PMID- 22544534 OWN - NLM STAT- MEDLINE DCOM- 20121108 LR - 20211203 IS - 1534-6293 (Electronic) IS - 1528-4042 (Print) IS - 1528-4042 (Linking) VI - 12 IP - 4 DP - 2012 Aug TI - Mammalian target of rapamycin (mTOR) inhibition: potential for antiseizure, antiepileptogenic, and epileptostatic therapy. PG - 410-8 LID - 10.1007/s11910-012-0276-5 [doi] AB - New epilepsy treatments are needed that not only inhibit seizures symptomatically (antiseizure) but also prevent the development of epilepsy (antiepileptogenic). The mammalian target of rapamycin (mTOR) pathway may mediate mechanisms of epileptogenesis and serve as a rational therapeutic target. mTOR inhibitors have antiepileptogenic and antiseizure effects in animal models of the genetic disease, tuberous sclerosis complex. The mTOR pathway is also implicated in epileptogenesis in animal models of acquired epilepsy and infantile spasms, although the effects of mTOR inhibitors are variable depending on the specific conditions and model. Furthermore, beneficial effects on seizures are lost when treatment is withdrawn, suggesting that mTOR inhibitors are "epileptostatic" in only stalling epilepsy progression during treatment. Clinical studies of rapamycin in human epilepsy are limited, but suggest that mTOR inhibitors at least have antiseizure effects in tuberous sclerosis patients. Further studies are needed to assess the full potential of mTOR inhibitors for epilepsy treatment. FAU - Ryther, Robin C C AU - Ryther RC AD - Department of Neurology and the Hope Center for Neurological Disorders, Washington University School of Medicine, Box 8111, 660 South Euclid Avenue, St. Louis, MO 63110, USA. rytherr@neuro.wustl.edu FAU - Wong, Michael AU - Wong M LA - eng GR - R01 NS056872/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Curr Neurol Neurosci Rep JT - Current neurology and neuroscience reports JID - 100931790 RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Brain Injuries/*drug therapy MH - Disease Models, Animal MH - Humans MH - Seizures/*drug therapy MH - Signal Transduction/*drug effects MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/*metabolism MH - Tuberous Sclerosis/*drug therapy PMC - PMC3875462 MID - NIHMS539728 EDAT- 2012/05/01 06:00 MHDA- 2012/11/09 06:00 PMCR- 2013/12/30 CRDT- 2012/05/01 06:00 PHST- 2012/05/01 06:00 [entrez] PHST- 2012/05/01 06:00 [pubmed] PHST- 2012/11/09 06:00 [medline] PHST- 2013/12/30 00:00 [pmc-release] AID - 10.1007/s11910-012-0276-5 [doi] PST - ppublish SO - Curr Neurol Neurosci Rep. 2012 Aug;12(4):410-8. doi: 10.1007/s11910-012-0276-5.