Krüppel 样因子:在血脑屏障功能障碍和癫痫发生中的潜在作用。

Krüppel-like factors: potential roles in blood-brain barrier dysfunction and epileptogenesis.

机构信息

University of Coimbra, Faculty of Pharmacy, Coimbra, Portugal.

University of Coimbra, Coimbra Institute for Biomedical Imaging and Translational Research, Coimbra, Portugal.

出版信息

Acta Pharmacol Sin. 2024 Sep;45(9):1765-1776. doi: 10.1038/s41401-024-01285-w. Epub 2024 Apr 29.

Abstract

Epilepsy is a chronic and debilitating neurological disorder, known for the occurrence of spontaneous and recurrent seizures. Despite the availability of antiseizure drugs, 30% of people with epilepsy experience uncontrolled seizures and drug resistance, evidencing that new therapeutic options are required. The process of epileptogenesis involves the development and expansion of tissue capable of generating spontaneous recurrent seizures, during which numerous events take place, namely blood-brain barrier (BBB) dysfunction, and neuroinflammation. The consequent cerebrovascular dysfunction results in a lower seizure threshold, seizure recurrence, and chronic epilepsy. This suggests that improving cerebrovascular health may interrupt the pathological cycle responsible for disease development and progression. Krüppel-like factors (KLFs) are a family of zinc-finger transcription factors, encountered in brain endothelial cells, glial cells, and neurons. KLFs are known to regulate vascular function and changes in their expression are associated with neuroinflammation and human diseases, including epilepsy. Hence, KLFs have demonstrated various roles in cerebrovascular dysfunction and epileptogenesis. This review critically discusses the purpose of KLFs in epileptogenic mechanisms and BBB dysfunction, as well as the potential of their pharmacological modulation as therapeutic approach for epilepsy treatment.

摘要

癫痫是一种慢性且使人虚弱的神经系统疾病,其特征为自发性和复发性癫痫发作的发生。尽管有抗癫痫药物可用,但 30%的癫痫患者经历不受控制的癫痫发作和药物耐药性,这表明需要新的治疗选择。癫痫发生的过程涉及能够产生自发性复发性癫痫发作的组织的发展和扩展,在此期间发生了许多事件,即血脑屏障 (BBB) 功能障碍和神经炎症。由此产生的脑血管功能障碍导致癫痫发作阈值降低、癫痫复发和慢性癫痫。这表明改善脑血管健康可能会中断导致疾病发展和进展的病理循环。Krüppel 样因子 (KLFs) 是锌指转录因子家族,存在于脑内皮细胞、神经胶质细胞和神经元中。已知 KLFs 调节血管功能,其表达的变化与神经炎症和人类疾病(包括癫痫)有关。因此,KLFs 在脑血管功能障碍和癫痫发生中表现出多种作用。本综述批判性地讨论了 KLFs 在致痫机制和 BBB 功能障碍中的作用,以及其药理学调节作为癫痫治疗的治疗方法的潜力。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索