PMID- 30132243 OWN - NLM STAT- MEDLINE DCOM- 20181105 LR - 20220408 IS - 1573-6830 (Electronic) IS - 0272-4340 (Linking) VI - 38 IP - 7 DP - 2018 Oct TI - Metformin Plus Caloric Restriction Show Anti-epileptic Effects Mediated by mTOR Pathway Inhibition. PG - 1425-1438 LID - 10.1007/s10571-018-0611-8 [doi] AB - Caloric restriction (CR) has anti-epileptic effects in different animal models, at least partially due to inhibition of the mechanistic or mammalian target of rapamycin (mTOR) signaling pathway. Adenosine monophosphate-activated protein kinase (AMPK) inhibits mTOR cascade function if energy levels are low. Since hyper-activation of mTOR participates in epilepsy, its inhibition results in beneficial anti-convulsive effects. A way to attain this is to activate AMPK with metformin. The effects of metformin, alone or combined with CR, on the electrical kindling epilepsy model and the mTOR cascade in the hippocampus and the neocortex were studied. Combined metformin plus CR beneficially affected many kindling aspects, especially those relating to generalized convulsive seizures. Therefore, metformin plus CR could decrease measures of epileptic activity in patients with generalized convulsive seizures. Patients that are obese, overweight or that have metabolic syndrome in addition to having an epileptic disease are an ideal population for clinical trials to test the effectiveness of metformin plus CR. FAU - Rubio Osornio, Maria Del Carmen AU - Rubio Osornio MDC AD - Laboratorio de Neurofisiologia, Instituto Nacional de Neurologia y Neurocirugia, Av. Insurgentes Sur 3877, Col. La Fama, Del. Tlalpan, 14269, Mexico City, Mexico. FAU - Custodio Ramirez, Veronica AU - Custodio Ramirez V AD - Laboratorio de Neurofisiologia, Instituto Nacional de Neurologia y Neurocirugia, Av. Insurgentes Sur 3877, Col. La Fama, Del. Tlalpan, 14269, Mexico City, Mexico. FAU - Calderon Gamez, Daniela AU - Calderon Gamez D AD - Laboratorio de Nutricion Experimental, Instituto Nacional de Pediatria, Av. Insurgentes Sur 3700, Letra C, Col. Insurgentes Cuicuilco, Del. Coyoacan, 04530, Mexico City, Mexico. FAU - Paz Tres, Carlos AU - Paz Tres C AD - Laboratorio de Neurofisiologia, Instituto Nacional de Neurologia y Neurocirugia, Av. Insurgentes Sur 3877, Col. La Fama, Del. Tlalpan, 14269, Mexico City, Mexico. FAU - Carvajal Aguilera, Karla G AU - Carvajal Aguilera KG AD - Laboratorio de Nutricion Experimental, Instituto Nacional de Pediatria, Av. Insurgentes Sur 3700, Letra C, Col. Insurgentes Cuicuilco, Del. Coyoacan, 04530, Mexico City, Mexico. FAU - Phillips Farfan, Bryan V AU - Phillips Farfan BV AUID- ORCID: 0000-0001-6470-6860 AD - Laboratorio de Nutricion Experimental, Instituto Nacional de Pediatria, Av. Insurgentes Sur 3700, Letra C, Col. Insurgentes Cuicuilco, Del. Coyoacan, 04530, Mexico City, Mexico. bvphillips@yahoo.com. LA - eng GR - NA/Instituto Nacional de Pediatria/ PT - Journal Article DEP - 20180821 PL - United States TA - Cell Mol Neurobiol JT - Cellular and molecular neurobiology JID - 8200709 RN - 0 (Anticonvulsants) RN - 0 (Enzyme Inhibitors) RN - 9100L32L2N (Metformin) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Animals MH - Anticonvulsants/pharmacology MH - *Caloric Restriction MH - Combined Modality Therapy MH - Enzyme Inhibitors/therapeutic use MH - Epilepsy/*prevention & control MH - Male MH - Metformin/*therapeutic use MH - Obesity/complications/*therapy MH - Rats MH - Rats, Wistar MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors OTO - NOTNLM OT - Caloric restriction OT - Electrical kindling OT - Epilepsy OT - Metformin OT - mTOR signaling pathway EDAT- 2018/08/23 06:00 MHDA- 2018/11/06 06:00 CRDT- 2018/08/23 06:00 PHST- 2018/04/09 00:00 [received] PHST- 2018/08/07 00:00 [accepted] PHST- 2018/08/23 06:00 [pubmed] PHST- 2018/11/06 06:00 [medline] PHST- 2018/08/23 06:00 [entrez] AID - 10.1007/s10571-018-0611-8 [pii] AID - 10.1007/s10571-018-0611-8 [doi] PST - ppublish SO - Cell Mol Neurobiol. 2018 Oct;38(7):1425-1438. doi: 10.1007/s10571-018-0611-8. Epub 2018 Aug 21.