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在临床前癫痫中,生酮饮食治疗可不同程度地恢复第三脑室周围细胞(包括伸长细胞)中葡萄糖转运蛋白1(GLUT1)和胶质纤维酸性蛋白(GFAP)的失调。

In Preclinical Epilepsy, GLUT1 and GFAP Dysregulation in Cells Surrounding the Third Ventricle, Including Tanycytes, Is Differentially Restored with Ketogenic Diet Treatment.

作者信息

Rafiei Parisa, Mian Huda S, Iyer Shruthi H, Draves Samantha B, Matthews Stephanie A, Rendon Daniel E, Neesen Emma J, Dunlay Madeline, Revis McKenna, Glisan Adrianna L, Simeone Timothy A, Simeone Kristina A

机构信息

Department of Pharmacology & Neuroscience, Creighton University School of Medicine, Omaha, NE 68178, USA.

出版信息

Nutrients. 2025 May 28;17(11):1824. doi: 10.3390/nu17111824.

DOI:10.3390/nu17111824
PMID:40507093
Abstract

Hyperexcitable neuronal activity associated with seizures may disrupt brain homeostasis resulting in abnormal glucose and nutrient management and metabolism. Specialized ependymal cells known as tanycytes line the third ventricle wall bridging communication between the brain, CSF, and blood. Despite their positional importance, whether tanycytes are impacted by epilepsy is unknown. Here, known protein markers of tanycytes were assessed in the -null mouse model of genetic epilepsy with spontaneous recurrent seizures (SRS mice). Further, whether an anti-seizure metabolic ketogenic diet (KD), previously proven effective in SRS mice, restored protein levels was determined. : Known tanycyte proteins, including glucose transporter 1 (GLUT1), glial fibrillary acidic protein (GFAP), and doublecortin (DCX, to determine potential neurogenic differences) were examined throughout the anterior-posterior axis of the third ventricle using immunofluorescent histochemistry. : Decreased GLUT1 immunoreactivity and elevated GFAP levels were found in the SRS cohorts. The number of neurogenic DCX-expressing cells did not differ. Two weeks of KD treatment reduced GFAP to WT levels. GLUT1 remained low in KD-treated SRS mice. : These data suggest that the expression of proteins important for the structure and function of tanycytes is altered in preclinical epilepsy and is differentially restored with KD treatment. Whether tanycytes actively participate in the pathophysiology of epilepsy or associated comorbidities is an intriguing possibility given their integral role in brain homeostasis.

摘要

与癫痫发作相关的神经元活动过度兴奋可能会破坏脑内稳态,导致葡萄糖和营养物质的管理及代谢异常。一种名为室管膜胶质细胞的特殊室管膜细胞排列在第三脑室壁上,在大脑、脑脊液和血液之间建立联系。尽管它们位置重要,但室管膜胶质细胞是否会受到癫痫的影响尚不清楚。在此,在具有自发性复发性癫痫发作的基因癫痫无效小鼠模型(SRS小鼠)中评估了室管膜胶质细胞已知的蛋白质标志物。此外,还确定了先前在SRS小鼠中被证明有效的抗癫痫生酮饮食(KD)是否能恢复蛋白质水平。:使用免疫荧光组织化学在第三脑室的前后轴上检查了已知的室管膜胶质细胞蛋白,包括葡萄糖转运蛋白1(GLUT1)、胶质纤维酸性蛋白(GFAP)和双皮质素(DCX,用于确定潜在的神经源性差异)。:在SRS队列中发现GLUT1免疫反应性降低,GFAP水平升高。表达神经源性DCX的细胞数量没有差异。两周的KD治疗使GFAP降至野生型水平。在接受KD治疗的SRS小鼠中,GLUT1仍然较低。:这些数据表明,在临床前癫痫中,对室管膜胶质细胞的结构和功能重要的蛋白质表达发生了改变,并且KD治疗能使其有差异地恢复。鉴于室管膜胶质细胞在脑内稳态中的不可或缺的作用,它们是否积极参与癫痫或相关合并症的病理生理学是一个有趣的可能性。

