Role of oxidative stress in epileptogenesis and potential implications for therapy

Pharmacol Rep. 2020 Oct;72(5):1218-1226. doi: 10.1007/s43440-020-00143-w. Epub 2020 Aug 31.

Abstract

In a state of balance between oxidants and antioxidants, free radicals play an advantageous role of "redox messengers". In a state of oxidative stress, they trigger a cascade of events leading to epileptogenesis. During this latent, free of seizures period, a cascade of neurological changes takes place and finally leads to spontaneous recurrent seizures. The main processes involved in seizure generation are: neuroinflammation, neurodegeneration with anomalous neuroregeneration and lowering seizure threshold. Time of epileptogenesis offers a unique therapeutic window to prevent or at least attenuate seizure development. Animal data indicate that some antioxidants (for instance, resveratrol) may bear an anti-epileptogenic potential.

Keywords: Epileptogenesis; Free radicals; Nitrogen species; Oxidative stress; Oxygen species.

Publication types

  • Review

MeSH terms

  • Animals
  • Antioxidants / pharmacology
  • Humans
  • Inflammation / drug therapy
  • Inflammation / pathology
  • Oxidation-Reduction / drug effects
  • Oxidative Stress / drug effects
  • Oxidative Stress / physiology*
  • Seizures / drug therapy
  • Seizures / pathology*

Substances

  • Antioxidants