Cited by 508

Epilepsy and brain inflammation

Vezzani, Annamaria, Aronica, Eleonora, Mazarati, Andrey, Pittman, Quentin J.·2013·Experimental Neurology

Abstract

During the last decade, experimental research has demonstrated a prominent role of glial cells, activated in brain by various injuries, in the mechanisms of seizure precipitation and recurrence. In particular, alterations in the phenotype and function of activated astrocytes and microglial cells have been described in experimental and human epileptic tissue, including modifications in potassium and water channels, alterations of glutamine/glutamate cycle, changes in glutamate receptor expression and transporters, release of neuromodulatory molecules (e.g. gliotransmitters, neurotrophic factors), and induction of molecules involved in inflammatory processes (e.g. cytokines, chemokines, prostaglandins, complement factors, cell adhesion molecules) (Seifert et al., 2006; Vezzani et al., 2011; Wetherington et al., 2008). In particular, brain injury or proconvulsant events can activate microglia and astrocytes to release a number of proinflammatory mediators, thus initiating a cascade of inflammatory processes in brain tissue. Proinflammatory molecules can alter neuronal excitability and affect the physiological functions of glia by paracrine or autocrine actions, thus perturbing the glioneuronal communications. In experimental models, these changes contribute to decreasing the threshold to seizures and may compromise neuronal survival (Riazi et al., 2010; Vezzani et al., 2008). In this context, understanding which are the soluble mediators and the molecular mechanisms crucially in…

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Crossref · 10.1016/j.expneurol.2011.09.033

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  • Inflammation is relevant in the pathophysiology of epilepsy.

    “During the last decade, both experimental and clinical studies have demonstrated the relevance of inflammation in the pathophysiology of epilepsy (for reviews see [1]–[3].”

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Authors
Vezzani, A., Aronica, E., Mazarati, A., & Pittman, Q. J.
Venue
Experimental Neurology
Publisher
Elsevier BV
Published
2013-06
Volume
244
Pages
11-21
ISSN
0014-4886
Cited by
508
References
11
Language
en

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