父亲暴露于抗发作药物和后代的结果:一个系统的审查
Eliza Honybun1,2, Genevieve Rayner1,2, Charles B Malpas1,3
1Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
Journal of neurology, neurosurgery, and psychiatry
|September 19, 2024
概括
父亲在受孕时接触抗发作药物 (ASM) 没有显示出对后代神经发育或解剖结果的明显风险. 有限的数据表明,父亲使用ASM不太可能对儿童造成重大风险.
科学领域:
- 生殖毒理学 生殖毒理学
- 发育毒理学 发展毒理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 人们越来越担心,由于父亲暴露于抗发作药物 (ASM) 的胎儿风险.
- 系统性审查,以评估父亲在受孕时使用ASM的后代的神经发育和解剖结果.
研究的目的:
- 系统地审查关于父亲在受孕时暴露于ASM的后代的神经发育和解剖结果的现有文献.
- 评估与父亲在受孕前使用ASM相关的潜在风险.
主要方法:
- 在MEDLINE,PsycINFO和Embase进行了全面的电子文献搜索.
- 包括报告神经发育障碍,先天性形和后代生长参数的人类研究.
- 使用纽卡斯尔-太华尺度进行质量评估和叙事综合发现.
主要成果:
- 在最初确定的923项研究中,有10项研究符合资格标准.
- 有限的证据表明,父亲使用ASM对后代结果没有明显的不良影响.
- 方法上的局限性,包括结果报告和小样本大小,阻止了元分析.
结论:
- 现有的数据提供了令人放心的证据,证明在受孕时父亲暴露于ASM对后代的重大风险.
- 需要进一步的研究才能充分理解父亲使用ASM与儿童发育之间的关系.
相关概念视频
Antiepileptic Drugs: Potassium Channel Activators
149
Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
Ezogabine has gained approval as an adjunctive treatment...
149
Antiepileptic Drugs: GABAergic Pathway Potentiators
341
γ-aminobutyric acid or GABA, plays a pivotal role as an inhibitory neurotransmitter in the brain. GABA pathway potentiators, also known as GABAergic drugs, are a class of pharmaceutical agents designed to enhance the functioning of the GABAergic system. These medications primarily treat epilepsy, a neurological disorder characterized by recurrent seizures.
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
341
Antiepileptic Drugs: Calcium Channel Blockers
341
Calcium channel blockers, a class of antiepileptic drugs, regulate the flow of calcium ions within neurons.
Calcium channel blockers exert their antiepileptic effects by targeting T-type calcium channels, which are integral to transmitting nerve signals in the central nervous system. These channels allow the passage of calcium ions, which are vital for neuronal communication. By inhibiting T-type calcium channels, calcium channel blockers effectively reduce the release of neurotransmitters and...
Calcium channel blockers exert their antiepileptic effects by targeting T-type calcium channels, which are integral to transmitting nerve signals in the central nervous system. These channels allow the passage of calcium ions, which are vital for neuronal communication. By inhibiting T-type calcium channels, calcium channel blockers effectively reduce the release of neurotransmitters and...
341
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein
266
Antiepileptic drugs, such as levetiracetam (Keppra) and brivaracetam (Briviact), have emerged as crucial tools in managing epilepsy. These medications exert their therapeutic effects by targeting the synaptic vesicle protein SV2A, a transmembrane glycoprotein primarily found in the brain.
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
266
Arteries of the Lower Limbs
181
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
181
Antiepileptic Drugs: Sodium Channel Blockers
452
Antiepileptic drugs are specialized medications that prevent seizures in individuals diagnosed with epilepsy. These drugs primarily function by blocking the movement of sodium ions through channels in the neuronal membrane, inhibiting the repetitive firing of action potentials often associated with seizures.
Sodium channel blockers modulate ion channels, particularly voltage-gated sodium channels. They block only sodium ion movement.
Among the most commonly prescribed antiepileptic drugs are...
Sodium channel blockers modulate ion channels, particularly voltage-gated sodium channels. They block only sodium ion movement.
Among the most commonly prescribed antiepileptic drugs are...
452


