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神经炎症在创伤后癫痫中的作用

The Role of Neuroinflammation in Post-traumatic Epilepsy.

作者信息

Sun Lei, Shan Wei, Yang Huajun, Liu Ru, Wu Jianping, Wang Qun

机构信息

Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China.

出版信息

Front Neurol. 2021 May 28;12:646152. doi: 10.3389/fneur.2021.646152. eCollection 2021.

Abstract

UNLABELLED

Post-traumatic epilepsy (PTE) is one of the consequences after traumatic brain injury (TBI), which increases the morbidity and mortality of survivors. About 20% of patients with TBI will develop PTE, and at least one-third of them are resistant to conventional antiepileptic drugs (AEDs). Therefore, it is of utmost importance to explore the mechanisms underlying PTE from a new perspective. More recently, neuroinflammation has been proposed to play a significant role in epileptogenesis. This review focuses particularly on glial cells activation, peripheral leukocytes infiltration, inflammatory cytokines release and chronic neuroinflammation occurrence post-TBI. Although the immune response to TBI appears to be primarily pro-epileptogenic, further research is needed to clarify the causal relationships. A better understanding of how neuroinflammation contributes to the development of PTE is of vital importance. Novel prevention and treatment strategies based on the neuroinflammatory mechanisms underlying epileptogenesis are evidently needed.

SEARCH STRATEGY

Search MeSH Terms in pubmed: "["Epilepsy"(Mesh)] AND "Brain Injuries, Traumatic"[Mesh]". Published in last 30 years. 160 results were founded. Full text available:145 results. Record screened manually related to Neuroinflammation and Post-traumatic epilepsy. Then finally 123 records were included.

摘要

未标注

创伤后癫痫(PTE)是创伤性脑损伤(TBI)后的后果之一,它增加了幸存者的发病率和死亡率。约20%的TBI患者会发生PTE,其中至少三分之一对传统抗癫痫药物(AEDs)耐药。因此,从新的角度探索PTE的潜在机制至关重要。最近,有人提出神经炎症在癫痫发生中起重要作用。本综述特别关注TBI后胶质细胞激活、外周白细胞浸润、炎性细胞因子释放和慢性神经炎症的发生。尽管对TBI的免疫反应似乎主要是促癫痫发生的,但仍需要进一步研究以阐明因果关系。更好地理解神经炎症如何促进PTE的发展至关重要。显然需要基于癫痫发生的神经炎症机制的新型预防和治疗策略。

检索策略

在PubMed中检索医学主题词:“[‘癫痫’(医学主题词)] AND ‘脑损伤,创伤性’[医学主题词]”。发表于过去30年。共找到160条结果。可获取全文:145条结果。人工筛选与神经炎症和创伤后癫痫相关的记录。最终纳入123条记录。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44d3/8194282/60787905e98f/fneur-12-646152-g0001.jpg

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