Department of Morphological and Biomedical Sciences, Section of Anatomy and Histology, University of Verona, Verona, Italy.
J Neuroimmunol. 2010 Jul 27;224(1-2):22-7. doi: 10.1016/j.jneuroim.2010.05.016. Epub 2010 Jun 9.
Epilepsy has been considered mainly a neuronal disease, without much attention to non-neuronal cells. In recent years growing evidence suggest that astrocytes, microglia, blood leukocytes and blood-brain barrier breakdown are involved in the pathogenesis of epilepsy. In particular, leukocyte-endothelium interactions and eventually subsequent leukocyte recruitment in the brain parenchyma seem to represent key players in the epileptogenic cascade. Chemokines are chemotactic factors controlling leukocyte migration under physiological and pathological conditions. In the light of recent advances in our understanding of the role of inflammation mechanisms in the pathogenesis of epilepsy, pro-inflammatory chemokines may play a critical role in epileptogenesis.
癫痫一直被认为主要是一种神经元疾病,而非神经元细胞没有得到太多关注。近年来,越来越多的证据表明,星形胶质细胞、小胶质细胞、白细胞和血脑屏障的破坏都与癫痫的发病机制有关。特别是白细胞-内皮细胞的相互作用,以及随后白细胞在脑实质中的募集,似乎是癫痫发生级联反应中的关键因素。趋化因子是在生理和病理条件下控制白细胞迁移的趋化因子。鉴于我们对炎症机制在癫痫发病机制中的作用的理解的最新进展,促炎趋化因子可能在癫痫发生中发挥关键作用。