Fralin Biomedical Research Institute, Glial Biology in Health, Disease, and Cancer Center, Roanoke, VA, USA.
School of Neuroscience, Virginia Tech, Blacksburg, VA, USA.
Nat Rev Neurosci. 2019 May;20(5):282-297. doi: 10.1038/s41583-019-0126-4.
Epilepsy is a neurological disorder afflicting ~65 million people worldwide. It is caused by aberrant synchronized firing of populations of neurons primarily due to imbalance between excitatory and inhibitory neurotransmission. Hence, the historical focus of epilepsy research has been neurocentric. However, the past two decades have enjoyed an explosion of research into the role of glia in supporting and modulating neuronal activity, providing compelling evidence of glial involvement in the pathophysiology of epilepsy. The mechanisms by which glia, particularly astrocytes and microglia, may contribute to epilepsy and consequently could be harnessed therapeutically are discussed in this Review.
癫痫是一种影响全球约 6500 万人的神经障碍。它是由神经元群体异常同步放电引起的,主要是由于兴奋性和抑制性神经递质传递之间的失衡。因此,癫痫研究的历史重点一直是神经中心论。然而,在过去的二十年中,人们对神经胶质在支持和调节神经元活动中的作用进行了大量研究,这些研究为神经胶质在癫痫病理生理学中的作用提供了令人信服的证据。在本综述中,讨论了神经胶质,特别是星形胶质细胞和小胶质细胞,可能导致癫痫的机制,以及如何利用这些机制进行治疗。