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<dc:title xml:lang="fr">Effets métaboliques et comportementaux à long terme de l'administration précoce de carisbamate dans le modèle d'épilepsie "lithium-pilocarpine" chez le rat</dc:title>
<dcterms:alternative xml:lang="en">Long term metabolic and behavioral effects of early carisbamate administration in the rat lithium-pilocarpine model of epilepsy</dcterms:alternative>
<dc:subject xml:lang="fr">Epilepsie du lobe temporal</dc:subject>
<dc:subject xml:lang="fr">Etat de mal</dc:subject>
<dc:subject xml:lang="fr">Epileptogenèse</dc:subject>
<dc:subject xml:lang="fr">Modèle lithium-pilocarpine</dc:subject>
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<dc:subject xml:lang="fr">Métabolisme</dc:subject>
<dc:subject xml:lang="en">Temporal lobe epilepsy</dc:subject>
<dc:subject xml:lang="en">Status epilepticus</dc:subject>
<dc:subject xml:lang="en">Epileptogenesis</dc:subject>
<dc:subject xml:lang="en">Lithium-pilocarpine model</dc:subject>
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<dcterms:abstract xml:lang="fr">L’épilepsie du lobe temporal (ELT) est une pathologie neurologique sévère dont le fort taux de pharmacorésistance nécessite de nouveaux traitements. Le modèle lithium-pilocarpine modélise les caractéristiques et le développement de l’ELT. L’administration du carisbamate au début de l’épileptogenèse empêche l’apparition de l’ELT dans une sous-population de rats et la remplace par une épilepsie de type absence (ETA). L’évaluation cognitive effectuée durant la phase chronique a permis de distinguer les deux sous-populations : le groupe épilepsie de type absence ne développe pas le déficit cognitif sévère observé dans le modèle lithium pilocarpine. La spectroscopie du 13C n’a pas révélé de différence métabolique majeure entre les deux sous populations traitées, qu’elles développent une ELT ou une ETA. Ce travail souligne que l’administration précoce de carisbamate peut transformer l’ELT en une épilepsie moins sévère et fortement améliorer les comorbidités cognitives qui accompagnent l’ELT.</dcterms:abstract>
<dcterms:abstract xml:lang="en">Temporal lobe epilepsy (TLE) is a severe neurological disease with a high refractory rate, which requires new treatments. The lithium-pilocarpine model allows reproducing human TLE features and development. Carisbamate administration at epileptogenesis onset prevents TLE incidence in a rats’ subpopulation, which is substituted by absence-like epilepsy (ALE). Behavioral and cognitive assessment performed during chronic period allowed differentiating the two subpopulations: ALE group did not develop the severe cognitive impairment shown in the lithium-pilocarpine model. 13C spectroscopy did not show major metabolism difference between the two treated subpopulations, whatever they develop TLE or ALE. This work demonstrates that early carisbamate administration can induce a shift from TLE in a less severe epilepsy form, and can strikingly improve TLE-related cognitive comorbidities.</dcterms:abstract>
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