Drug resistance in epilepsy: clinical impact, potential mechanisms, and new innovative treatment options

W Löscher, H Potschka, SM Sisodiya, A Vezzani… - Pharmacological …, 2020 - Elsevier
Epilepsy is a chronic neurologic disorder that affects over 70 million people worldwide.
Despite the availability of over 20 antiseizure drugs (ASDs) for symptomatic treatment of …

Drug-resistant epilepsy: multiple hypotheses, few answers

F Tang, AMS Hartz, B Bauer - Frontiers in neurology, 2017 - frontiersin.org
Epilepsy is a common neurological disorder that affects over 70 million people worldwide.
Despite the recent introduction of new antiseizure drugs (ASDs), about one-third of patients …

Epilepsy in patients with brain tumours: epidemiology, mechanisms, and management

MSM van Breemen, EB Wilms, CJ Vecht - The Lancet Neurology, 2007 - thelancet.com
Epilepsy is common in patients with brain tumours and can substantially affect daily life,
even if the tumour is under control. Several factors affect the mechanism of seizures in brain …

Blood-brain barrier active efflux transporters: ATP-binding cassette gene family

W Löscher, H Potschka - NeuroRx, 2005 - Elsevier
The blood-brain barrier (BBB) contributes to brain homeostasis by protecting the brain from
potentially harmful endogenous and exogenous substances. BBB active drug efflux …

Role of drug efflux transporters in the brain for drug disposition and treatment of brain diseases

W Löscher, H Potschka - Progress in neurobiology, 2005 - Elsevier
The blood–brain barrier (BBB) serves as a protective mechanism for the brain by preventing
entry of potentially harmful substances from free access to the central nervous system …

Drug resistance in epilepsy: putative neurobiologic and clinical mechanisms

D Schmidt, W Löscher - Epilepsia, 2005 - Wiley Online Library
Drug‐resistant epilepsy with uncontrolled severe seizures despite state‐of‐the‐art medical
treatment continues to be a major clinical problem for up to one in three patients with …

Animal models of drug-resistant epilepsy as tools for deciphering the cellular and molecular mechanisms of pharmacoresistance and discovering more effective …

W Löscher, HS White - Cells, 2023 - mdpi.com
In the last 30 years, over 20 new anti-seizure medicines (ASMs) have been introduced into
the market for the treatment of epilepsy using well-established preclinical seizure and …

The transport of antiepileptic drugs by P-glycoprotein

C Zhang, P Kwan, Z Zuo, L Baum - Advanced drug delivery reviews, 2012 - Elsevier
Epilepsy is the most common serious chronic neurological disorder. Current data show that
one-third of patients do not respond to anti-epileptic drugs (AEDs). Most non-responsive …

Fit for purpose application of currently existing animal models in the discovery of novel epilepsy therapies

W Löscher - Epilepsy research, 2016 - Elsevier
Animal seizure and epilepsy models continue to play an important role in the early discovery
of new therapies for the symptomatic treatment of epilepsy. Since 1937, with the discovery of …

Multidrug resistance in epilepsy: rats with drug-resistant seizures exhibit enhanced brain expression of P-glycoprotein compared with rats with drug-responsive …

HA Volk, W Löscher - Brain, 2005 - academic.oup.com
Medical intractability, ie the absence of any response to anti-epileptic drug (AED) therapy, is
an unresolved problem in many patients with epilepsy. Mechanisms of intractability are not …