Adverse effects of valproate on bone: defining a model to investigate the pathophysiology.

Abstract:

PURPOSE:Bone disease and fractures are common with chronic antiepileptic drug (AED) therapy, but the underlying mechanisms are poorly understood. This study aimed to characterize adverse bone effects of valproate and to identify mouse strains either resistant or sensitive to these effects. METHODS:Seven mouse strains (n = 40/strain; 10/diet) were screened for the effect of chronic (8 weeks) valproate treatment (0, 2, 4, and 6 g/kg food) on total bone mineral content (BMC, by dual energy x-ray absorptiometry). In a confirmatory study the effect of valproate (0 or 4 g/kg food) over 16 weeks was assessed in five of the mouse strains (n = 60/strain; 30/diet) identified in the screening phase as either sensitive or resistant. Ex vivo volumetric bone measures and structural changes were assessed using peripheral quantitative computed tomography (pQCT) and histomorphometry. RESULTS:Chronic valproate treatment reproducibly affected bone in C3H/HeJ mice, with a 9.1% (p < 0.01) reduction in total BMC and a 10.7% (p < 0.01) reduction in trabecular volumetric density, indicating a sensitive strain to AED-induced bone loss. Histomorphometry was consistent, revealing reductions in trabecular volume (19.6%, p < 0.05) and number (14.3%, p < 0.04), and a 19.9% (p < 0.05) increase in trabecular separation. In contrast the A/J mice were reproducibly resistant to the bone effects. CONCLUSION:Mouse strains sensitive and resistant to the adverse bone effects of chronic valproate treatment were identified. The strain-specific effects suggest a role of genetic factors in the pathogenesis of AED-induced bone disease. This novel model provides a new, powerful tool to investigate the pathophysiology and therapy of AED-associated bone disease.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Senn SM,Kantor S,Poulton IJ,Morris MJ,Sims NA,O'Brien TJ,Wark JD

doi

10.1111/j.1528-1167.2009.02516.x

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

984-93

issue

6

eissn

0013-9580

issn

1528-1167

pii

EPI2516

journal_volume

51

pub_type

杂志文章
  • Electroencephalographic seizures in critically ill children: Management and adverse events.

    abstract:OBJECTIVE:Guidelines recommend that encephalopathic critically ill children undergo continuous electroencephalographic (CEEG) monitoring for electrographic seizure (ES) identification and management. However, limited data exist on antiseizure medication (ASM) safety for ES treatment in critically ill children. METHODS...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16341

    authors: Fung FW,Jacobwitz M,Vala L,Parikh D,Donnelly M,Xiao R,Topjian AA,Abend NS

    更新日期:2019-10-01 00:00:00

  • A controlled prospective investigation of psychiatric comorbidity in temporal lobe epilepsy.

    abstract::Temporal lobe epilepsy patients (n = 48) and healthy controls (n = 69) underwent structured psychiatric interview at baseline and 4 years later to characterize the course of DSM-IV Axis I disorders. Adjusting for the influence of prior psychiatric history, epilepsy subjects exhibit significantly greater risk of interv...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01217.x

    authors: Jones JE,Bell B,Fine J,Rutecki P,Seidenberg M,Hermann B

    更新日期:2007-12-01 00:00:00

  • Temporal lobe epilepsy subtypes: differential patterns of cerebral perfusion on ictal SPECT.

    abstract:PURPOSE:We studied cerebral perfusion patterns in the various subtypes of TLE, as determined by pathology and good outcome after temporal lobectomy (as confirmation of temporal origin). METHODS:We studied clinical features and ictal technetium 99m hexamethyl-propyleneamineoxime (99mTc-HM-PAO) single-photon emission-co...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1996.tb00653.x

    authors: Ho SS,Berkovic SF,McKay WJ,Kalnins RM,Bladin PF

    更新日期:1996-08-01 00:00:00

  • Spared CA1 pyramidal neuron function and hippocampal performance following antisense knockdown of microRNA-134.

    abstract:OBJECTIVE:Inhibition of microRNA-134 by an oligonucleotide antagomir (ant-134) has been shown to produce powerful antiseizure effects in multiple models of epilepsy. However, to successfully translate the treatment to the clinic, it is important to assess what potential adverse effects it may have on naive brain tissue...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.14475

    authors: Morris G,Brennan GP,Reschke CR,Henshall DC,Schorge S

    更新日期:2018-08-01 00:00:00

  • Some facts about sleep relevant for Landau-Kleffner syndrome.