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In Preclinical Epilepsy, GLUT1 and GFAP Dysregulation in Cells Surrounding the Third Ventricle, Including Tanycytes, Is Differentially Restored with Ketogenic Diet Treatment.在临床前癫痫中,生酮饮食治疗可不同程度地恢复第三脑室周围细胞(包括伸长细胞)中葡萄糖转运蛋白1(GLUT1)和胶质纤维酸性蛋白(GFAP)的失调。
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本文引用的文献

1
Dietary management and access to treatment for patients with glucose deficiency syndrome type 1: an overview review with focus on the European regulatory framework.1型葡萄糖缺乏综合征患者的饮食管理与治疗途径:以欧洲监管框架为重点的综述
Eur J Clin Nutr. 2024 Dec;78(12):1058-1063. doi: 10.1038/s41430-024-01490-0. Epub 2024 Aug 10.
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Elevated plasma neurofilament light and glial fibrillary acidic protein in epilepsy versus nonepileptic seizures and nonepileptic disorders.癫痫患者与非癫痫性发作和非癫痫性疾病患者的血浆神经丝轻链和神经胶质纤维酸性蛋白升高。
Epilepsia. 2024 Sep;65(9):2751-2763. doi: 10.1111/epi.18065. Epub 2024 Jul 20.
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Ketogenic Diet in the Treatment of Epilepsy.
生酮饮食治疗癫痫。
Nutrients. 2024 Apr 24;16(9):1258. doi: 10.3390/nu16091258.
4
Tanycytes release glucose using the glucose-6-phosphatase system during hypoglycemia to control hypothalamic energy balance.在低血糖期间,Tanycytes 通过葡萄糖-6-磷酸酶系统释放葡萄糖,以控制下丘脑的能量平衡。
Mol Metab. 2024 Jun;84:101940. doi: 10.1016/j.molmet.2024.101940. Epub 2024 Apr 17.
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Roles of Ependymal Cells in the Physiology and Pathology of the Central Nervous System.室管膜细胞在中枢神经系统生理和病理中的作用
Aging Dis. 2023 Apr 1;14(2):468-483. doi: 10.14336/AD.2022.0826-1.
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Tanycyte, the neuron whisperer.伸展细胞,神经元的密语者。
Physiol Behav. 2023 May 1;263:114108. doi: 10.1016/j.physbeh.2023.114108. Epub 2023 Feb 3.
7
Role of vitamins in epilepsy.维生素在癫痫中的作用。
Epilepsy Behav. 2023 Feb;139:109062. doi: 10.1016/j.yebeh.2022.109062. Epub 2022 Dec 26.
8
Selective Depletion of Adult GFAP-Expressing Tanycytes Leads to Hypogonadotropic Hypogonadism in Males.选择性耗竭成年 GFAP 表达的室管膜下细胞导致雄性促性腺激素低下性腺功能减退症。
Front Endocrinol (Lausanne). 2022 Mar 16;13:869019. doi: 10.3389/fendo.2022.869019. eCollection 2022.
9
Blood GFAP as an emerging biomarker in brain and spinal cord disorders.血液 GFAP 作为脑和脊髓疾病的新兴生物标志物。
Nat Rev Neurol. 2022 Mar;18(3):158-172. doi: 10.1038/s41582-021-00616-3. Epub 2022 Feb 3.
10
Ketogenic diet-mediated seizure reduction preserves CA1 cell numbers in epileptic Kcna1-null mice: An unbiased stereological assessment.生酮饮食介导的癫痫发作减少可维持癫痫 Kcna1 基因敲除小鼠 CA1 区神经元数量:一项无偏立体学评估。
Epilepsia. 2021 Aug;62(8):e123-e128. doi: 10.1111/epi.16983. Epub 2021 Jul 7.