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2017 ; 18
(9
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
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English Wikipedia
Metabolic and Homeostatic Changes in Seizures and Acquired Epilepsy-Mitochondria,
Calcium Dynamics and Reactive Oxygen Species
#MMPMID28885567
Kovac S
; Dinkova Kostova AT
; Herrmann AM
; Melzer N
; Meuth SG
; Gorji A
Int J Mol Sci
2017[Sep]; 18
(9
): ä PMID28885567
show ga
Acquired epilepsies can arise as a consequence of brain injury and result in
unprovoked seizures that emerge after a latent period of epileptogenesis. These
epilepsies pose a major challenge to clinicians as they are present in the
majority of patients seen in a common outpatient epilepsy clinic and are prone to
pharmacoresistance, highlighting an unmet need for new treatment strategies.
Metabolic and homeostatic changes are closely linked to seizures and epilepsy,
although, surprisingly, no potential treatment targets to date have been
translated into clinical practice. We summarize here the current knowledge about
metabolic and homeostatic changes in seizures and acquired epilepsy, maintaining
a particular focus on mitochondria, calcium dynamics, reactive oxygen species and
key regulators of cellular metabolism such as the Nrf2 pathway. Finally, we
highlight research gaps that will need to be addressed in the future which may
help to translate these findings into clinical practice.