authors: Meador KJ,Gevins A,Leese PT,Otoul C,Loring DW

    更新日期:2011-02-01 00:00:00

  • Presurgical language mapping in children with epilepsy: clinical usefulness of functional magnetic resonance imaging for the planning of cortical stimulation.

    abstract:PURPOSE:Presurgical language mapping in dominant hemisphere epilepsy to evaluate the risk of postoperative deficit is particularly difficult in children. Extraoperative invasive cortical stimulation can show some areas critical to language, but not all of them, due to scarce sampling, poor cooperation, cortical immatur...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03329.x

    authors: de Ribaupierre S,Fohlen M,Bulteau C,Dorfmüller G,Delalande O,Dulac O,Chiron C,Hertz-Pannier L

    更新日期:2012-01-01 00:00:00

  • Seven-tesla quantitative magnetic resonance spectroscopy of glutamate, γ-aminobutyric acid, and glutathione in the posterior cingulate cortex/precuneus in patients with epilepsy.

    abstract:OBJECTIVE:The posterior cingulate cortex (PCC)/precuneus is a key hub of the default mode network, whose function is known to be altered in epilepsy. Glutamate and γ-aminobutyric acid (GABA) are the main excitatory and inhibitory neurotransmitters in the central nervous system, respectively. Glutathione (GSH) is the mo...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16731

    authors: Gonen OM,Moffat BA,Desmond PM,Lui E,Kwan P,O'Brien TJ

    更新日期:2020-12-01 00:00:00

  • Epilepsy therapy development: technical and methodologic issues in studies with animal models.

    abstract::The search for new treatments for seizures, epilepsies, and their comorbidities faces considerable challenges. This is due in part to gaps in our understanding of the etiology and pathophysiology of most forms of epilepsy. An additional challenge is the difficulty in predicting the efficacy, tolerability, and impact o...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.12295

    authors: Galanopoulou AS,Kokaia M,Loeb JA,Nehlig A,Pitkänen A,Rogawski MA,Staley KJ,Whittemore VH,Dudek FE

    更新日期:2013-08-01 00:00:00

  • Epilepsy in offspring of whom both parents have idiopathic generalized epilepsy: biparental inheritance.

    abstract:BACKGROUND:Little is known about offspring of parents who both have idiopathic generalized epilepsy (IGE). This is of importance for understanding the complex genetic architecture of IGE. METHODS:Families in whom both parents had proven IGE were ascertained through a multiplex families database. Clinical information i...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2003.07303.x

    authors: Marini C,Harvey AS,Pelekanos JT,Berkovic SF

    更新日期:2003-09-01 00:00:00

  • Neuropsychological and emotional correlates of marital status and ability to live independently in individuals with epilepsy.

    abstract::Studies from several countries have reported that fewer people with epilepsy marry, but the reasons for this are not clear. In the present investigation, 178 adults with epilepsy were divided into married, separated/divorced, and never married groups. The never married group was subdivided into persons living in depen...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1984.tb03467.x

    authors: Batzel LW,Dodrill CB

    更新日期:1984-10-01 00:00:00

  • Consciousness as a neurological concept in epileptology: a critical review.

    abstract::This essay explores the usefulness of the concept of consciousness in epileptology and concludes that it does not further the understanding of seizure mechanisms and brain function. The reasons for this are both theoretical and empirical. Consciousness cannot be adequately defined. This may explain why attempts at acc...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1986.tb05737.x

    authors: Gloor P

    更新日期:1986-01-01 00:00:00

  • Leucoencephalopathy with vanishing white matter may cause progressive myoclonus epilepsy.

    abstract::Leucoencephalopathy with vanishing white matter (VWM) is caused by mutations in the genes encoding for one of the five subunits that constitute the eukaryotic initiation factor 2B (eIF2B), and is characterized by a highly suggestive MRI pattern indicating vanishing of the cerebral white matter. Seizures are well known...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01542.x

    authors: Jansen AC,Andermann E,Niel F,Creveaux I,Boespflug-Tanguy O,Andermann F

    更新日期:2008-05-01 00:00:00

  • Natural history and mortality of chronic epilepsy in an untreated population of rural Bolivia: a follow-up after 10 years.

    abstract:PURPOSE:To evaluate the natural history and mortality of chronic epilepsy in an untreated prevalence cohort of people with epilepsy (PWE) in a rural area of Bolivia. METHODS:During 1994-1996 we carried out an epidemiologic survey in a sample of 9,995 subjects in the Cordillera province. At the end of the survey we ide...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02174.x

    authors: Nicoletti A,Sofia V,Vitale G,Bonelli SI,Bejarano V,Bartalesi F,Tran DS,Preux PM,Zappia M,Bartoloni A

    更新日期:2009-10-01 00:00:00

  • Reevaluation of surgical failures and the role of reoperation in 39 patients with frontal lobe epilepsy.

