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癫痫发生中的细胞因子与神经退行性变

Cytokines and Neurodegeneration in Epileptogenesis.

作者信息

Wolinski Pawel, Ksiazek-Winiarek Dominika, Glabinski Andrzej

机构信息

Department of Neurology and Stroke, Medical University of Lodz, 90-549 Lodz, Poland.

出版信息

Brain Sci. 2022 Mar 12;12(3):380. doi: 10.3390/brainsci12030380.

Abstract

Epilepsy is a common brain disorder characterized by a heterogenous etiology. Its main features are recurrent seizures. Despite many clinical studies, about 30% of cases are refractory to treatment. Recent studies suggested the important role of immune-system elements in its pathogenesis. It was suggested that a deregulated inflammatory process may lead to aberrant neural connectivity and the hyperexcitability of the neuronal network. The aim of our study was the analysis of the expression of inflammatory mediators in a mouse model of epilepsy and their impact on the neurodegeneration process located in the brain. We used the KA-induced model of epilepsy in SJL/J mice and performed the analysis of gene expression and protein levels. We observed the upregulation of IL1β and CXCL12 in the early phase of KA-induced epilepsy and elevated levels of CCL5 at a later time point, compared with control animals. The most important result obtained in our study is the elevation of CXCL2 expression at both studied time points and its correlation with the neurodegeneration observed in mouse brain. Increasing experimental and clinical data suggest the influence of peripheral inflammation on epileptogenesis. Thus, studies focused on the molecular markers of neuroinflammation are of great value and may help deepen our knowledge about epilepsy, leading to the discovery of new drugs.

摘要

癫痫是一种常见的脑部疾病,病因多种多样。其主要特征是反复发作的癫痫发作。尽管进行了许多临床研究,但仍有大约30%的病例对治疗无效。最近的研究表明免疫系统因素在其发病机制中起重要作用。有人提出,失控的炎症过程可能导致异常的神经连接和神经网络的过度兴奋。我们研究的目的是分析癫痫小鼠模型中炎症介质的表达及其对大脑神经退行性变过程的影响。我们使用了SJL/J小鼠的KA诱导癫痫模型,并进行了基因表达和蛋白质水平分析。与对照动物相比,我们观察到KA诱导癫痫早期IL1β和CXCL12表达上调,后期CCL5水平升高。我们研究中获得的最重要结果是在两个研究时间点CXCL2表达均升高,且与小鼠脑中观察到的神经退行性变相关。越来越多的实验和临床数据表明外周炎症对癫痫发生有影响。因此,专注于神经炎症分子标志物的研究具有重要价值,可能有助于加深我们对癫痫的认识,从而发现新药。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3fc/8945903/0f996f54b702/brainsci-12-00380-g001.jpg

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