4.4 Review

Status epilepticus, blood-brain barrier disruption, inflammation, and epileptogenesis

Journal

EPILEPSY & BEHAVIOR
Volume 49, Issue -, Pages 13-16

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.yebeh.2015.04.047

Keywords

Status epilepticus; Blood-brain barrier; Leakage; Inflammation; Angiogenesis; Immune response; Epilepsy

Funding

  1. European Union Seventh Framework Programme [602102 (EPITARGET)]

Ask authors/readers for more resources

Over the last 15 years, attention has been focused on dysfunction of the cerebral vasculature and inflammation as important players in epileptogenic processes, with a specific emphasis on failure of the blood-brain barrier (BBB; Fig. 1) (Seiffert et al., 2004; Marchi et al., 2007; Oby and Janigro, 2006; van Vliet et al., 2014; Vezzani et al., 2011) [3-7]. Here, we discuss how the BBB is disrupted as a consequence of SE and how this BBB breakdown may be involved in epileptogenesis. (C) 2015 Elsevier Inc. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.4
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Clinical Neurology

No persistent effects of intracerebral curcumin administration on seizure progression and neuropathology in the kindling rat model for temporal lobe epilepsy

Cato M. Drion, Lieneke Kooijman, Derek Chan, Janna Berkhout, Erwin A. van Vliet, Wytse J. Wadman, Jan A. Gorter

Summary: The study found that curcumin can delay the development of epilepsy, but cannot prevent full kindling. The effects of curcumin on neuropathology were not significant, highlighting the need for further research into its potential as an anti-epileptic agent.

EPILEPSY RESEARCH (2022)

Article Cell Biology

Enhancing GAT-3 in thalamic astrocytes promotes resilience to brain injury in rodents

Frances S. Cho, Ilia D. Vainchtein, Yuliya Voskobiynyk, Allison R. Morningstar, Francisco Aparicio, Bryan Higashikubo, Agnieszka Ciesielska, Diede W. M. Broekaart, Jasper J. Anink, Erwin A. van Vliet, Xinzhu Yu, Baljit S. Khakh, Eleonora Aronica, Anna Molofsky, Jeanne T. Paz

Summary: Inflammatory processes induced by brain injury are important for recovery, but uncontrolled inflammation can be harmful. Chronic activation of glial cells in the thalamus has been suggested as an indicator of increased seizure risk and cognitive deficits after cortical injury. This study found that thalamic inflammation was sufficient to cause cellular and circuit hyperexcitability, enhanced seizure risk, and disruptions in cortical rhythms. Down-regulation of GAT-3 in thalamic astrocytes mediated this neurological dysfunction.

SCIENCE TRANSLATIONAL MEDICINE (2022)

Article Biochemistry & Molecular Biology

miRNAs and isomiRs: Serum-Based Biomarkers for the Development of Intellectual Disability and Autism Spectrum Disorder in Tuberous Sclerosis Complex

Mirte Scheper, Alessia Romagnolo, Zein Mersini Besharat, Anand M. Iyer, Romina Moavero, Christoph Hertzberg, Bernhard Weschke, Kate Riney, Martha Feucht, Theresa Scholl, Borivoj Petrak, Alice Maulisova, Rima Nabbout, Anna C. Jansen, Floor E. Jansen, Lieven Lagae, Malgorzata Urbanska, Elisabetta Ferretti, Aleksandra Tempes, Magdalena Blazejczyk, Jacek Jaworski, David J. Kwiatkowski, Sergiusz Jozwiak, Katarzyna Kotulska, Krzysztof Sadowski, Julita Borkowska, Paolo Curatolo, James D. Mills, Eleonora Aronica

Summary: This study used RNA sequencing analysis to define the expression patterns of miRNAs and isomiRs in the serum of patients with TSC, and identified potential circulating molecular biomarkers using ROC curve analysis to discriminate the development of neuropsychiatric comorbidity in TSC patients.

BIOMEDICINES (2022)

Article Clinical Neurology

Serotonin receptor expression in hippocampus and temporal cortex of temporal lobe epilepsy patients by postictal generalized electroencephalographic suppression duration

Dominique Frances Leitner, Sasha Devore, Juliana Laze, Daniel Friedman, James D. Mills, Yan Liu, Michael Janitz, Jasper J. Anink, Johannes C. Baayen, Sander Idema, Erwin Alexander van Vliet, Beate Diehl, Catherine Scott, Roland Thijs, Maromi Nei, Manor Askenazi, Shobi Sivathamboo, Terence O'Brien, Thomas Wisniewski, Maria Thom, Eleonora Aronica, Maura Boldrini, Orrin Devinsky

Summary: This study aimed to explore the molecular mechanisms of prolonged postictal generalized electroencephalographic suppression (PGES) in patients with epilepsy. It was found that higher hippocampal 5HT2A receptor protein and potassium channel transcripts may be associated with PGES. Further studies with larger cohorts are needed to elucidate the underlying mechanisms of PGES and SUDEP risk.