    abstract::Between 1929 and 1980, 284 patients with refractory nontumoral frontal lobe epilepsy (FLE) underwent operation at the Montreal Neurological Institute (MNI). We studied 39 patients (14%) who required reoperation. Mean age at the time of first operation was 18 years and at reoperation was 22 years. Clinical manifestatio...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1994.tb02914.x

    authors: Salanova V,Quesney LF,Rasmussen T,Andermann F,Olivier A

    更新日期:1994-01-01 00:00:00

  • Bilateral hippocampal atrophy in medial temporal lobe epilepsy.

    abstract::Quantitative evidence of hippocampal atrophy has been correlated with site of seizure onset, hippocampal neuronal loss, and seizure relief after resection. Most studies have quantified hippocampal atrophy using ratios or differences between right and left hippocampal values. However, bilateral hippocampal atrophy may ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb01634.x

    authors: King D,Spencer SS,McCarthy G,Luby M,Spencer DD

    更新日期:1995-09-01 00:00:00

  • Significance of lateralization of upper limb automatisms in temporal lobe epilepsy: a quantitative movement analysis.

    abstract:PURPOSE:To evaluate the significance of lateralization of ictal upper limb automatisms in patients with temporal lobe epilepsy (TLE). METHODS:Ictal upper limb automatisms of 28 patients with temporal lobe epilepsy were quantified. Duration of automatisms in relation to total seizure duration, movement speed, extent, l...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02599.x

    authors: Mirzadjanova Z,Peters AS,Rémi J,Bilgin C,Silva Cunha JP,Noachtar S

    更新日期:2010-10-01 00:00:00

  • Amygdala kindling in the classical conditioning paradigm.

    abstract::The hypothesis was tested that epileptiform alterations of brain excitability may be elicited by a conditioning stimulus (CS) in a classical conditioning paradigm. Fifteen male albino rats were chronically implanted with electrodes in the amygdala and over the visual cortex. A train of six stroboscopic flashes served ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1983.tb04890.x

    authors: Myslobodsky MS,Mintz M,Lerner T,Mostofsky DI

    更新日期:1983-06-01 00:00:00

  • Neurogenesis and neuronal regeneration in status epilepticus.

    abstract::Neurogenesis in the adult central nervous system has been well documented in several mammals including humans. By now, a plethora of data has been generated with the aim of understanding the molecular and cellular events governing neurogenesis. This growing comprehension will provide the basis for modulation of neurog...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.12274

    authors: Rotheneichner P,Marschallinger J,Couillard-Despres S,Aigner L

    更新日期:2013-09-01 00:00:00

  • Abnormal dendrite and spine morphology in primary visual cortex in the CGG knock-in mouse model of the fragile X premutation.

    abstract::The fragile X mental retardation 1 gene (Fmr1) is polymorphic for CGG trinucleotide repeat number in the 5'-untranslated region, with repeat lengths <45 associated with typical development and repeat lengths >200 resulting in hypermethylation and transcriptional silencing of the gene and mental retardation in the frag...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03486.x

    authors: Berman RF,Murray KD,Arque G,Hunsaker MR,Wenzel HJ

    更新日期:2012-06-01 00:00:00

  • Common factors among Alzheimer's disease, Parkinson's disease, and epilepsy: possible role of the noradrenergic nervous system.

    abstract::The neurodegenerative disorders Alzheimer's disease (AD) and Parkinson's disease (PD) share in common the neuropathologic loss of locus coeruleus (LC) noradrenergic neurons. In addition, these two neurodegenerative disorders share two symptoms that define these disorders: cognitive impairment and depression. The hippo...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2012.03476.x

    authors: Szot P

    更新日期:2012-06-01 00:00:00

  • MDR1 gene expression in brain of patients with medically intractable epilepsy.

    abstract::Why some patients with seizures are successfully treated with antiepileptic drugs (AEDs) and others prove medically intractable is not known. Inadequate intraparenchymal drug concentration is a possible mechanism of resistance to AEDs. The multiple drug resistance gene (MDR1) encodes P-glycoprotein, an energy-dependen...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb01657.x

    authors: Tishler DM,Weinberg KI,Hinton DR,Barbaro N,Annett GM,Raffel C

    更新日期:1995-01-01 00:00:00

  • The diagnostic utility of intracranial EEG monitoring for epilepsy surgery in children.

    abstract:OBJECTIVE:There are limited data on the indications for the use of chronic invasive electroencephalography (EEG) monitoring (IEM) for pediatric epilepsy surgery. METHODS:We retrospectively studied 102 children who underwent intracranial monitoring to map critical cortex, localize the epileptogenic region, or resolve d...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12983

    authors: Brna P,Duchowny M,Resnick T,Dunoyer C,Bhatia S,Jayakar P

    更新日期:2015-07-01 00:00:00