Breaking Bad: the Structure and Function of the Blood-Brain Barrier in Epilepsy
Abstract
Epilepsy is a neurological disease with variable etiology and clinical manifestation, affecting more than 50 million people worldwide. Although the ultimate precipitators of seizures are neurons, it is becoming evident that epileptic activity is associated with changes in the function of other cell types, including those consisting the blood-brain barrier (BBB) and regulating its permeability. The interrelationships between impaired BBB function and epilepsy are complex, as BBB dysfunction may both lead to seizures and be induced by epileptic activity. In this article, we review alterations in key BBB properties that have been found in patients with epilepsy and in animal models of the disease. We highlight emerging biomarkers for individualized treatment, implications for pharmacotherapy, and potential BBB-related targets for drug development.
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Blood-brain barrier dysfunction positively correlates with seizure frequency and is independent of neuronal loss.
“BBB dysfunction positively correlates with seizure frequency and is independent of neuronal loss (234, 499).”
From Blood-Brain Barrier: From Physiology to Disease and Back (2019) · cites this paper as [234]
Cites
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Blood-Brain Barrier: From Physiology to Disease and Back
Sweeney, M. D., Zhao, Z., Montagne, A., Nelson, A. R., & Zlokovic, B. V. (2019) · Physiological Reviews · doi:10.1152/physrev.00050.2017 · Cited by 2,294 · see citing works
Blood-Brain Barrier Overview: Structural and Functional Correlation
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- Authors
- Han, H., Mann, A., Ekstein, D., & Eyal, S.
- Affiliations
- Hebrew University of Jerusalem (IL)
- Hadassah Medical Center (IL)
- Corresponding author
- Eyal, Sara
- Venue
- The AAPS Journal
- Published
- 2017-05-26
- Volume
- 19
- Issue
- 4
- Pages
- 973-988
- ISSN
- 1550-7416 (ISSN-L)
- OpenAlex
- W2617558868
- Cited by
- 83
- References
- 3
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 14 · 2023: 14 · 2022: 9 · 2021: 9 · 2020: 8 · 2019: 7 · 2018: 11 · 2017: 3
- FWCI
- 0.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The AAPS Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Hebrew University of Jerusalem
- Topics
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Keywords
- blood-brain barrier, epilepsy, blood-brain barrier permeability, seizures, biomarkers, epilepsy pharmacotherapy, animal models of epilepsy
- MeSH terms
- Animals, Anticonvulsants, Blood-Brain Barrier, Epilepsy, Humans, Biomarkers
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