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癫痫中神经免疫通路的靶向治疗:机制进展与新兴疗法

"Targeting Neuroimmune Pathways in Epilepsy: Advances in Mechanisms and Emerging Therapeutics".

作者信息

Ravikumar Manish, Uvarajan Deenathayalan, Durairaj Brindha

机构信息

Department of Biochemistry, PSG College of Arts & Science, Coimbatore, India.

出版信息

Neurochem Res. 2025 Jul 22;50(4):244. doi: 10.1007/s11064-025-04489-6.

DOI:10.1007/s11064-025-04489-6
PMID:40694176
Abstract

The interaction between immune system dysfunction and neuroinflammation is crucial for the development and progression of epilepsy. This study investigates the complex relationships between immune responses and the onset of epileptic seizures and highlights the influence of neuroinflammatory processes on neuronal integrity and seizure frequency. Key factors such as glial cell activation, release of pro-inflammatory cytokines, and disruption of the blood-brain barrier (BBB) are being investigated for their roles in immune-mediated neurological disorders. The review examines novel therapeutic approaches targeting neuroinflammatory pathways. It highlights their potential to reduce seizure onset and development while addressing challenges in translating research into clinical practice. This study aims to elucidate these pathways, address knowledge gaps and explore novel options for epilepsy treatment.

摘要

免疫系统功能障碍与神经炎症之间的相互作用对于癫痫的发生和发展至关重要。本研究调查了免疫反应与癫痫发作起始之间的复杂关系,并强调了神经炎症过程对神经元完整性和癫痫发作频率的影响。正在研究诸如胶质细胞活化、促炎细胞因子释放和血脑屏障(BBB)破坏等关键因素在免疫介导的神经疾病中的作用。该综述探讨了针对神经炎症途径的新型治疗方法。它强调了这些方法在减少癫痫发作起始和发展方面的潜力,同时也指出了将研究转化为临床实践所面临的挑战。本研究旨在阐明这些途径,填补知识空白,并探索癫痫治疗的新选择。

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本文引用的文献

1
Biomolecular mechanisms of epileptic seizures and epilepsy: a review.癫痫发作和癫痫的生物分子机制:综述
Acta Epileptol. 2023 Nov 15;5(1):28. doi: 10.1186/s42494-023-00137-0.
2
Recent advances and current status of gene therapy for epilepsy.癫痫的基因治疗的最新进展和现状。
World J Pediatr. 2024 Nov;20(11):1115-1137. doi: 10.1007/s12519-024-00843-w. Epub 2024 Oct 12.
3
Exploring the role of interleukin-6 receptor blockade in epilepsy and associated neuropsychiatric conditions through a mendelian randomization study.
通过孟德尔随机化研究探索白细胞介素-6受体阻断在癫痫及相关神经精神疾病中的作用。
World J Psychiatry. 2024 Aug 19;14(8):1244-1253. doi: 10.5498/wjp.v14.i8.1244.
4
NLRP3 Inflammasome Inhibitors for Antiepileptogenic Drug Discovery and Development.NLRP3 炎性小体抑制剂在抗癫痫药物发现和开发中的应用。
Int J Mol Sci. 2024 May 31;25(11):6078. doi: 10.3390/ijms25116078.
5
Agrin-Lrp4 pathway in hippocampal astrocytes restrains development of temporal lobe epilepsy through adenosine signaling.海马星形胶质细胞中的聚集蛋白-Lrp4信号通路通过腺苷信号传导抑制颞叶癫痫的发展。
Cell Biosci. 2024 May 23;14(1):66. doi: 10.1186/s13578-024-01241-5.
6
Neuroinflammation and Epilepsy: From Pathophysiology to Therapies Based on Repurposing Drugs.神经炎症与癫痫:从病理生理学到基于药物重新利用的疗法
Int J Mol Sci. 2024 Apr 9;25(8):4161. doi: 10.3390/ijms25084161.
7
A systematic review and meta-analysis on efficacy and safety of Ganaxolone in epilepsy.加奈索酮治疗癫痫有效性和安全性的系统评价与荟萃分析
Expert Opin Pharmacother. 2024 Apr;25(5):621-632. doi: 10.1080/14656566.2024.2342413. Epub 2024 Apr 17.
8
Hyperactivity of mTORC1- and mTORC2-dependent signaling mediates epilepsy downstream of somatic PTEN loss.mTORC1 和 mTORC2 依赖性信号的过度活跃介导了体细胞 PTEN 缺失下游的癫痫。
Elife. 2024 Mar 6;12:RP91323. doi: 10.7554/eLife.91323.
9
Targeting EP2 Receptor for Drug Discovery: Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis.针对 EP2 受体的药物发现:优势、劣势、机会和威胁(SWOT)分析。
J Med Chem. 2023 Jul 27;66(14):9313-9324. doi: 10.1021/acs.jmedchem.3c00655. Epub 2023 Jul 17.
10
Reactive microglia are the major source of tumor necrosis factor alpha and contribute to astrocyte dysfunction and acute seizures in experimental temporal lobe epilepsy.反应性小胶质细胞是肿瘤坏死因子-α的主要来源,并导致实验性颞叶癫痫中星形胶质细胞功能障碍和急性癫痫发作。
Glia. 2023 Feb;71(2):168-186. doi: 10.1002/glia.24265. Epub 2022 Sep 8.