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BJP:大麻中化合物次大麻二酚有助改善癫痫症状

2012-09-18 Beyond 生物谷

近日,科学家首次证明以前研究中被忽略的大麻中的一种化合物可能有助于癫痫的治疗。 药剂和心理学系研究团队发现大麻中一个被忽略了的天然化合物具有防止癫痫发作的潜力,同时并不会带来不良影响,而许多现有的抗癫痫药物往往会导致如无法控制的颤抖等副作用。在这项研究中,研究人员与GW制药公司和大冢制药合作,发现次大麻二酚(cannabidivarin,CBDV)在6个不同的实验模型中都能显著抑制癫痫发作,这些

近日,科学家首次证明以前研究中被忽略的大麻中的一种化合物可能有助于癫痫的治疗。

药剂和心理学系研究团队发现大麻中一个被忽略了的天然化合物具有防止癫痫发作的潜力,同时并不会带来不良影响,而许多现有的抗癫痫药物往往会导致如无法控制的颤抖等副作用。在这项研究中,研究人员与GW制药公司和大冢制药合作,发现次大麻二酚(cannabidivarin,CBDV)在6个不同的实验模型中都能显著抑制癫痫发作,这些动物模型常用与抗癫痫药物的开发。而当与目前用于控制癫痫的药物联合时,次大麻二酚也被发现能发挥一定功效,这一点不同于其他大麻类成分如四氢大麻酚。

研究结果发表在British Journal of Pharmacology杂志。Ben Whalley博士领导了这项研究,Gary Stephens博士和医生Claire Williams合作共同完成。癫痫是一种慢性疾病,基本无药可治,目前约三分之一的患者在接受治疗后症状并未得到改善,而往往治疗又带来严重的副作用,增加患者死亡风险。

目前防止该类疾病的处方药可能会导致严重的副作用如对患者运动和认知能力造成不利影响,而那些必须每天服用药物的患者生活质量大大下降。GW制药公司Stephen Wright博士说:这些结果进一步揭示了天然来源的大麻作为治疗该种疾病的药物显示出了巨大的开发应用前景。

全球约1%的人受癫痫疾病困扰,癫痫是指脑神经元异常和过度超同步化放电所造成的临床现象。其特征是突然和一过性症状,由于异常放电的神经元在大脑中的部位不同,而有多种多样的表现。

 

拓展阅读:              

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  • PLoS ONE:大麻样化合物抑制HIV
  • Neurology:抗癫痫药物或增跌倒及骨折风险
  • PNAS:抗癫痫药物LEV可逆转老年痴呆症记忆力减退
  • FDA:警惕MS药物的癫痫发作风险
  • “老药新用”:抗癫痫药丙戊酸可治疗多发性硬化
  • JAMA:药物治疗失败后进行手术可降低癫痫发作的风险
  • PLoS Pathog:P物质引起猪肉绦虫感染患者的癫痫发作
  • Epilepsia:与传统药物相比 手术治疗癫痫优势更大
  • Epilepsia:抗癫痫药物治疗可增加血管风险
  • FDA批准氯巴占(clobazam)治疗重型癫痫
  • NEJM:儿童期癫痫发作者的长期死亡率

    doi:10.1111/j.1476-5381.2012.02207.x
    PMC:
    PMID:

    Cannabidivarin is anticonvulsant in mouse and rat in vitro and in seizure models

    A J Hill, M S Mercier, T D M Hill, S E Glyn1, N A Jones1, Y Yamasaki, et al.

    Background and purpose Phytocannabinoids in Cannabis sativa have diverse pharmacological targets extending beyond cannabinoid receptors and several exert notable anticonvulsant effects. For the first time, we investigated the anticonvulsant profile of the phytocannabinoid cannabidivarin (CBDV) in vitro and in in vivo seizure models.
     
    Experimental approach The effect of CBDV (1-100μM) on epileptiform local field potentials (LFPs) induced in rat hippocampal brain slices by 4-AP application or Mg2+-free conditions was assessed by in vitro multi-electrode array recordings. Additionally, the anticonvulsant profile of CBDV (50-200 mg kg-1) in vivo was investigated in four rodent seizure models: maximal electroshock (mES) and audiogenic seizures in mice, and pentylenetetrazole (PTZ) and pilocarpine-induced seizures in rat. CBDV effects in combination with commonly-used antiepileptic drugs were investigated in rat seizures. Finally, the motor side effect profile of CBDV was investigated using static beam and grip-strength assays.
     
    Key results CDBV significantly attenuated status epilepticus-like epileptiform LFPs induced by 4-AP and Mg2+-free conditions. CDBV had significant anticonvulsant effects in mES (≥100 mg kg-1), audiogenic (≥50 mg kg-1) and PTZ-induced seizures (≥100 mg kg-1). CDBV alone had no effect against pilocarpine-induced seizures, but significantly attenuated these seizures when administered with valproate or phenobarbital at 200 mg kg-1 CDBV. CDBV had no effect on motor function.

    Conclusions and Implications These results indicate that CDBV is an effective anticonvulsant across a broad range of seizure models, does not significantly affect normal motor function and therefore merits further investigation in chronic epilepsy models to justify human trials.

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      2012-09-20 kcb069
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