Huang Cheng, Fu Xiang-Hui, Zhou Dong, Li Jin-Mei
Department of Neurology, West China Hospital, Sichuan University, 37th Guoxue Allay, Chengdu, 610041, People's Republic of China.
Neurochem Res. 2015 Jul;40(7):1319-32. doi: 10.1007/s11064-015-1614-1. Epub 2015 May 27.
Temporal lobe epilepsy is one of the most common clinical neurological disorders. One of the major pathological findings in temporal lobe epilepsy is hippocampal sclerosis, characterized by massive neuronal loss and severe gliosis. The epileptogenesis process of temporal lobe epilepsy usually starts with initial precipitating insults, followed by neurodegeneration, abnormal hippocampus circuitry reorganization, and the formation of hypersynchronicity. Experimental and clinical evidence strongly suggests that dysfunctional neurogenesis is involved in the epileptogenesis. Recent data demonstrate that neurogenesis is induced by acute seizures or precipitating insults, whereas the capacity of neuronal recruitment and proliferation substantially decreases in the chronic phase of epilepsy. Participation of the Wnt/β-catenin signaling pathway in neurogenesis reveals its importance in epileptogenesis; its dysfunction contributes to the structural and functional abnormality of temporal lobe epilepsy, while rescuing this pathway exerts neuroprotective effects. Here, we summarize data supporting the involvement of Wnt/β-catenin signaling in the epileptogenesis of temporal lobe epilepsy. We also propose that the Wnt/β-catenin signaling pathway may serve as a promising therapeutic target for temporal lobe epilepsy treatment.
颞叶癫痫是最常见的临床神经疾病之一。颞叶癫痫的主要病理发现之一是海马硬化,其特征是大量神经元丢失和严重的胶质细胞增生。颞叶癫痫的癫痫发生过程通常始于初始诱发损伤,随后是神经变性、海马回路异常重组以及超同步化的形成。实验和临床证据强烈表明,功能失调的神经发生参与了癫痫发生。最近的数据表明,急性发作或诱发损伤可诱导神经发生,而在癫痫慢性期,神经元募集和增殖能力显著下降。Wnt/β-连环蛋白信号通路参与神经发生揭示了其在癫痫发生中的重要性;其功能障碍导致颞叶癫痫的结构和功能异常,而挽救该信号通路则具有神经保护作用。在此,我们总结了支持Wnt/β-连环蛋白信号参与颞叶癫痫癫痫发生的数据。我们还提出,Wnt/β-连环蛋白信号通路可能是颞叶癫痫治疗的一个有前景的治疗靶点。