unfortunatly i`m not enough informed to understand all medcial and scientific terms ... So in her words from the email..
`Brivaracetam werkt dus als hoge affiniteit SV2A ligand (en niet op potassium kanalen)`
`Brivaracetam works as high affinity SV2A ligand (not on potassium channels)`
"
Brivaracetam (BRV) is a pyrrolidine derivative currently being investigated for the treatment of epilepsy (Bialer et al., 2010). It is a novel high-affinity synaptic vesicle protein 2A (SV2A) ligand (Kenda et al., 2004; Gillard et al., 2011). Preclinical studies demonstrated efficacy in a wide range of animal models of partial-onset (focal) and generalized seizures (Matagne et al., 2008) and a higher affinity (>30-fold) for SV2A in human cerebral cortex compared with levetiracetam (LEV) (Gillard et al., 2011)".
edit:
Brivaracetam is a high-affinity synaptic vesicle protein 2A (SV2A) ligand. It is not entirely clear how SV2A affects neuro-transmission, but animal studies suggest that it is potentially a good target for seizure control. Mice deficient in SV2A have seizures (
4). Among animal models of epileptogenesis as well as in humans with epilepsy, pathologic reduced SV2A expression is evident (
5). In addition, studies find that SV2A binding strongly correlates with antiepileptic potency (
6). Interestingly, levetiracetam, which is one of the most commonly used AEDs worldwide, has SV2A binding affinity. Brivaracetam by comparison, has a >30-fold affinity for SV2A than levetiracetam (
7) suggesting that brivaracetam may be a very effective AED. As with most AEDs, brivaracetam likely has multiple mechanisms of action. Not only is it an SV2A ligand, it displays inhibitory activity at neuronal voltage-dependent sodium channels (
8).
So yes, they don`t know what they speak about themselves ... and actually they don`t even know how it works
...