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Iranian Journal of Public Health، جلد ۴۷، شماره ۱، صفحات ۴۰-۴۸
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عنوان انگلیسی Expression of Multidrug Resistance Genes in Peripheral Blood of Patients with Refractory Epilepsy and the Reverse Effect of Oxcarbazepine on Its Expression
چکیده انگلیسی مقاله Abstract Background: We aimed to investigate the expression levels of multidrug resistance gene 1 (MDR1), multidrug resistance-associated protein 1 (MRP1) and multidrug resistance P-glycoprotein (P-gp) in peripheral blood of patients with refractory epilepsy. Methods: Patients with epilepsy (n=24) and those with refractory epilepsy (n=24) were selected, and 30 normal volunteers were enrolled as control. The expression level of MDR1 genes was detected using semi-quantitative reverse transcription-polymerase chain reaction (RT-PCR). The expression levels of P-gp and MRP1 were detected via Western blotting. The above-mentioned patients with refractory epilepsy were randomly divided into the oxcarbazepine group (OB group) and placebo group (OZ group). After consecutive 8-week oral administration of drugs, the curative effect and adverse reactions of patients with refractory epilepsy were observed, and the life quality of patients was evaluated. Results: The expression levels of MDR1 genes, P-gp and MRP1 in peripheral blood of patients with refractory epilepsy were significantly increased compared with those of patients with epilepsy, (P< 0.05). At 8 weeks after the drug therapy, the effective rate and life quality of patients in OB group were significantly higher than those of patients in OZ group (P< 0.01). There was no significant difference in the incidence rate of adverse reactions during the treatment between the two groups. After treatment, the expression levels of MDR1, P-gp and MRP1 in peripheral blood of patients in OB group were significantly lower than those of patients in OZ group (P< 0.01). Conclusion: Oxacillipine could effectively improve the effective treatment rate of patients with refractory epilepsy. The mechanism may be related to MDR1, MRP1 and Pgp expression.      
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نویسندگان مقاله | Jinming JI
Dept. of Neurology, Binzhou People&#x2019;s Hospital, Binzhou, Shandong, China


| Gang LI
Dept. of Neurology, Binzhou City Center Hospital, Binzhou, Shandong, China


| Yunxia MA
Dept. of Neurology, Binzhou City Center Hospital, Binzhou, Shandong, China


| Shuangshuang PAN
Dept. of Neurology, Binzhou City Center Hospital, Binzhou, Shandong, China


| Rongrong YUAN
Dept. of Neurology, Binzhou City Center Hospital, Binzhou, Shandong, China
نشانی اینترنتی http://ijph.tums.ac.ir/index.php/ijph/article/view/12044
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