EPILEPSIA (2022)

Review Biochemistry & Molecular Biology

Altered Extracellular Matrix as an Alternative Risk Factor for Epileptogenicity in Brain Tumors

Jody M. de Jong, Diede W. M. Broekaart, Anika Bongaarts, Angelika Muhlebner, James D. Mills, Erwin A. van Vliet, Eleonora Aronica

Summary: Seizures are a common symptom of brain tumors, especially in paediatric-type tumors. The extracellular matrix plays a role in epileptogenesis and tumorigenesis. Understanding the epileptogenic properties of brain tumors is crucial for improving health outcomes and developing novel therapies.

BIOMEDICINES (2022)

Article Biochemistry & Molecular Biology

The Gelatinase Inhibitor ACT-03 Reduces Gliosis in the Rapid Kindling Rat Model of Epilepsy, and Attenuates Inflammation and Loss of Barrier Integrity In Vitro

Diede W. M. Broekaart, Till S. Zimmer, Sophie T. Cohen, Rianne Tessers, Jasper J. Anink, Helga E. de Vries, Jan A. Gorter, Roger Prades, Eleonora Aronica, Erwin A. van Vliet

Summary: The gelatinase inhibitor ACT-03 has shown disease-modifying effects in epilepsy models by reducing neuroinflammation and preserving blood-brain barrier integrity. Further evaluation of its effects in clinical trials is warranted.

BIOMEDICINES (2022)

Article Biology

GABAergic Neurotransmission in Human Tissues Is Modulated by Cannabidiol

Gabriele Ruffolo, Alessandro Gaeta, Beatrice Cannata, Camilla Pinzaglia, Eleonora Aronica, Alessandra Morano, Pierangelo Cifelli, Eleonora Palma

Summary: The potential use of phytocannabinoids (pCBs), specifically cannabidiol (CBD), to treat pathological conditions has gained attention in the scientific community. CBD has shown the ability to modulate GABAergic neurotransmission and may be effective in treating pharmaco-resistant epilepsy.

LIFE-BASEL (2022)

Article Clinical Neurology

A companion to the preclinical common data elements for proteomics, lipidomics, and metabolomics data in rodent epilepsy models. A report of the TASK3-WG4 omics working group of the ILAE/AES joint translational TASK force

Laura Bindila, Tore Eid, James D. Mills, Michael S. Hildebrand, Gary P. Brennan, Susan A. Masino, Vicky Whittemore, Piero Perucca, Christopher A. Reid, Manisha Patel, Kevin K. Wang, Erwin A. van Vliet

Summary: The International League Against Epilepsy/American Epilepsy Society established the TASK3 working groups to create common data elements for preclinical epilepsy research. This paper discusses the important elements for proteomics, lipidomics, and metabolomics methodologies and provides a rationale for documenting parameters.

EPILEPSIA OPEN (2022)

Article Biochemistry & Molecular Biology

Discovery and Validation of Circulating microRNAs as Biomarkers for Epileptogenesis after Experimental Traumatic Brain Injury-The EPITARGET Cohort

Mette Heiskanen, Shalini Das Gupta, James D. Mills, Erwin A. van Vliet, Eppu Manninen, Robert Ciszek, Pedro Andrade, Noora Puhakka, Eleonora Aronica, Asla Pitkanen

Summary: Traumatic brain injury (TBI) is responsible for a significant percentage of structural and all epilepsies, but there is currently a lack of prognostic biomarkers for post-traumatic epilepsy (PTE). This study investigated the potential of plasma microRNAs (miRNAs) as biomarkers for brain damage severity and the development of PTE. The results showed that acutely altered plasma miRNA levels could reflect the extent of cortical injury, but they were not able to predict PTE development.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2023)

Review Medicine, General & Internal

Continuing Challenges in the Definitive Diagnosis of Cushing's Disease: A Structured Review Focusing on Molecular Imaging and a Proposal for Diagnostic Work-Up

Tessa N. A. Slagboom, Dirk Jan Stenvers, Elsmarieke van de Giessen, Stefan D. D. Roosendaal, Maartje M. L. de Win, Joseph C. J. Bot, Eleonora Aronica, Rene Post, Jantien Hoogmoed, Madeleine L. L. Drent, Alberto M. M. Pereira

Summary: The study provides a structured analysis of the diagnostic accuracy and clinical use of molecular imaging in patients with ACTH-dependent Cushing's syndrome, as well as the role of multidisciplinary counseling in decision making. It proposes a complementary diagnostic algorithm for both de novo and recurrent or persistent Cushing's disease. The use of molecular imaging modalities is of added and complementary value in the detection of pituitary microadenoma in ACTH-dependent Cushing's syndrome.

