高飞,
Email: gaofei0016@163.com
癫痫是一种以癫痫发作为核心症状的常见神经系统疾病。虽然抗癫痫发作药物(Antiseizure medications,ASMs)是目前治疗癫痫的主要方式,且大多数癫痫患者的预后良好,但仍有30%的患者因其耐药性并未缓解,因此需要其他辅助治疗方案。维生素(Vitamin,Vit)在某些情况下可以辅助药物治疗,但目前指南仅明确推荐了生酮饮食,并未推荐其他的饮食治疗方案。本文探讨了维生素在癫痫发作中的治疗作用,旨在为我国临床医生、患者及家属提供参考,以便科学管理癫痫患者,并为相关研究提供临床依据。
Citation: 高阳, 高飞. 维生素在癫痫发作中治疗作用的研究进展. Journal of Epilepsy, 2022, 8(6): 539-543. doi: 10.7507/2096-0247.202208001 Copy
1. | Azevedo FR, Corrêa C, Muxfeld BM, et al. Anthropometric profile and nutritional intake in patients with epilepsy. Nutr Hosp, 2015, 32(2): 817-822. |
2. | Soltani D, Ghaffar Pour M, Tafakhori A, et al. Nutritional aspects of treatment in epileptic patients. Iran J Child Neurol, 2016, 10(3): 1-12. |
3. | Collins P, Patel V, Joestl S, et al. Grand challenges in global mental health. Nature, 2011, 475(7354): 27-30. |
4. | DeGiorgio C, Miller P, Harper R, et al. Fish oil (n-3 fatty acids) in drug resistant epilepsy:a randomised placebo-controlled crossover study. J Neurol Neurosurg Psychiatry, 2015, 86(1): 65-70. |
5. | Hagberg B, Hamfelt A, Hansson OJL, et al. Epileptic children with disturbed trytophan metabolism treated with vitamin B6. Lancet, 1964, 1(7325): 145. |
6. | Holló A, Clemens Z, Kamondi A, et al. Correction of vitamin D deficiency improves seizure control in epilepsy: a pilot study. Epilepsy Behav, 2012, 24(1): 131-133. |
7. | Mehvari J, Motlagh F, Najafi M, et al. Effects of Vitamin E on seizure frequency, electroencephalogram findings, and oxidative stress status of refractory epileptic patients. Adv Biomed Res, 2016, 5: 36. |
8. | Omrani S, Taheri M, Omrani M, et al. The effect of omega-3 fatty acids on clinical and paraclinical features of intractable epileptic patients:a triple blind randomized clinical trial. Clin Transl Med, 2019, 8(1): 3. |
9. | Tombini M, Palermo A, Assenza G, et al. Calcium metabolism serum markers in adult patients with epilepsy and the effect of vitamin D supplementation on seizure control. Seizure, 2018, 58: 75-81. |
10. | Gaby AR. Natural approaches to epilepsy. Altern Med Rev, 2007, 12(1): 9-24. |
11. | Xiang J, Jiang Y. Regulation of Cu-Zn superoxide dismutase on SCN2A in SH-SY5Y cells as a potential therapy for temporal lobe epilepsy. Mol Med Rep, 2014, 9(1): 16-22. |
12. | Crepin S, Godet B, Chassain B, et al. Malnutrition and epilepsy: a two-way relationship. Clin Nutr, 2009, 28(3): 219-225. |
13. | Liu H, Yang Y, Wang Y, et al. Ketogenic diet for treatment of intractable epilepsy in adults: a meta-analysis of observational studies. Epilepsia Open, 2018, 3(1): 9-17. |
14. | Winesett S, Bessone S, Kossoff E. The ketogenic diet in pharmacoresistant childhood epilepsy. Expert Rev Neurother, 2015, 15(6): 621-628. |
15. | Falco-Walter J, Scheffer I, Fisher R. The new definition and classification of seizures and epilepsy. Epilepsy Res, 2018, 139: 73-79. |
16. | Fisher R, Cross J, French J, et al. Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology. Epilepsia, 2017, 58(4): 522-530. |
17. | Fisher R, van Emde Boas W, Blume W, et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia, 2005, 46(4): 470-472. |
18. | Deng H, Xiu X, Song Z. The molecular biology of genetic-based epilepsies. Mol Neurobiol, 2014, 49(1): 352-367. |
