Abolishing spontaneous epileptiform activity in human brain tissue through AMPA receptor inhibition


Objective: The amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor (AMPAR) is increasingly recognized as a therapeutic target in drug-refractory pediatric epilepsy. Perampanel (PER) is a non-competitive AMPAR antagonist, and pre-clinical studies have shown the AMPAR-mediated anticonvulsant effects of decanoic acid (DEC), a major medium-chain fatty acid provided in the medium-chain triglyceride ketogenic diet. Methods: Using brain tissue resected from children with intractable epilepsy, we recorded the effects of PER and DEC in vitro. Results: We found resected pediatric epilepsy tissue exhibits spontaneous epileptic activity in vitro, and showed that DEC and PER inhibit this epileptiform activity in local field potential recordings as well as excitatory synaptic transmission. Interpretation: This study confirms AMPAR antagonists inhibit epileptiform discharges in brain tissue resected in a wide range of pediatric epilepsies.

Publication DOI: https://doi.org/10.1002/acn3.51030
Divisions: College of Health & Life Sciences > Aston Pharmacy School
College of Health & Life Sciences > School of Psychology
College of Health & Life Sciences
College of Health & Life Sciences > Clinical and Systems Neuroscience
Funding Information: This work was supported by an Epilepsy Research UK Fellowship (SKW) and the Birmingham Children’s Hospital Research Fund (GLW). We gratefully acknowledge the help and assistance of the Birmingham Children’s Hospital Children’s Epilepsy Surgery Service (CE
Additional Information: © 2020 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. Funding: Epilepsy Research UK. Grant Number: F1301 Birmingham Children's Hospital Research Fund (BCHRF)
Uncontrolled Keywords: Neuroscience(all),Clinical Neurology
Publication ISSN: 2328-9503
Last Modified: 02 Apr 2024 07:13
Date Deposited: 01 Jun 2020 10:10
Full Text Link:
Related URLs: http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2020-06-01
Published Online Date: 2020-05-19
Accepted Date: 2020-03-05
Authors: Wright, Sukhvir K. (ORCID Profile 0000-0002-5464-3779)
Wilson, Max A.
Walsh, Richard
Lo, William B.
Mundil, Nilesh
Agrawal, Shakti
Philip, Sunny
Seri, Stefano (ORCID Profile 0000-0002-9247-8102)
Greenhill, Stuart D. (ORCID Profile 0000-0002-5038-5258)
Woodhall, Gavin L. (ORCID Profile 0000-0003-1281-9008)



Version: Published Version

License: Creative Commons Attribution

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