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. 2014 Dec;12(6):527–550. doi: 10.2174/1570159X12666140923205715

Table 1.

Observed anticonvulsive and neuroprotective actions of endogenous antioxidants.

Substance Cells/Animals/Humans Seizure Model References
Potential antioxidant actions
α-Lipoic acid
Anti-convulsive effects Animal model (rats) PIL [79, 142]
Inhibits seizure activity and oxidative damage
  • decreases lipid peroxidation and inhibits nitrite formation

  • enhances the activity of antioxidant enzymes

  • abolishes changes of Na+, K+-ATPase activity induced by pilocarpine

Animal model (rats) PIL/Iron [70, 72, 143]
Influence on neuronal excitability and further on development and propagation of certain seizure types, namely through its antioxidant activity In vitro & in vivo models
- [144]
Strong antioxidant effects in vivo and in vitro
  • decreases ROS

  • temporary metal chelating

  • increases α-tocopherol and ascorbate recycling

In vitro & in vivo models - [144]
Dihydrolipoic acid
Strong antioxidant effects in vivo and in vitro
  • decreases ROS

  • temporary metal chelating

  • increases α-tocopherol and ascorbate recycling

  • In vitro & in vivo models

- [144]
Melatonin
Attenuates seizure activity and neurodegeneration
  • increases latency to the appearance of the first seizure

Animal model (rats) KA/PTZ/PIL [76, 78, 139, 145]
Exerts antioxidant properties Patients with epilepsy Children [146]
Exerts anticonvulsive and neuroprotective properties
  • decreases ROS and RNS production

  • decreases ROS and RNS production

  • blocks lipid peroxidation and nucleic acids oxidation

  • maintains GSH homeostasis and the GSH-related antioxidant enzyme system

Animal model (rats) KA/Amig. kindl [142, 75]
Animal model (mice/rats) KA/Iron [185, 147]
Animal model (mice) KA [76]
Animal model (rats) KA [186, 149]
Protects against seizures and decreased LPO Animal model (rats) Iron [147, 150]
Protects against oxidative stress
  • free radicals scavenging

  • stimulation of GPx activity

  • inhibition of NOS activity

Animal model (rats) Iron [135]
Suppress epileptic activity by inhibiting peroxidation Animal model (rats/mice) Iron/KA [147, 151]
Selen
Provides protection against reactive oxygen species induced damage
  • levels are lower in patients with epilepsy

Patients with epilepsy Children [36]
Ubiquinone
Prevents cells from free radicals induced oxidative damage
  • decreases the extent of oxidative stress and consequently the severity of seizures

Animal model (rats) PIL [86, 87]
Potentiate the antiepileptic effects of PHT treatment
  • ameliorates oxidative stress and cognitive impairment caused by PHT

Animal model (rats) PIL [86]

BBB – blood brain barrier, CAT – catalase, GPx – glutathione synthetase, GSH – glutathione, KA – kainic acid, LPO- lipid peroxidation, NOS - nitric oxide synthase, PIL – pilocarpin, PHT – phenytoin, PTZ – pentylenetetrazol, ROS – reactive oxygen species, RNS – reactive nitrogen species, SOD - superoxide dismutase

HHS Vulnerability Disclosure