Zusammenfassung
Valproinsäure (valproic acid, VPA)besitzt in den von uns untersuchten In-vitroEpilepsiemodellen von allen klinisch verwendeten Antikonvulsiva das relativ weiteste Wirkspektrum. VPA beeinflusst die Erregungsbildung an Nervenzellen sowohl über eine nutzungsabhängige Blockade von Natriumströmen wie durch eine Blockade der T-Kalziumströme. Darüber hinaus steigert VPA die Synthese von GABA und reduziert die Bildung von Aspartat. Damit ist VPA ähnlich wie die meisten anderen klinisch verwendeten anfallsunterdrückenden Substanzen keine sehr spezifisch wirkende Substanz. Die nachgewiesenen Wirkungen von VPA sind aber vereinbar mit dem breiten Wirkspektrum von VPA.
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Heinemann, U., Dreier, J., Stabel, J., Zhang, C.L., Leschinger, A., Ficker, E. (2002). Wirkungsmechanismus von Valproinsäure: Neurophysiologische Aspekte. In: Krämer, G., Walden, J. (eds) Valproinsäure. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56329-4_3
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DOI: https://doi.org/10.1007/978-3-642-56329-4_3
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