19. | Fisher R, Acevedo C, Arzimanoglou A, et al. ILAE official report: a practical clinical definition of epilepsy. Epilepsia, 2014, 55(4): 475-482. |
20. | Shin E, Jeong J, Chung Y, et al. Role of oxidative stress in epileptic seizures. Neurochem Int, 2011, 59(2): 122-137. |
21. | Wei F, Yan L, Su T, et al. Ion channel genes and epilepsy: functional alteration, pathogenic potential, and mechanism of epilepsy. Neurosci Bull, 2017, 33(4): 455-477. |
22. | Wolfart J, Laker D. Homeostasis or channelopathy? Acquired cell type-specific ion channel changes in temporal lobe epilepsy and their antiepileptic potential. Front Physiol, 2015, 6: 168. |
23. | Frantseva M, Velazquez J, Hwang P, et al. Free radical production correlates with cell death in an in vitro model of epilepsy. Eur J Neurosci, 2000, 12(4): 1431-1439. |
24. | Moretti M, Marchioni CF. An overview of erdosteine antioxidant activity in experimental research. Pharmacol Res, 2007, 55(4): 249-254. |
25. | Pearson-Smith J, Patel M. Metabolic dysfunction and oxidative stress in epilepsy. Int J Mol Sci, 2017, 18(11). |
26. | Devinsky O, Vezzani A, Najjar S, et al. Glia and epilepsy: excitability and inflammation. Trends Neurosci, 2013, 36(3): 174-184. |
27. | Stadtman ER. Protein oxidation in aging and age-related diseases. Ann NY Acad Sci, 2001, 928: 22-38. |
28. | Webster K, Sun M, Crack P, et al. Inflammation in epileptogenesis after traumatic brain injury. J Neuroinflammation, 2017, 14(1): 10. |
29. | Wong-Ekkabut J, Xu Z, Triampo W, et al. Effect of lipid peroxidation on the properties of lipid bilayers: a molecular dynamics study. Biophys J, 2007, 93(12): 4225-4236. |
30. | Steriade C, Titulaer M, Vezzani A, et al. The association between systemic autoimmune disorders and epilepsy and its clinical implications. Brain, 2021, 144(2): 372-390. |
31. | Eyles DW, Burne TH, McGrath JJ. Vitamin D, effects on brain development, adult brain function and the links between low levels of vitamin D and neuropsychiatric disease. Front Neuroendocrinol, 2013, 34(1): 47-64. |
32. | Rössler A, Launay J, Venault P, et al. Changes in benzodiazepine binding in a subkindling situation. Epilepsia, 2000, 41(6): 651-654. |
33. | Teagarden DL, Meador KJ, Loring DW. Low vitamin D levels are common in patients with epilepsy. Epilepsy Res, 2014, 108(8): 1352-1356. |
34. | Abdel-Wahab A, Afify M, Mahfouz A, et al. Vitamin D enhances antiepileptic and cognitive effects of lamotrigine in pentylenetetrazole-kindled rats. Brain Res, 2017, 1673: 78-85. |
35. | Kalueff A, Minasyan A, Tuohimaa P. Anticonvulsant effects of 1, 25-dihydroxyvitamin D in chemically induced seizures in mice. Brain Res Bull, 2005, 67: 156-160. |
36. | Kalueff A, Minasyan A, Keisala T, et al. Increased severity of chemically induced seizures in mice with partially deleted Vitamin D receptor gene. Neurosci Lett, 2006, 394(1): 69-73. |
37. | Brewer L, Thibault V, Chen K, et al. Vitamin D hormone confers neuroprotection in parallel with downregulation of L-type calcium channel expression in hippocampal neurons. J Neurosci, 2001, 21(1): 98-108. |
