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Reprint of 'EEG: Characteristics of drug-induced seizures in rats, dogs and non-human primates'

机译:“脑电图:在大鼠,狗和非人类激励中的药物诱导癫痫发作的特征”

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摘要

Seizures are amongst the most frequent neurological issues encountered in pre-clinical safety testing. The objective was to characterize EEG morphologies and premonitory signs in drug-induced seizures in preclinical species. A comparative (inter-species) retrospective analysis for drug-induced seizures recorded by video-telemetry was conducted in rats (n = 53), dogs (n = 195), and non-human primates (n = 234). The most frequent premonitory signs were, in rats, myoclonus (100%), tremors (93%), salivation (75%), partial ptosis (58%) and chewing/bruxism (58%); in dogs, tremors (77%), ataxia/uncoordination (60%), myoclonus (45%), salivation (43%), excessive licking (38%), high vocalization (38%) and decreased activity (34%); in non-human primates, tremors (79%), decreased activity (70%), myoclonus (57%), retching/emesis (37%), hunched posture (30%) and ataxia/uncoordination (27%). Seizure duration ranged from 3 s to 14 min with an average of 46 +/- 21 s, comparable across species. At seizure onset, spike frequency averaged 9.4 Hz for the three species compared to 4.3 Hz at seizure end. Peak average amplitudes were attained at mid-seizure and amplitudes at seizure end decreased from peak but remained higher than onset amplitudes. Spike duration was inversely correlated with frequency and presented a crescendo pattern. Morphological characteristics can serve to refine automated EEG analysis. From a regulatory perspective, the most common paradigm is to use the most sensitive species in seizure liability studies but translational potential and clinical relevance may be under represented in the decision making process in some cases. EEG morphologies during drug-induced seizures presented remarkable similarities between species and tremors were identified as a predominant premonitory clinical sign in all species.
机译:癫痫发作是在临床前安全测试中遇到的最常见的神经系统问题之一。目的是在临床前物种中表征脑电图癫痫发作中的脑电图和前置症状。通过视频 - 遥测记录的药物诱导癫痫发作的比较(族类别)回顾性分析在大鼠(n = 53),狗(n = 195)和非人的制灵(n = 234)中进行。大鼠,肌阵挛(100%),震颤(93%),养殖(75%),部分脑病(58%)和咀嚼/腹腔(58%);在狗,震颤(77%),共济失调/不开放(60%),肌阵挛(45%),养分(43%),过度舔(38%),高发呼吸(38%)和减少活性(34%);在非人的灵长类动物中,震颤(79%),活性减少(70%),肌阵挛(57%),降低/呕吐(37%),驼背姿势(30%)和共济失调/不开放(27%)。癫痫发作持续时间从3 s到14分钟,平均为46 +/- 21秒,种类相当。在癫痫发作,三种物种的尖峰频率平均为9.4赫兹,而癫痫发作末端为4.3赫兹。在中间癫痫发作和癫痫发作末端的振幅从峰值降低,但仍然高于发病幅度的峰值平均幅度。尖峰持续时间与频率相反,呈现了渐变模式。形态学特性可以用于改进自动脑电图分析。从监管的角度来看,最常见的范式是使用缉获责任研究中最敏感的物种,但在某些情况下,可以在决策过程中代表翻译潜力和临床相关性。药物诱导的癫痫发作期间的EEG形态呈现了物种和震颤之间的显着相似性被鉴定为所有物种的主要前置临床症状。

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