Vigabatrin-associated retinal damage: potential biochemical mechanisms.

Abstract:

:Vigabatrin (VGB), an irreversible inhibitor of gamma-aminobutyric acid (GABA) transaminase, is approved as adjunct treatment of refractory partial seizures as well as infantile spasms. Although VGB has been proven to be effective, its use is limited by the risk of retinopathy and associated peripheral visual field defects. This review describes and analyzes current literature related to potential pathophysiologic mechanisms underlying VGB-mediated cellular toxicity. Animal data suggest that GABA mediates neural excitotoxicity. The amino acid taurine is concentrated in retinal cells, and deficiency of this amino acid may be involved in VGB-mediated retinal degeneration and possible phototoxicity.

journal_name

Acta Neurol Scand

authors

Heim MK,Gidal BE

doi

10.1111/j.1600-0404.2012.01684.x

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

219-28

issue

4

eissn

0001-6314

issn

1600-0404

journal_volume

126

pub_type

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