JOURNAL OF CLINICAL MEDICINE (2023)

Article Cell Biology

CXCR2 Is Deregulated in ALS Spinal Cord and Its Activation Triggers Apoptosis in Motor Neuron-Like Cells Overexpressing hSOD1-G93A

Valentina La Cognata, Agata Grazia D'Amico, Grazia Maugeri, Giovanna Morello, Maria Guarnaccia, Benedetta Magri, Eleonora Aronica, Velia D'Agata, Sebastiano Cavallaro

Summary: Amyotrophic lateral sclerosis (ALS) is characterized by motor neuron (MN) depletion. CXCR2 has been implicated in ALS pathology and its expression is increased in cortical neurons of sporadic ALS patients. Inhibition of CXCR2 prevents MN degeneration in vitro and improves neuromuscular function in SOD1-G93A mice.

CELLS (2023)

Article Education & Educational Research

IguideME: Supporting Self-Regulated Learning and Academic Achievement with Personalized Peer- Feedback in Education

Damien S. Fleur, Max Marshall, Miguel Pieters, Natasa Brouwer, Gerrit Oomens, Angelos Konstantinidis, Koos Winnips, Sylvia Moes, Wouter van den Bos, Bert Bredeweg, Erwin A. van Vliet

Summary: Personalized peer-comparison feedback can be used to improve self-regulated learning and academic achievement. Providing meaningful feedback and peer comparison through a learning analytics dashboard offers a solution.

JOURNAL OF LEARNING ANALYTICS (2023)

Article Clinical Neurology

A companion to the preclinical common data elements and case report forms for in vivo rodent neuroimaging: A report of the TASK3-WG3 Neuroimaging Working Group of the ILAE/AES Joint Translational Task Force

Erwin A. van Vliet, Riikka Immonen, Ofer Prager, Alon Friedman, Jens P. Bankstahl, David K. Wright, Terence J. O'Brien, Heidrun Potschka, Olli Grohn, Neil G. Harris

Summary: This article discusses the common data elements (CDEs) for neuroimaging data collected in rodent models of epilepsy, specifically focusing on adult rats and mice. Detailed CDE tables and case report forms (CRFs) are provided, along with a companion manuscript discussing the methodologies and parameters for several imaging modalities.

EPILEPSIA OPEN (2022)

Article Behavioral Sciences

Expanding eligibility for intracranial electroencephalography using Dexmedetomidine Hydrochloride in children with behavioral dyscontrol

Thomas Johnstone, Maria Isabel Barros Guinle, Gerald A. Grant, Brenda E. Porter

Summary: The study aimed to evaluate the safety and impact of Dexmedetomidine Hydrochloride (DH) administration during pediatric invasive intracranial electroencephalography (IEEG). The results showed that DH administration was not associated with adverse events and did not significantly affect the frequency of seizures captured on the IEEG and the duration of hospitalization.

EPILEPSY & BEHAVIOR (2024)

Article Behavioral Sciences

Using design thinking to strengthen the community pharmacist's role in epilepsy care

Sabra Zaraa, H. Steve White, Andy Stergachis, Edward Novotny Jr, Chris Protos, Grant Simic, Jennifer L. Bacci

Summary: This study used design thinking to develop a community pharmacist-led intervention for people living with epilepsy. Four features - pharmacist-patient consultations, care plan development, regular check-ins, and care coordination with other health care providers - were identified as desirable, feasible, and viable for the intervention. The study highlights the importance of involving pharmacists in epilepsy care and provides evidence-based features for such interventions.

EPILEPSY & BEHAVIOR (2024)

Article Behavioral Sciences

Insomnia in epilepsy is associated with nocturnal seizures and anxiety

Bofei Tan, Qiang Liu, Yameng Qin, Qiuyan Chen, Rong Chen, Yanzi Jin, Mengyun Li, Xiaodan Jia, Xianrui Xu, Qing Zhang

Summary: The purpose of this study was to identify factors associated with insomnia in patients with epilepsy. The results showed that nocturnal seizures and anxiety were independently associated with insomnia in these patients. Patients with epilepsy and insomnia were more likely to experience depression and excessive daytime sleepiness.

EPILEPSY & BEHAVIOR (2024)