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Abstract Details

White hellebore (Veratrum album): A new old friend in the pharmacological management of epilepsy?
Research Methodology, Âé¶¹´«Ã½Ó³»­, and History
P7 - Poster Session 7 (5:30 PM-6:30 PM)
6-003
To determine if there could be any pharmacological support for the event described by the Roman writer Aulus Gellius (c. 125 – after 180 AD) in Noctes Atticae (XVII, xv, 6).
Aulus read in Pliny the Elder (Naturalis Historia, XXV, xxi) that Livius Drusus, tribune of the plebs, sailed to the island of Anticyra, took white hellebore (Veratrum album), and was cured of epilepsy (morbus comitialis).
The A-B-C model, one of the literature-based discovery systems, was used to evaluate a possible connection between Veratrum album (A term) and epilepsy (C term). PubMed-Medline was searched for articles relating to both terms.

The Hedgehog (Hh) signaling pathway is a plausible B term that connect Veratrum album (A term) with epilepsy (C term) because a) Veratrum album (ssp. viriscens) contains dihydroveratramine, which has in vitro Hh inhibitory activity. In addition, Veratrum album probably have other active Hh pathway inhibitors. b) Sonic Hh (sHh) is quickly released and its pathway activated in response to epileptic, but not physiological, stimuli. The inhibition of sHh signaling greatly reduces epileptiform activity in both cell cultures and hippocampal slices. In addition, pharmacological and genetic inhibition of sHh signaling markedly suppresses epileptic phenotypes in kindling or pilocarpine models. Finally, temporal lobe epilepsy upregulates the expression of sHh in temporal neocortex. A similar finding has been reported in rats. 

These findings of the A-B-C model suggest that there could be a connection between Veratrum album and epilepsy. The Hh signaling pathway is a great candidate for this connection. This seems to support the narrative of Aulus. As this case demonstrates, history of neurology can be a great ally of literature-based discovery.

Authors/Disclosures

PRESENTER
No disclosure on file
No disclosure on file
Bruno E. Vidal, MD (Instituto Nacional de Ciencias Médicas y Nutrición) No disclosure on file
Teresa V. Corona Vazquez, MD (National Institute of Neurology and Neurosurgery Mexico) Dr. Corona Vazquez has received research support from Consejo Nacional de Ciencia y Tecnologia.