Serotonin-releasing agents with reduced off-target effects DOI Creative Commons
Felix P. Mayer, Marco Niello,

Daniela Cintulová

и другие.

Research Square (Research Square), Год журнала: 2022, Номер unknown

Опубликована: Июль 25, 2022

Abstract Increasing extracellular levels of serotonin (5-HT) in the brain ameliorates symptoms depression and anxiety-related disorders, e.g. social phobias post-traumatic stress disorder. Recent evidence from preclinical clinical studies established potential drugs inducing release 5-HT via 5-HT-transporter. Nevertheless, current releasing compounds under investigation carry risk for abuse deleterious side effects. Here, we demonstrate that S -enantiomers certain ring-substituted cathinones show preference ex vivo vivo, exert 5-HT-associated effects behavioral models. Importantly, lead cathinone (i) do not induce substantial dopamine (ii) display reduced off-target activity at vesicular monoamine transporter-2 2B -receptors; indicative low abuse-liability adverse events. Taken together, our findings identify these agents as first-in class leads may prove useful treatment disorders where elevation has proven beneficial.

Язык: Английский

Drug Treatment of Epilepsy: From Serendipitous Discovery to Evolutionary Mechanisms DOI

Shengying Lou,

Sunliang Cui

Current Medicinal Chemistry, Год журнала: 2021, Номер 29(19), С. 3366 - 3391

Опубликована: Сен. 13, 2021

Epilepsy is a chronic brain disorder caused by the abnormal firing of neurons. Up to now, use antiepileptic drugs main method epilepsy treatment. The development lasted for centuries. In general, most agents entering clinical practice act on balance mechanisms "excitability-inhibition". More specifically, they target voltage-gated ion channels, GABAergic transmission and glutamatergic transmission. recent years, some novel representing new action have been discovered. Although there are about 30 available in market, it still urgent need discovering more effective safer drugs. into era: from serendipitous discovery evolutionary mechanism-based design. This article presents an overview drug treatment epilepsy, including series traditional

Язык: Английский

Процитировано

8

Cutting edge approaches to detecting brain mosaicism associated with common focal epilepsies: implications for diagnosis and potential therapies DOI
Zimeng Ye, Mark F. Bennett, Melanie Bahlo

и другие.

Expert Review of Neurotherapeutics, Год журнала: 2021, Номер 21(11), С. 1309 - 1316

Опубликована: Сен. 14, 2021

Introduction Mosaic variants arising in brain tissue are increasingly being recognized as a hidden cause of focal epilepsy. This knowledge gain has been driven by new, highly sensitive genetic technologies and genome-wide analysis from surgical resection or autopsy small proportion patients with Recently reported novel strategies to detect mosaic limited have exploited trace DNA obtained cerebrospinal fluid liquid biopsies stereo-electroencephalography electrodes.Areas covered The authors review the data on these innovative approaches published PubMed before 12 June 2021, discuss challenges associated their application, describe how they likely improve detection provide new molecular diagnoses therapeutic targets for epilepsy, potential utility other nonmalignant neurological disorders.Expert opinion These cutting-edge may reveal etiology epilepsies guidance precision medicine.

Язык: Английский

Процитировано

8

Pharmacotherapy of epilepsy: new solutions to old problems DOI Open Access
A. S. Romanov,

Elena F. Sharahova

Aspirantskiy Vestnik Povolzhiya, Год журнала: 2023, Номер 23(2), С. 43 - 52

Опубликована: Июнь 16, 2023

The literature review provides an update on recent advances in antiepileptic pharmacotherapy. article considers the mechanisms of action drugs, range efficacy, side effects and enzyme-inducing properties, potential teratogenicity. A revealed some problems patients with epilepsy remaining unresolved to this day. Despite increase number anticonvulsants years, one-third are pharmacoresistant therapy continue suffer from seizures. hope for reducing proportion uncontrolled seizures rests future therapeutic developments, including targeted therapies aimed at molecular underlying pathogenesis. Clinical outcomes could also significantly improve development new highly accurate diagnostic treatment methods, identification biomarkers drug development, as well routine clinical follow-up introduction truly innovative disease-modifying therapies.

Язык: Английский

Процитировано

1

Efficacy and safety of fenfluramine in the treatment of Dravet syndrome - literature review DOI Creative Commons
Martyna Stefaniak, Zofia Pietrzak, Piotr Dzikowski

и другие.

Journal of Education Health and Sport, Год журнала: 2022, Номер 12(1), С. 106 - 116

Опубликована: Янв. 14, 2022

Dravet Syndrome is a severe, drug-resistant, and rare epileptiform disorder that typically presented in the first year of life an otherwise healthy child. It characterized by prolonged seizures are often resistant to current anti-epileptic drug regimens, which made them poorly controlled, almost 50% patients experience at least four tonic-clonic per month. There three new medicines: stiripentol, cannabidiol, fenfluramine, with documented efficacy safety as adjunctive therapies pharmacoresistant syndrome treatment. This study aimed assess fenfluramine treatment syndrome. Our material consisted publications, were found PubMed, Google Scholar, Embase databases. In order find proper search has been conducted use combination keywords like: “fenfluramine”, “Dravet syndrome”, “epilepsy treatment”, pediatric patients”. The step was publications from last 10 years. second carry out overview publications. Results mentioned studies proved syndrome, provided significantly greater reduction convulsive seizure frequency compared placebo. No patient developed valvular heart disease or pulmonary arterial hypertension, side effects occurred during its mild generally well-tolerated. bioequivalence tolerability single oral doses hydrochloride solution fed fasted states support administration without regard meals. Fenfluramine may represent important option for

Язык: Английский

Процитировано

1

Serotonin-releasing agents with reduced off-target effects DOI Creative Commons
Felix P. Mayer, Marco Niello,

Daniela Cintulová

и другие.

Research Square (Research Square), Год журнала: 2022, Номер unknown

Опубликована: Июль 25, 2022

Abstract Increasing extracellular levels of serotonin (5-HT) in the brain ameliorates symptoms depression and anxiety-related disorders, e.g. social phobias post-traumatic stress disorder. Recent evidence from preclinical clinical studies established potential drugs inducing release 5-HT via 5-HT-transporter. Nevertheless, current releasing compounds under investigation carry risk for abuse deleterious side effects. Here, we demonstrate that S -enantiomers certain ring-substituted cathinones show preference ex vivo vivo, exert 5-HT-associated effects behavioral models. Importantly, lead cathinone (i) do not induce substantial dopamine (ii) display reduced off-target activity at vesicular monoamine transporter-2 2B -receptors; indicative low abuse-liability adverse events. Taken together, our findings identify these agents as first-in class leads may prove useful treatment disorders where elevation has proven beneficial.

Язык: Английский

Процитировано

1