Ling Yinjie, Wang Yun, Jiang Xiaofeng, Yuan Chen
Department of Pediatrics, The First People's Hospital of Huzhou, Huzhou, China.
Department of Gynecology, Tianxiang East Hospital, Yiwu, China.
Transl Pediatr. 2022 Sep;11(9):1491-1501. doi: 10.21037/tp-22-333.
Genetic epilepsy with febrile seizures plus (GEFS+) is generally considered an ion channelopathy. To date, there have been few studies on inflammation associated with various types of epilepsy, and it remains unclear whether the inflammatory mechanism plays a key role in epilepsy.
In order to explore the role of the regulatory mechanism of immune factor expression in the pathogenesis of GEFS+, the present study detected the expression level of relevant immune factors such as interleukin-6 (IL-6) in peripheral blood of GEFS+ mice.
The cluster of differentiation 4/cluster of differentiation 8 (CD4/CD8) ratio in the GEFS+ mice was decreased, while the signal transducer and activator of transcription 3 (STAT3) was also activated and the IL-6 was upregulated. Inhibit of STAT3 can lead to the GEFS+ asymptomatically due to the downregulated IL-6, IL-1β, and complement factor H (CFH) levels. Suppression of STAT3 can also inhibited the epileptic seizures, the CD8 T cells were declined after the IL-6 was neutralized.
The purpose of this study was to analyze and compare the effect of STAT3 expression and activation differences on GEFS+ attack, and to clarify the relationship between various cytokines and GEFS+ outbreak. Inhibiting the expression of pro-inflammatory factors can further prevent GEFS+ attack, which supports that IL-6 is one of the important factors that aggravate the clinical symptoms of GEFS+. We expected to provide a theoretical basis for immunosuppressive therapy of GEFS+ and a new way for its clinical treatment.
伴有热性惊厥附加症的遗传性癫痫(GEFS+)通常被认为是一种离子通道病。迄今为止,关于与各类癫痫相关的炎症的研究较少,炎症机制在癫痫中是否起关键作用仍不清楚。
为了探究免疫因子表达调控机制在GEFS+发病机制中的作用,本研究检测了GEFS+小鼠外周血中白细胞介素-6(IL-6)等相关免疫因子的表达水平。
GEFS+小鼠的分化簇4/分化簇8(CD4/CD8)比值降低,而信号转导子和转录激活子3(STAT3)也被激活,IL-6上调。抑制STAT3可导致GEFS+无症状,这是由于IL-6、白细胞介素-1β(IL-1β)和补体因子H(CFH)水平下调。抑制STAT3还可抑制癫痫发作,中和IL-6后CD8 T细胞减少。
本研究旨在分析和比较STAT3表达及激活差异对GEFS+发作的影响,并阐明各种细胞因子与GEFS+发作之间的关系。抑制促炎因子的表达可进一步预防GEFS+发作,这支持IL-6是加重GEFS+临床症状的重要因素之一。我们期望为GEFS+的免疫抑制治疗提供理论依据,并为其临床治疗提供新途径。