Hypotheses of development and strategies for overcoming drug resistance in epilepsy. Part I: Hypotheses of development

Currently, the problem of effective therapy for drug-resistant epilepsy remains vastly relevant. The severity of drug-resistant epilepsy, remarkable negative social sequelae and sudden death in epilepsy pose a heavy burden on healthcare system. Although many innovative antiepileptic drugs have been...

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Main Authors: A. M. Yakimov, E. E. Timechko, A. I. Paramonova, A. A. Vasilieva, F. K. Rybachenko, A. D. Rybachenko, D. V. Dmitrenko
Format: Article
Language:Russian
Published: IRBIS LLC 2025-01-01
Series:Эпилепсия и пароксизмальные состояния
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Online Access:https://www.epilepsia.su/jour/article/view/1150
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author A. M. Yakimov
E. E. Timechko
A. I. Paramonova
A. A. Vasilieva
F. K. Rybachenko
A. D. Rybachenko
D. V. Dmitrenko
author_facet A. M. Yakimov
E. E. Timechko
A. I. Paramonova
A. A. Vasilieva
F. K. Rybachenko
A. D. Rybachenko
D. V. Dmitrenko
author_sort A. M. Yakimov
collection DOAJ
description Currently, the problem of effective therapy for drug-resistant epilepsy remains vastly relevant. The severity of drug-resistant epilepsy, remarkable negative social sequelae and sudden death in epilepsy pose a heavy burden on healthcare system. Although many innovative antiepileptic drugs have been developed in recent decades, surgical approach remains the only effective way to treat drug-resistant epilepsy which is coupled to significant health risks and does not guarantee freedom from seizures. The stumbling block in managing this pathology is the lack of knowledge on pathogenetic mechanisms, leaving a significant proportion of patients without quality medical care. There are different viewpoints on developing drug resistance in epilepsy, which are characterized by multilayered and overlapping molecular disease bases. The review presents the analysis of the existing hypotheses regarding the mechanisms underlying drug resistance development in epilepsy.
format Article
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issn 2077-8333
2311-4088
language Russian
publishDate 2025-01-01
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record_format Article
series Эпилепсия и пароксизмальные состояния
spelling doaj-art-65ed6d6d382b43f28e56fd5209eb107b2025-08-20T03:18:59ZrusIRBIS LLCЭпилепсия и пароксизмальные состояния2077-83332311-40882025-01-0116437538410.17749/2077-8333/epi.par.con.2024.210666Hypotheses of development and strategies for overcoming drug resistance in epilepsy. Part I: Hypotheses of developmentA. M. Yakimov0E. E. Timechko1A. I. Paramonova2A. A. Vasilieva3F. K. Rybachenko4A. D. Rybachenko5D. V. Dmitrenko6Voino-Yasenetsky Krasnoyarsk State Medical UniversityVoino-Yasenetsky Krasnoyarsk State Medical UniversityVoino-Yasenetsky Krasnoyarsk State Medical UniversityVoino-Yasenetsky Krasnoyarsk State Medical UniversityVoino-Yasenetsky Krasnoyarsk State Medical UniversityVoino-Yasenetsky Krasnoyarsk State Medical UniversityVoino-Yasenetsky Krasnoyarsk State Medical UniversityCurrently, the problem of effective therapy for drug-resistant epilepsy remains vastly relevant. The severity of drug-resistant epilepsy, remarkable negative social sequelae and sudden death in epilepsy pose a heavy burden on healthcare system. Although many innovative antiepileptic drugs have been developed in recent decades, surgical approach remains the only effective way to treat drug-resistant epilepsy which is coupled to significant health risks and does not guarantee freedom from seizures. The stumbling block in managing this pathology is the lack of knowledge on pathogenetic mechanisms, leaving a significant proportion of patients without quality medical care. There are different viewpoints on developing drug resistance in epilepsy, which are characterized by multilayered and overlapping molecular disease bases. The review presents the analysis of the existing hypotheses regarding the mechanisms underlying drug resistance development in epilepsy.https://www.epilepsia.su/jour/article/view/1150drug-resistant epilepsydrug resistance mechanismsp-glycoproteinchannelopathiesneuroinflammationneural network
spellingShingle A. M. Yakimov
E. E. Timechko
A. I. Paramonova
A. A. Vasilieva
F. K. Rybachenko
A. D. Rybachenko
D. V. Dmitrenko
Hypotheses of development and strategies for overcoming drug resistance in epilepsy. Part I: Hypotheses of development
Эпилепсия и пароксизмальные состояния
drug-resistant epilepsy
drug resistance mechanisms
p-glycoprotein
channelopathies
neuroinflammation
neural network
title Hypotheses of development and strategies for overcoming drug resistance in epilepsy. Part I: Hypotheses of development
title_full Hypotheses of development and strategies for overcoming drug resistance in epilepsy. Part I: Hypotheses of development
title_fullStr Hypotheses of development and strategies for overcoming drug resistance in epilepsy. Part I: Hypotheses of development
title_full_unstemmed Hypotheses of development and strategies for overcoming drug resistance in epilepsy. Part I: Hypotheses of development
title_short Hypotheses of development and strategies for overcoming drug resistance in epilepsy. Part I: Hypotheses of development
title_sort hypotheses of development and strategies for overcoming drug resistance in epilepsy part i hypotheses of development
topic drug-resistant epilepsy
drug resistance mechanisms
p-glycoprotein
channelopathies
neuroinflammation
neural network
url https://www.epilepsia.su/jour/article/view/1150
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