38. | Lefebvre d'Hellencourt C, Montero-Menei C, Bernard R, et al. Vitamin D3 inhibits proinflammatory cytokines and nitric oxide production by the EOC13 microglial cell line. J Neurosci Res, 2003, 71(4): 575-582. |
39. | Bartels L, Jørgensen S, Agnholt J, et al. 1, 25-dihydroxyvitamin D3 and dexamethasone increase interleukin-10 production in CD4+ T cells from patients with Crohn's disease. Int Immunopharmacol, 2007, 7(13): 1755-1764. |
40. | Kozan R, Ayyildiz M, Yildirim M, et al. The effects of ethanol intake and withdrawal on penicillin-induced epileptiform activity in rats. Acta Neurobiol Exp (Wars), 2006, 71: 111-115. |
41. | Dursun E, Gezen-Ak D, Yilmazer S. The influence of Vitamin D treatment on the Inducible Nitric Oxide Synthase (INOS) expression in primary hippocampal neurons. Noro psikiyatri arsivi, 2014, 51(2): 163-168. |
42. | Friedman M. Chemistry, nutrition, and health-promoting properties of hericium erinaceus (Lion's Mane) mushroom fruiting bodies and mycelia and their bioactive compounds. J Agric Food Chem, 2015, 63(32): 7108-7123. |
43. | Jang H, Kim J, Jeong K, et al. Hericium erinaceusthe neuroprotective effect of extracts in mouse hippocampus after pilocarpine-induced status epilepticus. Int J Mol Sci, 2019, 20(4). |
44. | Ambrogini P, Albertini M, Betti M, et al. Neurobiological correlates of alpha-tocopherol antiepileptogenic effects and microRNA expression modulation in a rat model of kainate-induced seizures. Mol Neurobiol, 2018, 55(10): 7822-7838. |
45. | Ribeiro M, de Avila D, Schneider C, et al. Alpha-Tocopherol protects against pentylenetetrazol- and methylmalonate-induced convulsions. Epilepsy Res, 2005, 66: 185-194. |
46. | Pott-Junior H, Nascimento C, Costa-Guarisco L, et al. Vitamin D deficient older adults are more prone to have metabolic syndrome, but not to a greater number of metabolic syndrome parameters. Nutrients, 2020, 12(3): 1-9. |
47. | Lee A, Wong R, Chuang S, et al. Role of synaptic metabotropic glutamate receptors in epileptiform discharges in hippocampal slices. J Neurophysiol, 2002, 88(4): 1625-1633. |
48. | Betti M, Minelli A, Ambrogini P, et al. Dietary supplementation with α-tocopherol reduces neuroinflammation and neuronal degeneration in the rat brain after kainic acid-induced status epilepticus. Free Radic Res, 2011, 45(10): 1136-1142. |
49. | Tomé AR, Feng D, Freitas RM. The effects of alpha-tocopherol on hippocampal oxidative stress prior to in pilocarpine-induced seizures. Neurochem Res, 2010, 35(4): 580-587. |
50. | Zakharova I, Sokolova T, Vlasova Y, et al. α-Tocopherol at Nanomolar Concentration Protects Cortical Neurons against Oxidative Stress. Int J Mol Sci, 2017, 18(1). |
51. | Simeone K, Matthews S, Samson K, et al. Targeting deficiencies in mitochondrial respiratory complex I and functional uncoupling exerts anti-seizure effects in a genetic model of temporal lobe epilepsy and in a model of acute temporal lobe seizures. Exp Neurol, 2014, 251: 84-90. |
52. | Liu R, Wu S, Guo C, et al. Ibuprofen exerts antiepileptic and neuroprotective effects in the rat model of pentylenetetrazol-induced epilepsy via the COX-2/NLRP3/IL-18 pathway. Neurochem Res, 2020, 45(10): 2516-2526. |
53. | Bowling FJSic, biology d. Pyridoxine supply in human development. Semin Cell Dev Biol, 2011, 22(6): 611-618. |
