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Published on: June 11, 2020
Neonatal Seizures and Purinergic Signalling
Aida Menéndez Méndez1, Jonathon Smith1,2, Tobias Engel1,2
1Department of Physiology and Medical Physics, RCSI University of Medicine and Health Sciences, Dublin D02 YN77, Ireland.
Neonatal seizures worsen brain injury, and current drugs can be ineffective or harmful. Targeting the purinergic system offers a promising new strategy for safer and more effective seizure control in newborns.
Area of Science:
- Neuroscience
- Developmental Biology
- Pharmacology
Background:
- Neonatal seizures are a common complication of neonatal encephalopathy, often exacerbating brain injury and impacting outcomes.
- Existing anti-seizure medications face challenges with pharmacoresistance and potential neurotoxicity in infants.
- The purinergic system, involving adenosine triphosphate and purinoreceptors, is a key signaling pathway in the central nervous system.
Purpose of the Study:
- To review the pathology of neonatal seizures and the role of purinergic signaling during brain development.
- To examine emerging evidence linking purinergic signaling to neonatal seizures.
- To discuss potential purine-based therapeutic strategies for neonatal seizure suppression.
Main Methods:
- Literature review of neonatal seizure pathology.
- Analysis of purinergic signaling mechanisms in the developing brain.
- Synthesis of recent research on purinergic system involvement in neonatal seizures.
Main Results:
- Purinergic signaling components are widely expressed during brain development.
- Evidence suggests purinergic signaling plays a role in the pathophysiology of neonatal seizures.
- Targeting the purinergic system has shown potential for both convulsive and anticonvulsive effects.
Conclusions:
- The purinergic system represents a promising therapeutic target for neonatal seizures.
- Developing novel purine-based treatments could offer safer alternatives to current anti-seizure medications.
- Further research into purinergic signaling pathways is crucial for advancing neonatal seizure management.
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