Department of Molecular Medicine, Cerebrovascular Research, Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA; Department of Neurobiology, Institute of Functional Genomics, Centre National de la Recherche Scientifique, Montpellier, France.
Carlo Besta Neurologic Institute, Milan, Italy.
Trends Neurosci. 2014 Feb;37(2):55-65. doi: 10.1016/j.tins.2013.11.002. Epub 2013 Dec 16.
Epilepsy refers to a cluster of neurological diseases characterized by seizures. Although many forms of epilepsy have a well-defined immune etiology, in other forms of epilepsy an altered immune response is only suspected. In general, the hypothesis that inflammation contributes to seizures is supported by experimental results. Additionally, antiepileptic maneuvers may act as immunomodulators and anti-inflammatory therapies can treat seizures. Triggers of seizure include a bidirectional communication between the nervous system and organs of immunity. Thus, a crucial cellular interface protecting from immunological seizures is the blood-brain barrier (BBB). Here, we summarize recent advances in the understanding and treatment of epileptic seizures that derive from a non-neurocentric viewpoint and suggest key avenues for future research.
癫痫是一组以癫痫发作为特征的神经疾病。虽然许多类型的癫痫有明确的免疫病因,但在其他类型的癫痫中,改变的免疫反应只是怀疑存在。一般来说,炎症导致癫痫发作的假说得到了实验结果的支持。此外,抗癫痫措施可能作为免疫调节剂,抗炎治疗可以治疗癫痫发作。癫痫发作的诱因包括神经系统和免疫器官之间的双向通讯。因此,保护免受免疫性癫痫发作的关键细胞界面是血脑屏障(BBB)。在这里,我们总结了从非神经中心观点出发对癫痫发作的理解和治疗的最新进展,并提出了未来研究的关键途径。