54. | Kuhara T, Akiyama T, Ohse M, et al. Identification of new biomarkers of pyridoxine-dependent epilepsy by GC/MS-based urine metabolomics. Anal Biochem, 2020, 604: 113739. |
55. | Mastrangelo M, Cesario S. Update on the treatment of vitamin B6 dependent epilepsies. Expert Rev Neurother, 2019, 19(11): 1135-1147. |
56. | Stracke H, Hammes H, Werkmann D, et al. Efficacy of benfotiamine versus thiamine on function and glycation products of peripheral nerves in diabetic rats. Exp Clin Endocrinol Diabetes, 2001, 109(6): 330-336. |
57. | Woldeamanuel Y, Girma B. Contributing towards the betterment of translational epilepsy research in Africa: needs, challenges, resources, and opportunities. Curr Neurol Neurosci Rep, 2014, 14(8): 480. |
58. | Jain K, Singh J, Jain A, et al. A case report of nonalcoholic gayet-wernicke encephalopathy: don't miss thiamine. A A Pract, 2020, 14(8): e01230. |
59. | Botez M, Botez T, Ross-Chouinard A, et al. Thiamine and folate treatment of chronic epileptic patients: a controlled study with the Wechsler IQ scale. Epilepsy Res, 1993, 16(2): 157-163. |
60. | Tomé AR, Ferreira P, Freitas R. Inhibitory action of antioxidants (ascorbic acid or alpha-tocopherol) on seizures and brain damage induced by pilocarpine in rats. Arq Neuropsiquiatr, 2010, 68(3): 355-361. |
61. | Harrison F, May J. Vitamin C function in the brain: vital role of the ascorbate transporter SVCT2. Free Radic Biol Med, 2009, 46(6): 719-730. |
62. | Santos I, Tomé AR, Saldanha G, et al. Oxidative stress in the hippocampus during experimental seizures can be ameliorated with the antioxidant ascorbic acid. Oxid Med Cell Longev, 2009, 2(4): 214-221. |
63. | González-Ramírez M, Razo-Juárez L, Sauer-Ramírez J, et al. Anticonvulsive effect of vitamin C on pentylenetetrazol-induced seizures in immature rats. Pharmacol Biochem Behav, 2010, 97(2): 267-272. |
64. | Das A, Sarwar M, Hossain M, et al. Elevated serum lipid peroxidation and reduced vitamin C and trace element concentrations are correlated with epilepsy. Clin EEG Neurosci, 2019, 50(1): 63-72. |
- 1. Azevedo FR, Corrêa C, Muxfeld BM, et al. Anthropometric profile and nutritional intake in patients with epilepsy. Nutr Hosp, 2015, 32(2): 817-822.
- 2. Soltani D, Ghaffar Pour M, Tafakhori A, et al. Nutritional aspects of treatment in epileptic patients. Iran J Child Neurol, 2016, 10(3): 1-12.
- 3. Collins P, Patel V, Joestl S, et al. Grand challenges in global mental health. Nature, 2011, 475(7354): 27-30.
- 4. DeGiorgio C, Miller P, Harper R, et al. Fish oil (n-3 fatty acids) in drug resistant epilepsy:a randomised placebo-controlled crossover study. J Neurol Neurosurg Psychiatry, 2015, 86(1): 65-70.
- 5. Hagberg B, Hamfelt A, Hansson OJL, et al. Epileptic children with disturbed trytophan metabolism treated with vitamin B6. Lancet, 1964, 1(7325): 145.
- 6. Holló A, Clemens Z, Kamondi A, et al. Correction of vitamin D deficiency improves seizure control in epilepsy: a pilot study. Epilepsy Behav, 2012, 24(1): 131-133.
- 7. Mehvari J, Motlagh F, Najafi M, et al. Effects of Vitamin E on seizure frequency, electroencephalogram findings, and oxidative stress status of refractory epileptic patients. Adv Biomed Res, 2016, 5: 36.
