2020
DOI: 10.1177/0883073820974851
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Nicotine: A Targeted Therapy for Epilepsy Due to nAChR Gene Variants

Abstract: Objective: Genetic variants of the neuronal nicotinic acetylcholine receptor (nAChR) cause autosomal dominant sleep-related hypermotor epilepsy. Approximately 30% of autosomal dominant sleep-related hypermotor epilepsy patients are medically intractable. In preclinical models, pathogenic nAChR variants cause a gain of function mutation with sensitivity to acetylcholine antagonists and agonists. Nicotine modifies the activity of nAChRs and can be used as targeted therapy. Methods: We reviewed next-generation se… Show more

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Cited by 14 publications
(3 citation statements)
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“…A large body of research has shown that mutation of nAChR-related coding genes is relative to the occurrence and development of epilepsy. Changes in the gene coding for nAChRs can lead to changes in nAChR-related structure and function, leading to changes in the local brain potential, resulting in the development of epilepsy [70,71]. When the gene encoding nAChR changes, it may cause changes in nAChR-related structure and function, resulting in changes in brain local potential, resulting in epilepsy.…”
Section: Discussionmentioning
confidence: 99%
“…A large body of research has shown that mutation of nAChR-related coding genes is relative to the occurrence and development of epilepsy. Changes in the gene coding for nAChRs can lead to changes in nAChR-related structure and function, leading to changes in the local brain potential, resulting in the development of epilepsy [70,71]. When the gene encoding nAChR changes, it may cause changes in nAChR-related structure and function, resulting in changes in brain local potential, resulting in epilepsy.…”
Section: Discussionmentioning
confidence: 99%
“…Rats were randomly divided into three groups: control (treated with saline), model group (pilocarpinetreated rats treated with saline) and Cu Zn‐SOD group (pilocarpine‐treated rats treated with viral vector expressing Cu‐Zn‐SOD [ SOD1 ] via the brain cavity). As noted in a previous publication [19], rats were given 200 mg/kg nicotine (Beyotime, Shanghai, China) subcutaneously to combat the surrounding cholinergic effect. After 30 minutes, rats were administrated with pilocarpine hydrochloride (Beyotime)‐to induce epilepsy‐ except for control group, accordingly [20].…”
Section: Methodsmentioning
confidence: 99%
“…In small clinical studies of patients with ADSHE, nicotine therapy has demonstrated antiseizure effects [21,22].…”
Section: Introduction/rationalementioning
confidence: 99%