Velíšková Jana, Silverman Jill L, Benson Melissa, Lenck-Santini Pierre-Pascal
Department of Cell Biology & Anatomy, New York Medical College, Valhalla, NY, USA; Department of Obstetrics & Gynecology, New York Medical College, Valhalla, NY, USA; Department of Neurology, New York Medical College, Valhalla, NY, USA.
University of California Davis School of Medicine, Department of Psychiatry and Behavioral Sciences and MIND Institute, Sacramento, CA, 95817, USA.
Epilepsy Res. 2018 Aug;144:62-70. doi: 10.1016/j.eplepsyres.2018.05.009. Epub 2018 May 18.
Autism spectrum disorder (ASD) is a common comorbidity of epilepsy and seizures and/or epileptiform activity are observed in a significant proportion of ASD patients. Current research also implies that autistic traits can be observed to a various degree in mice and rats with seizures. This suggests that there are shared mechanisms in both ASD and epilepsy syndromes. Here, we first review the standard, validated methods used to assess autistic traits in animal models as well as their limitations with regards to epilepsy models. We then discuss two of the potential pathological processes that could be shared between ASD and epilepsy. We first focus on functional implications of neuroinflammation including changes to excitable networks mediated by inflammatory regulators. Finally we examine mechanisms at the cellular and network level involved in neuronal excitability, timing and network coordination that may directly lead to behavioral disturbances present in both epilepsy and ASD. This mini-review summarizes the work first presented at an Investigators Workshop at the 2016 American Epilepsy Society meeting.
自闭症谱系障碍(ASD)是癫痫的常见合并症,并且在相当一部分ASD患者中观察到癫痫发作和/或癫痫样活动。当前的研究还表明,在患有癫痫的小鼠和大鼠中可以不同程度地观察到自闭症特征。这表明ASD和癫痫综合征存在共同机制。在此,我们首先回顾用于评估动物模型中自闭症特征的标准、经过验证的方法以及它们在癫痫模型方面的局限性。然后,我们讨论ASD和癫痫之间可能共有的两个潜在病理过程。我们首先关注神经炎症的功能影响,包括由炎症调节因子介导的兴奋性网络的变化。最后,我们研究细胞和网络水平上涉及神经元兴奋性、时间和网络协调的机制,这些机制可能直接导致癫痫和ASD中出现的行为障碍。本综述总结了在2016年美国癫痫学会会议的研究者研讨会上首次发表的工作。