    abstract::Our understanding of the neural mechanisms of non-rapid eye movement sleep (NREM) is steadily increasing. Given the intriguing activation of paroxysmal activity during NREM sleep in patients with Landau-Kleffner syndrome (LKS), a thorough characterization of commonalities and differences between the neural correlates ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02218.x

    authors: Mascetti L,Foret A,Bonjean M,Matarazzo L,Dang-Vu T,Maquet P

    更新日期:2009-08-01 00:00:00

  • The value of EEG-fMRI and EEG source analysis in the presurgical setup of children with refractory focal epilepsy.

    abstract:PURPOSE:In the presurgical evaluation of children and juvenile patients with refractory focal epilepsy, the main challenge is to localize the point of seizure onset as precisely as possible. We compared results of the conventional electroencephalography-functional magnetic resonance imaging (EEG-fMRI) analysis with tho...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03587.x

    authors: Elshoff L,Groening K,Grouiller F,Wiegand G,Wolff S,Michel C,Stephani U,Siniatchkin M

    更新日期:2012-09-01 00:00:00

  • Circadian/multidien Molecular Oscillations and Rhythmicity of Epilepsy (MORE).

    abstract::The occurrence of seizures at specific times of the day has been consistently observed for centuries in individuals with epilepsy. Electrophysiological recordings provide evidence that seizures have a higher probability of occurring at a given time during the night and day cycle in individuals with epilepsy here refer...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16716

    authors: Bernard C

    更新日期:2020-10-16 00:00:00

  • The value of the number-needed-to-treat method in antiepileptic drug trials.

    abstract:PURPOSE:There is controversy between clinicians and statisticians on the appropriateness of the number needed to treat (NNT) as a summary statistic to report the effectiveness of a treatment. We examine the two viewpoints and make proposals concerning the reporting of clinical trial results. METHODS:In the context of ...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,meta分析,随机对照试验

    doi:10.1111/j.1528-1157.2000.tb00186.x

    authors: Lesaffre E,Boon P,Pledger GW

    更新日期:2000-04-01 00:00:00

  • Nocturnal frontal lobe epilepsy.

    abstract::Nocturnal frontal lobe epilepsy (NFLE) is a condition primarily characterized by seizures occurring exclusively or predominantly during sleep, the semiology of which suggest a frontal lobe origin and, more specifically, the involvement of the orbitofrontal or mesial frontal regions. It is usually considered as a relat...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2006.00698.x

    authors: Ryvlin P,Rheims S,Risse G

    更新日期:2006-01-01 00:00:00

  • Changes in public attitudes toward epilepsy in Hungary: results of surveys conducted in 1994 and 2000.

    abstract::Our study investigated public attitudes toward epilepsy, and knowledge and understanding of epilepsy in Hungary. We compared changes of public attitudes in the last six years, hypothesizing a trend of positive changes because of recent national initiatives for acceptance and integration of people with epilepsy (e.g., ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.18000.x

    authors: Mirnics Z,Czikora G,Závecz T,Halász P

    更新日期:2001-01-01 00:00:00

  • Severe burns as a consequence of seizures in patients with epilepsy.

    abstract::We report 10 seizure-related thermal injuries severe enough to require hospitalization in patients with epilepsy. Eight of the ten incidents were with patients who had had seizures with impaired consciousness two or more times a month. This suggests that seizure frequency is a risk factor and implies the importance of...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1992.tb02290.x

    authors: Spitz MC

    更新日期:1992-01-01 00:00:00

  • Metabolic, circulatory, and structural alterations in the rat brain induced by sustained pentylenetetrazole seizures.

    abstract::Previous studies have demonstrated that bicuculline-induced seizures of 1-2 h in duration lead to structural, metabolic, and circulatory alterations in the rat brain. Such alterations were observed even though cerebral oxygenation seemed adequate. In the present study, we explored whether pentylenetetrazole, a convuls...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1984.tb04176.x

    authors: Ingvar M,Söderfeldt B,Folbergrová J,Kalimo H,Olsson Y,Siesjö BK

    更新日期:1984-04-01 00:00:00

  • Surgical treatment of a case of early infantile epileptic encephalopathy with suppression-bursts associated with focal cortical dysplasia.

