Seizure suppression via glycolysis inhibition with 2‐deoxy‐D‐glucose (2DG)

CE Stafstrom, A Roopra, TP Sutula - Epilepsia, 2008 - Wiley Online Library
CE Stafstrom, A Roopra, TP Sutula
Epilepsia, 2008Wiley Online Library
Metabolic regulation of neuronal excitability is increasingly recognized as a factor in seizure
pathogenesis and control. Inhibiting or bypassing glycolysis may be one way through which
the ketogenic diet provides an anticonvulsant effect. 2‐deoxy‐D‐glucose (2DG), a
nonmetabolizable glucose analog that partially inhibits glycolysis, was tested in several
acute and chronic seizure models. Acutely, 2DG decreases the frequency of high‐K+‐,
bicuculline‐and 4‐aminopyridine‐induced interictal bursts in the CA3 region of hippocampal …
Summary
Metabolic regulation of neuronal excitability is increasingly recognized as a factor in seizure pathogenesis and control. Inhibiting or bypassing glycolysis may be one way through which the ketogenic diet provides an anticonvulsant effect. 2‐deoxy‐D‐glucose (2DG), a nonmetabolizable glucose analog that partially inhibits glycolysis, was tested in several acute and chronic seizure models. Acutely, 2DG decreases the frequency of high‐K+‐, bicuculline‐ and 4‐aminopyridine‐induced interictal bursts in the CA3 region of hippocampal slices; 2DG also exerts anticonvulsant effects in vivo against perforant path kindling in rats. Chronically, 2DG has novel antiepileptic effects by retarding the progression of kindled seizures. Finally, 2DG has a favorable preliminary toxicity profile. These factors support the possibility that 2DG or other modifiers of glycolysis can be used as novel treatments for epilepsy.
Wiley Online Library