Voltage-gated sodium channels as therapeutic targets in epilepsy and other neurological disorders

Massimo Mantegazza, Giulia Curia, Giuseppe Biagini, David S. Ragsdale, Massimo Avoli

Research output: Contribution to journalArticle

Abstract

Voltage-gated sodium channels (VGSCs) are key mediators of intrinsic neuronal and muscle excitability. Abnormal VGSC activity is central to the pathophysiology of epileptic seizures, and many of the most widely used antiepileptic drugs, including phenytoin, carbamazepine, and lamotrigine, are inhibitors of VGSC function. These antiepileptic drugs might also be efficacious in the treatment of other nervous system disorders, such as migraine, multiple sclerosis, neurodegenerative diseases, and neuropathic pain. In this Review, we summarise the structure and function of VGSCs and their involvement in the pathophysiology of several neurological disorders. We also describe the biophysical and molecular bases for the mechanisms of action of antiepileptic VGSC blockers and discuss the efficacy of these drugs in the treatment of epileptic and non-epileptic disorders. Overall, clinical and experimental data indicate that these drugs are efficacious for a range of diseases, and that the development of drugs with enhanced selectivity for specific VGSC isoforms might be an effective and novel approach for the treatment of several neurological diseases.

Original languageEnglish
Pages (from-to)413-424
Number of pages12
JournalThe Lancet Neurology
Volume9
Issue number4
DOIs
Publication statusPublished - Apr 2010

ASJC Scopus subject areas

  • Clinical Neurology

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