List of abbreviations: AEDs -antiepileptic drugs, 8 -epi-PGF 2a -urinary isoprostanes, GPX -glutathione peroxidase, ILAE -International League Against Epilepsy, 8-OHdG -8-hydroxy-2'-deoxyguanosine, P-SH -protein thiol groups, RCD -reactive carbonyl derivatives, ROS -reactive oxygen species, SOD -superoxide dismutase.
SummaryBackground: To get more insight into the effects of the most widely used antiepileptic drugs (AEDs) on the pro oxi dant/ antioxidant balance in epi lep sy, a comparative analysis of the byproducts of oxidative damage and antioxidant de fense mechanisms was performed in patients with epilepsy treated with la mo trigine, carbamazepine and valproic acid. Methods: Byproducts of oxidative damage to proteins (reactive carbonyl derivatives, RCD and protein thiol groups, P-SH), lipids (urinary isoprostanes, 8 -epi-PGF 2a ) and DNA (urinary 8-hydroxy-2'-deoxyguanosine, 8-OHdG), as well as the activities of antioxidant enzymes superoxide dismutase (SOD) and glutathione peroxidase (GPX) were measured in 60 patients with newly diagnosed seizure (at illness onset and after 6 months of treatment with lamotrigine, carbamazepine or valproic acid) and in 20 healthy controls. Results: In patients with epilepsy, RCD, urinary 8-epi-PGF 2a and 8 -OHdG, together with SOD and GPX activities were significantly increased, while P-SH were only slightly decreased. After 6 months of treatment with AEDs, a decrease was observed in RCD, urinary 8-epi-PGF 2a and 8-