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Is It Safe to Use a Diuretic to Treat Seizures Early in Development ?

机译:在发育早期使用利尿剂治疗癫痫病是否安全?

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There has been considerable interest in using bumetanide, a diuretic chloride importer NKCC1 antagonist, to reduce intracellular chloride ([Cl−]i) in epileptic neurons, thereby shifting the polarity of GABA from excitatory to inhibitory and ameliorating the actions of GABA-acting antiepileptic drugs. However, a recent study raises the important issue of potential deleterious actions of bumetanide on immature neurons, because reduction of (Cl−)i also alleviates a major source of excitation in developing neurons, upon which GABA exerts a trophic action. This review considers the importance of separating intrauterine from postnatal effects of bumetanide in normal versus pathologic neurons.
机译:使用利尿剂氯化物导入剂NKCC1拮抗剂布美他尼来减少癫痫神经元中的细胞内氯化物([Cl-] i),从而将GABA的极性从兴奋性转变为抑制性,并改善GABA起作用的抗癫痫药的作用,引起了人们的极大兴趣。毒品。但是,最近的一项研究提出了布美他尼对未成熟神经元潜在潜在有害作用的重要问题,因为(Cl-)i的减少还减轻了发育中神经元的主要兴奋源,GABA在神经元上发挥营养作用。这篇综述认为,将布美他尼的宫内节育与正常和病理性神经元的宫腔分离是很重要的。

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