- 8. Omrani S, Taheri M, Omrani M, et al. The effect of omega-3 fatty acids on clinical and paraclinical features of intractable epileptic patients:a triple blind randomized clinical trial. Clin Transl Med, 2019, 8(1): 3.
- 9. Tombini M, Palermo A, Assenza G, et al. Calcium metabolism serum markers in adult patients with epilepsy and the effect of vitamin D supplementation on seizure control. Seizure, 2018, 58: 75-81.
- 10. Gaby AR. Natural approaches to epilepsy. Altern Med Rev, 2007, 12(1): 9-24.
- 11. Xiang J, Jiang Y. Regulation of Cu-Zn superoxide dismutase on SCN2A in SH-SY5Y cells as a potential therapy for temporal lobe epilepsy. Mol Med Rep, 2014, 9(1): 16-22.
- 12. Crepin S, Godet B, Chassain B, et al. Malnutrition and epilepsy: a two-way relationship. Clin Nutr, 2009, 28(3): 219-225.
- 13. Liu H, Yang Y, Wang Y, et al. Ketogenic diet for treatment of intractable epilepsy in adults: a meta-analysis of observational studies. Epilepsia Open, 2018, 3(1): 9-17.
- 14. Winesett S, Bessone S, Kossoff E. The ketogenic diet in pharmacoresistant childhood epilepsy. Expert Rev Neurother, 2015, 15(6): 621-628.
- 15. Falco-Walter J, Scheffer I, Fisher R. The new definition and classification of seizures and epilepsy. Epilepsy Res, 2018, 139: 73-79.
- 16. Fisher R, Cross J, French J, et al. Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology. Epilepsia, 2017, 58(4): 522-530.
- 17. Fisher R, van Emde Boas W, Blume W, et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia, 2005, 46(4): 470-472.
- 18. Deng H, Xiu X, Song Z. The molecular biology of genetic-based epilepsies. Mol Neurobiol, 2014, 49(1): 352-367.
- 19. Fisher R, Acevedo C, Arzimanoglou A, et al. ILAE official report: a practical clinical definition of epilepsy. Epilepsia, 2014, 55(4): 475-482.
- 20. Shin E, Jeong J, Chung Y, et al. Role of oxidative stress in epileptic seizures. Neurochem Int, 2011, 59(2): 122-137.
- 21. Wei F, Yan L, Su T, et al. Ion channel genes and epilepsy: functional alteration, pathogenic potential, and mechanism of epilepsy. Neurosci Bull, 2017, 33(4): 455-477.
- 22. Wolfart J, Laker D. Homeostasis or channelopathy? Acquired cell type-specific ion channel changes in temporal lobe epilepsy and their antiepileptic potential. Front Physiol, 2015, 6: 168.
- 23. Frantseva M, Velazquez J, Hwang P, et al. Free radical production correlates with cell death in an in vitro model of epilepsy. Eur J Neurosci, 2000, 12(4): 1431-1439.
- 24. Moretti M, Marchioni CF. An overview of erdosteine antioxidant activity in experimental research. Pharmacol Res, 2007, 55(4): 249-254.
- 25. Pearson-Smith J, Patel M. Metabolic dysfunction and oxidative stress in epilepsy. Int J Mol Sci, 2017, 18(11).
- 26. Devinsky O, Vezzani A, Najjar S, et al. Glia and epilepsy: excitability and inflammation. Trends Neurosci, 2013, 36(3): 174-184.
- 27. Stadtman ER. Protein oxidation in aging and age-related diseases. Ann NY Acad Sci, 2001, 928: 22-38.
- 28. Webster K, Sun M, Crack P, et al. Inflammation in epileptogenesis after traumatic brain injury. J Neuroinflammation, 2017, 14(1): 10.
- 29. Wong-Ekkabut J, Xu Z, Triampo W, et al. Effect of lipid peroxidation on the properties of lipid bilayers: a molecular dynamics study. Biophys J, 2007, 93(12): 4225-4236.
- 30. Steriade C, Titulaer M, Vezzani A, et al. The association between systemic autoimmune disorders and epilepsy and its clinical implications. Brain, 2021, 144(2): 372-390.