    abstract::We report a surgically treated case of early infantile epileptic encephalopathy (EIEE) with suppression-bursts associated with focal cortical dysplasia. Tonic-clonic seizures followed by a series of spasms occurred about a hundred times a day at a few days of age. Interictal electroencephalogram (EEG) revealed a suppr...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1999.tb00719.x

    authors: Komaki H,Sugai K,Sasaki M,Hashimoto T,Arai N,Takada E,Maehara T,Shimizu H

    更新日期:1999-03-01 00:00:00

  • The acute and chronic effect of vagus nerve stimulation in genetic absence epilepsy rats from Strasbourg (GAERS).

    abstract:PURPOSE:The aim of this study was to evaluate the efficacy of acute and chronic vagus nerve stimulation (VNS) in genetic absence epilepsy rats from Strasbourg (GAERS). This is a validated model for absence epilepsy, characterized by frequent spontaneous absences concomitant with spike and wave discharges (SWD) on the E...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2005.01015.x

    authors: Dedeurwaerdere S,Vonck K,Van Hese P,Wadman W,Boon P

    更新日期:2005-01-01 00:00:00

  • Sodium channel SCN1A and epilepsy: mutations and mechanisms.

    abstract::Mutations in a number of genes encoding voltage-gated sodium channels cause a variety of epilepsy syndromes in humans, including genetic (generalized) epilepsy with febrile seizures plus (GEFS+) and Dravet syndrome (DS, severe myoclonic epilepsy of infancy). Most of these mutations are in the SCN1A gene, and all are d...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2010.02640.x

    authors: Escayg A,Goldin AL

    更新日期:2010-09-01 00:00:00

  • Possible induction of systemic lupus erythematosus by valproate.

    abstract::Two patients developed clinical and laboratory evidence of systemic lupus erythematosus (SLE) during treatment with valproate (VPA) preparations. The first patient, a 47-year-old man, had fever, malaise, and thrombocytopenia 1 month after VPA was added to phenytoin (PHT) and primidone (PRM). He developed high titers o...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1990.tb05386.x

    authors: Bleck TP,Smith MC

    更新日期:1990-05-01 00:00:00

  • Thrombocytopenia in pediatric patients on concurrent cannabidiol and valproic acid.

    abstract::In January 2019, a new plant-derived purified cannabidiol preparation, approved by the US Food and Drug Administration, became commercially available for patients ≥2 years old with Lennox-Gastaut syndrome or Dravet syndrome. Among our patients who were prescribed the new cannabidiol formulation, we observed several ca...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16596

    authors: McNamara NA,Dang LT,Sturza J,Ziobro JM,Fedak Romanowski EM,Smith GC,Joshi SM,Leber SM,Carlson M,Robertson P,Shellhaas RA

    更新日期:2020-08-01 00:00:00

  • Patterns of seizures observed in association with neurofibromatosis 1.

    abstract::Clinical features of seizures occurring in a neurofibromatosis clinic population were examined in a retrospective study. Twenty-two individuals in a population of 359 persons with neurofibromatos 1 (NF1) had had one or more seizures. Age at first seizure ranged from 4 days to > 20 years. Patients were classified into ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb00437.x

    authors: Korf BR,Carrazana E,Holmes GL

    更新日期:1993-07-01 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

  • Efficacy of topiramate in children with refractory status epilepticus.

    abstract:PURPOSE:Status epilepticus (SE) is a life-threatening medical condition associated with significant morbidity and mortality that requires urgent medical intervention. Although several agents are available to treat SE, they occasionally fail to abort seizure activity. Topiramate (TPM) was anecdotally reported to be effe...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2003.11803.x

    authors: Kahriman M,Minecan D,Kutluay E,Selwa L,Beydoun A

    更新日期:2003-10-01 00:00:00

  • Exacerbation of hepatic cirrhosis may trigger admission for epilepsy and status epilepticus.

    abstract:OBJECTIVE:To determine whether acute exacerbations of cirrhotic liver disease are associated with higher odds of readmission for epilepsy or status epilepticus. METHODS:The New York State Inpatient Database is a statewide dataset containing data on 97% of hospitalizations for New York State. In this retrospective, cas...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16437

    authors: Gursky JM,Rossi KC,Jetté N,Dhamoon MS

    更新日期:2020-03-01 00:00:00

  • Identification and preclinical testing of novel antiepileptic compounds.

