The serotonin axis: Shared mechanisms in seizures, depression, and SUDEP.
The serotonin axis: Shared mechanisms in seizures, depression, and SUDEP.
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DOI:
10.1111/j.1528-1167.2010.02908.x
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发表时间:
2011-01
期刊:
影响因子:
5.6
通讯作者:
Buchanan GF
中科院分区:
文献类型:
--
作者:
Richerson GB;Buchanan GF
There is a growing appreciation that patients with seizures are also affected by a number of co-morbid conditions, including an increase in prevalence of depression, sleep apnea, and sudden death. The mechanisms responsible for these associations are unclear. Here we discuss the possibility that underlying pathology in the serotonin (5-HT) system of epilepsy patients lowers the threshold for seizures, while also increasing the risk of depression and sudden death. We propose that post-ictal dysfunction of 5-HT neurons causes depression of breathing and arousal in some epilepsy patients, and this can lead to sudden unexpected death in epilepsy (SUDEP). We further draw parallels between SUDEP and sudden infant death syndrome (SIDS), which may share pathophysiological mechanisms, and which have both been linked to defects in the 5-HT system.
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通讯作者:
Richerson, George B.
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通讯作者:
Richerson, GB
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DOI:
10.1124/jpet.106.104166
发表时间:
2006-08-01
影响因子:
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作者:
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通讯作者:
Debonnel, Guy