- 31. Eyles DW, Burne TH, McGrath JJ. Vitamin D, effects on brain development, adult brain function and the links between low levels of vitamin D and neuropsychiatric disease. Front Neuroendocrinol, 2013, 34(1): 47-64.
- 32. Rössler A, Launay J, Venault P, et al. Changes in benzodiazepine binding in a subkindling situation. Epilepsia, 2000, 41(6): 651-654.
- 33. Teagarden DL, Meador KJ, Loring DW. Low vitamin D levels are common in patients with epilepsy. Epilepsy Res, 2014, 108(8): 1352-1356.
- 34. Abdel-Wahab A, Afify M, Mahfouz A, et al. Vitamin D enhances antiepileptic and cognitive effects of lamotrigine in pentylenetetrazole-kindled rats. Brain Res, 2017, 1673: 78-85.
- 35. Kalueff A, Minasyan A, Tuohimaa P. Anticonvulsant effects of 1, 25-dihydroxyvitamin D in chemically induced seizures in mice. Brain Res Bull, 2005, 67: 156-160.
- 36. Kalueff A, Minasyan A, Keisala T, et al. Increased severity of chemically induced seizures in mice with partially deleted Vitamin D receptor gene. Neurosci Lett, 2006, 394(1): 69-73.
- 37. Brewer L, Thibault V, Chen K, et al. Vitamin D hormone confers neuroprotection in parallel with downregulation of L-type calcium channel expression in hippocampal neurons. J Neurosci, 2001, 21(1): 98-108.
- 38. Lefebvre d'Hellencourt C, Montero-Menei C, Bernard R, et al. Vitamin D3 inhibits proinflammatory cytokines and nitric oxide production by the EOC13 microglial cell line. J Neurosci Res, 2003, 71(4): 575-582.
- 39. Bartels L, Jørgensen S, Agnholt J, et al. 1, 25-dihydroxyvitamin D3 and dexamethasone increase interleukin-10 production in CD4+ T cells from patients with Crohn's disease. Int Immunopharmacol, 2007, 7(13): 1755-1764.
- 40. Kozan R, Ayyildiz M, Yildirim M, et al. The effects of ethanol intake and withdrawal on penicillin-induced epileptiform activity in rats. Acta Neurobiol Exp (Wars), 2006, 71: 111-115.
- 41. Dursun E, Gezen-Ak D, Yilmazer S. The influence of Vitamin D treatment on the Inducible Nitric Oxide Synthase (INOS) expression in primary hippocampal neurons. Noro psikiyatri arsivi, 2014, 51(2): 163-168.
- 42. Friedman M. Chemistry, nutrition, and health-promoting properties of hericium erinaceus (Lion's Mane) mushroom fruiting bodies and mycelia and their bioactive compounds. J Agric Food Chem, 2015, 63(32): 7108-7123.
- 43. Jang H, Kim J, Jeong K, et al. Hericium erinaceusthe neuroprotective effect of extracts in mouse hippocampus after pilocarpine-induced status epilepticus. Int J Mol Sci, 2019, 20(4).
- 44. Ambrogini P, Albertini M, Betti M, et al. Neurobiological correlates of alpha-tocopherol antiepileptogenic effects and microRNA expression modulation in a rat model of kainate-induced seizures. Mol Neurobiol, 2018, 55(10): 7822-7838.
- 45. Ribeiro M, de Avila D, Schneider C, et al. Alpha-Tocopherol protects against pentylenetetrazol- and methylmalonate-induced convulsions. Epilepsy Res, 2005, 66: 185-194.
- 46. Pott-Junior H, Nascimento C, Costa-Guarisco L, et al. Vitamin D deficient older adults are more prone to have metabolic syndrome, but not to a greater number of metabolic syndrome parameters. Nutrients, 2020, 12(3): 1-9.
- 47. Lee A, Wong R, Chuang S, et al. Role of synaptic metabotropic glutamate receptors in epileptiform discharges in hippocampal slices. J Neurophysiol, 2002, 88(4): 1625-1633.