    abstract::Procedures for identifying novel antiepileptic drugs (AEDs) are changing and need to change more. Widespread reliance on two primary screens has led to the identification of novel compounds that resemble either phenytoin (suppressing high-frequency repetitive firing in cultured neurons and prolonging inactivation of v...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1997.tb05204.x

    authors: Meldrum BS

    更新日期:1997-01-01 00:00:00

  • Choosing the tumoral epilepsy surgery candidate.

    abstract::The management of epilepsy is an essential clinical issue in many patients with brain tumors. Tumoral epilepsy is often drug resistant and is associated with poor quality of life. Surgery represents a key therapeutic option in the management of patients with refractory tumoral epilepsy, with high rates of postoperativ...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.12451

    authors: Rheims S,Ducray F,Ryvlin P

    更新日期:2013-12-01 00:00:00

  • No evidence of a role for cystatin B gene in juvenile myoclonic epilepsy.

    abstract::Genetic factors play a major role in the etiology of juvenile myoclonic epilepsy (JME), a common form of idiopathic generalized epilepsy, but so far, genes related to JME remain largely unknown. JME shares electroclinical features with Unverricht-Lundborg disease (progressive myoclonic epilepsy type 1; EPM1), a form o...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12944

    authors: Mumoli L,Tarantino P,Michelucci R,Bianchi A,Labate A,Franceschetti S,Marini C,Striano P,Gagliardi M,Ferlazzo E,Sofia V,Pennese L,Annesi G,Aguglia U,Guerrini R,Zara F,Gambardella A,Genetic Commission, Italian League Agai

    更新日期:2015-04-01 00:00:00

  • Population pharmacokinetics of levetiracetam and dosing recommendation in children with epilepsy.

    abstract:PURPOSE:To develop a population pharmacokinetic model to evaluate the demographic and physiologic determinants of levetiracetam (LEV) pharmacokinetics (PK) and to suggest recommended doses of LEV in children. METHODS:LEV PK were investigated in a prospective open trial of LEV as adjunctive therapy using a population a...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1528-1167.2008.01974.x

    authors: Chhun S,Jullien V,Rey E,Dulac O,Chiron C,Pons G

    更新日期:2009-05-01 00:00:00

  • Magnetoencephalographic correlates of different types of aura in temporal lobe epilepsy.

    abstract:PURPOSE:To estimate magnetoencephalography (MEG) correlates of different types of aura in temporal lobe epilepsy (TLE). METHODS:MEG study was performed on 57 patients (26 male and 31 female) with TLE, whose ages ranged from 14-46 years (mean 27 years). Interictal magnetoencephalograms showing discharges were analyzed,...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02655.x

    authors: Fukao K,Inoue Y,Yagi K

    更新日期:2010-09-01 00:00:00

  • 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...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01864.x

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

    更新日期:2009-05-01 00:00:00

  • Pharmacology of antiepileptic drugs.

    abstract::Several different types of chemical compounds are useful as antiepileptic drugs. Their mechanisms of action, as well as their physical structures, differ. Compounds such as carbamazepine, phenytoin, and probably valproate act by modifying ionic conductances, particularly sodium and calcium, in excitable membranes, thu...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1987.tb05772.x

    authors: Ferrendelli JA

    更新日期:1987-01-01 00:00:00

  • Screening for major depression in epilepsy with common self-report depression inventories.

    abstract:PURPOSE:Major depression is a common psychiatric comorbidity in chronic epilepsy that is frequently unrecognized and untreated. A variety of self-report mood inventories are available, but their validity as well as ability to detect major depression in epilepsy remains uncertain. The purpose of this study was to determ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2005.49704.x

    authors: Jones JE,Hermann BP,Woodard JL,Barry JJ,Gilliam F,Kanner AM,Meador KJ

    更新日期:2005-05-01 00:00:00

  • Traumatic brain injury: risks of epilepsy and implications for medicolegal assessment.

    abstract::Traumatic brain injury (TBI) is a potentially preventable cause of epilepsy. Increasing incidence among army personnel and the high incidence among children and young people raise concern. This article presents a review of selected studies dealing with the risks of TBI and the risk of posttraumatic epilepsy in humans....

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2012.03612.x

    authors: Christensen J

    更新日期:2012-09-01 00:00:00