摘要
约1/3的癫痫患者对抗癫痫药物(AEDs)耐药。癫痫耐药是一个复杂的过程,可能涉及多药转运体P-糖蛋白(Pgp)和多药耐药相关蛋白(MRP),这些蛋白质及其mRNA在脑内皮的表达增加,主动从中枢神经系统清除AEDs,降低AEDs在致痫组织的有效浓度;此外,某些药物作用的分子靶点(如电压依赖性Na^+通道)也可能发生改变。
出处
《国外医学(神经病学.神经外科学分册)》
2004年第5期488-491,共4页
Foreign Medical Sciences(Section On Neurology & Neurosurgery)
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二级引证文献10
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1王越,刘金民.中药柴贝止痫汤对难治性癫痫大鼠模型行为学及P-糖蛋白和MDR1表达的影响[J].中华中医药杂志,2017,32(4):1735-1738. 被引量:24
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2刁丽梅,李华琼.中医中药治疗癫痫的研究进展[J].光明中医,2017,32(6):912-914. 被引量:6
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3朱昊如,谢鸣.中医药防治癫痫的研究进展[J].中国药师,2017,20(9):1583-1588. 被引量:10
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4刘冲冲,孙江燕,董笑克,李中浩,吴婧,袁斯远,刘金民.从少阳论治癫痫的机制探讨[J].中华中医药杂志,2019,34(9):4227-4230. 被引量:11
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5刘冲冲,孙江燕,袁斯远,董笑克,李中浩,王凯悦,刘金民.柴贝止痫汤及α细辛醚对难治性癫痫大鼠脑内P-gp表达及卡马西平含量的影响[J].中华中医药杂志,2020,35(3):1203-1206. 被引量:7
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6张青,杨洞洞,王潇慧,刘金民.柴贝止痫汤对KA致痫大鼠行为学及N-cadherin、MAP2表达的影响[J].中华中医药杂志,2021,36(9):5473-5476. 被引量:2
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7刘冲冲,董笑克,李中浩,王苏妹,刘金民.柴贝止痫汤添加治疗对耐药性癫痫患者血清炎症因子的影响[J].时珍国医国药,2021,32(10):2451-2455. 被引量:1
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8李中浩,董笑克,吴婧,黎莉莉,王凯悦,刘金民.基于网络药理学发掘柴贝止痫汤入血成分治疗癫痫的潜在机制[J].时珍国医国药,2021,32(12):3047-3050. 被引量:2
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9何俊锋,高玉广,何乾超.柴贝止痫汤治疗难治性癫痫研究进展[J].亚太传统医药,2022,18(2):220-224. 被引量:1
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10张媛.柴贝止痫汤联合治疗药物难治性癫痫的疗效观察[J].基层中医药,2022,1(7):5-11. 被引量:1
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1王瑞雪,柳莲,王志勇.缺血性脑卒中神经保护药物及其潜在分子靶点的研究进展[J].世界临床药物,2013,34(12):760-764. 被引量:8
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2陈英辉,赵永波,马爱梅,王乃东,呙登俊.药物难治性癫痫患者脑内多药耐药相关蛋白1表达的研究[J].中国神经免疫学和神经病学杂志,2006,13(3):173-176. 被引量:3
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4杨美兰,陈晓燕,张允奇,何莉,黄宗清,李爱东.癫痫患者外周血P-糖蛋白水平检测的临床意义[J].疑难病杂志,2009,8(3):152-153. 被引量:1
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7金瑞峰,杨春燕,许新升,李堃,葛丽娟.多药耐药基因1C3435T多态性在癫痫患者中的分布及其与癫痫耐药的关系[J].中华临床医师杂志(电子版),2010,4(11):72-76. 被引量:2
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8陈英辉,赵永波,马爱梅,王乃东,呙登俊.难治性癫痫大鼠脑内多药耐药相关蛋白1表达的研究[J].神经疾病与精神卫生,2005,5(6):411-413. 被引量:2
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9王军,欧绍武,王运杰.电压-门控Na^+通道基因突变与癫痫[J].国际病理科学与临床杂志,2007,27(2):152-155.
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10朱庆伟,徐纪文,周洪语,刘强强,赵晨杰,叶晓来,马军峰.迷走神经电刺激抑制癫痫大鼠脑内多药耐药相关蛋白的过表达[J].中华神经医学杂志,2014,13(11):1092-1096. 被引量:1