- 48. Betti M, Minelli A, Ambrogini P, et al. Dietary supplementation with α-tocopherol reduces neuroinflammation and neuronal degeneration in the rat brain after kainic acid-induced status epilepticus. Free Radic Res, 2011, 45(10): 1136-1142.
- 49. Tomé AR, Feng D, Freitas RM. The effects of alpha-tocopherol on hippocampal oxidative stress prior to in pilocarpine-induced seizures. Neurochem Res, 2010, 35(4): 580-587.
- 50. Zakharova I, Sokolova T, Vlasova Y, et al. α-Tocopherol at Nanomolar Concentration Protects Cortical Neurons against Oxidative Stress. Int J Mol Sci, 2017, 18(1).
- 51. Simeone K, Matthews S, Samson K, et al. Targeting deficiencies in mitochondrial respiratory complex I and functional uncoupling exerts anti-seizure effects in a genetic model of temporal lobe epilepsy and in a model of acute temporal lobe seizures. Exp Neurol, 2014, 251: 84-90.
- 52. Liu R, Wu S, Guo C, et al. Ibuprofen exerts antiepileptic and neuroprotective effects in the rat model of pentylenetetrazol-induced epilepsy via the COX-2/NLRP3/IL-18 pathway. Neurochem Res, 2020, 45(10): 2516-2526.
- 53. Bowling FJSic, biology d. Pyridoxine supply in human development. Semin Cell Dev Biol, 2011, 22(6): 611-618.
- 54. Kuhara T, Akiyama T, Ohse M, et al. Identification of new biomarkers of pyridoxine-dependent epilepsy by GC/MS-based urine metabolomics. Anal Biochem, 2020, 604: 113739.
- 55. Mastrangelo M, Cesario S. Update on the treatment of vitamin B6 dependent epilepsies. Expert Rev Neurother, 2019, 19(11): 1135-1147.
- 56. Stracke H, Hammes H, Werkmann D, et al. Efficacy of benfotiamine versus thiamine on function and glycation products of peripheral nerves in diabetic rats. Exp Clin Endocrinol Diabetes, 2001, 109(6): 330-336.
- 57. Woldeamanuel Y, Girma B. Contributing towards the betterment of translational epilepsy research in Africa: needs, challenges, resources, and opportunities. Curr Neurol Neurosci Rep, 2014, 14(8): 480.
- 58. Jain K, Singh J, Jain A, et al. A case report of nonalcoholic gayet-wernicke encephalopathy: don't miss thiamine. A A Pract, 2020, 14(8): e01230.
- 59. Botez M, Botez T, Ross-Chouinard A, et al. Thiamine and folate treatment of chronic epileptic patients: a controlled study with the Wechsler IQ scale. Epilepsy Res, 1993, 16(2): 157-163.
- 60. Tomé AR, Ferreira P, Freitas R. Inhibitory action of antioxidants (ascorbic acid or alpha-tocopherol) on seizures and brain damage induced by pilocarpine in rats. Arq Neuropsiquiatr, 2010, 68(3): 355-361.
- 61. Harrison F, May J. Vitamin C function in the brain: vital role of the ascorbate transporter SVCT2. Free Radic Biol Med, 2009, 46(6): 719-730.
- 62. Santos I, Tomé AR, Saldanha G, et al. Oxidative stress in the hippocampus during experimental seizures can be ameliorated with the antioxidant ascorbic acid. Oxid Med Cell Longev, 2009, 2(4): 214-221.
- 63. González-Ramírez M, Razo-Juárez L, Sauer-Ramírez J, et al. Anticonvulsive effect of vitamin C on pentylenetetrazol-induced seizures in immature rats. Pharmacol Biochem Behav, 2010, 97(2): 267-272.
- 64. Das A, Sarwar M, Hossain M, et al. Elevated serum lipid peroxidation and reduced vitamin C and trace element concentrations are correlated with epilepsy. Clin EEG Neurosci, 2019, 50(1): 63-72.
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