Send Orders for Reprints to
[email protected] Current Medicinal Chemistry, 2014, 21, 1-34 1 The Antiepileptic Potential of Nucleosides ,1 2,3 2 4,5 Z. Kovács* , K.A. Kékesi , G. Juhász and Á. Dobolyi 1Department of Zoology, University of West Hungary, Savaria Campus, Szombathely, Hungary; 2Laboratory of Pro- teomics, Institute of Biology, Eötvös Loránd University, Budapest, Hungary; 3Department of Physiology and Neurobiol- ogy, Eötvös Loránd University, Budapest, Hungary; 4Semmelweis University and the Hungarian Academy of Sciences, Department of Anatomy, Histology and Embryology, Neuromorphological and Neuroendocrine Research Laboratory Budapest, Hungary; 5Laboratory of Molecular and Systems Neuroscience, Institute of Biology, Eötvös Loránd Univer- sity and the Hungarian Academy of Sciences, Budapest, Hungary Abstract: Despite newly developed antiepileptic drugs to suppress epileptic symptoms, approximately one third of pa- tients remain drug refractory. Consequently, there is an urgent need to develop more effective therapeutic approaches to treat epilepsy. A great deal of evidence suggests that endogenous nucleosides, such as adenosine (Ado), guanosine (Guo), inosine (Ino) and uridine (Urd), participate in the regulation of pathomechanisms of epilepsy. Adenosine and its ana- logues, together with non-adenosine (non-Ado) nucleosides (e.g., Guo, Ino and Urd), have shown antiseizure activity. Adenosine kinase (ADK) inhibitors, Ado uptake inhibitors and Ado-releasing implants also have beneficial effects on epi- leptic seizures. These results suggest that nucleosides and their analogues, in addition to other modulators of the nucleo- side system, could provide a new opportunity for the treatment of different types of epilepsies. Therefore, the aim of this review article is to summarize our present knowledge about the nucleoside system as a promising target in the treatment of epilepsy.