Immunological factors in pediatric generalized and focal epilepsy: interplay with anti-seizure medications
Dongyan Zhang,
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Hongguang Sun
No information about this author
BMC Pediatrics,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: March 17, 2025
Pediatric
epilepsy
presents
challenges
in
treatment
optimization,
with
a
significant
proportion
of
patients
experiencing
inadequate
seizure
control
despite
anti-seizure
medications
(ASMs)
therapy.
Recent
research
has
indicated
the
involvement
neuroinflammation
and
immune-mediated
mechanisms
pathogenesis,
suggesting
potential
interplay
between
immunological
factors
ASMs
responsiveness.
This
study
aimed
to
investigate
role
pediatric
generalized,
focal
their
interaction
understand
influence
on
outcomes.
A
retrospective
cohort
was
conducted
involving
136
patients,
categorized
into
Anti-seizure
Insensitive
Group
(n
=
67)
Sensitive
69).
Immunoglobulin
levels
factors,
including
cytokines,
were
assessed
before
treatment.
Seizure
characteristics
also
analyzed.
Associations
characteristics,
sensitivity
evaluated.
The
revealed
differences
interleukin-6
(IL-6),
IL-1β
IL-10
levels,
insensitive
sensitive
groups.
Furthermore,
frequency,
drug-resistant
seizures,
severity,
seizure-free
period,
status
epilepticus
all
demonstrated
correlations
ASMs,
negative
for
positive
period
epilepticus.
highlights
complex
immune
function,
mechanisms,
underscoring
need
comprehensive
understanding
modulation
drug
response
epilepsy.
Not
applicable.
Language: Английский
Optimization of seizure prevention by cannabidiol (CBD)
Bidhan Bhandari,
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Sahar Emami Naeini,
No information about this author
Sholeh Rezaee
No information about this author
et al.
Translational Neuroscience,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: Jan. 1, 2025
Cannabidiol
(CBD)
is
one
of
the
most
prominent
non-psychotropic
cannabinoids
with
known
therapeutic
potentials.
Based
on
its
anti-seizure
efficacy,
first
cannabis
derived
pharmaceutical
grade
CBD-based
medication
was
approved
in
USA
2018
for
treatment
seizures
patients
2
years
and
older.
Despite
effectiveness
reducing
seizures,
there
remain
several
major
questions
optimization
CBD
therapy
epilepsy
such
as
optimal
dosage,
composition,
route
delivery,
which
are
main
objective
this
current
study.
We
evaluated
antiseizure
effects
through
different
compositions,
routes
dosages
a
pre-clinical
model.
used
kainic
acid-induced
model
C57BL/6
mice,
treated
them
placebo
and/or
inhalation,
oral,
injection
(intraperitoneal)
routes.
broad
spectrum
(inhaled
intraperitoneal)
vs
isolate
formulations.
employed
Racine
scaling
system
to
evaluate
severity
flow
cytometry
measuring
immune
biomarkers
neurotrophic
factors,
histologic
analysis
examine
compare
groups.
Our
findings
showed
that
all
forms
reduced
severity.
Among
combination
tested,
via
inhalation
effective
epileptic
(p
<
0.05)
compared
other
treatments.
data
suggest
formulations
affect
efficacy
prevention
seizures.
Inhaled
potential
superior
effect
delivery
warrants
further
research.
Language: Английский
Neurotransmitter power plays: the synaptic communication nexus shaping brain cancer
Acta Neuropathologica Communications,
Journal Year:
2025,
Volume and Issue:
13(1)
Published: April 30, 2025
Gliomas
and
brain
metastases
are
notorious
for
their
dismal
prognosis
low
survival
rates,
a
challenge
exacerbated
by
our
incomplete
grasp
of
the
complex
dynamics
that
govern
cancers.
Recently,
groundbreaking
paradigm
shift
has
emerged,
highlighting
crucial
role
synaptic
communication
between
neurons
tumor
cells
in
reshaping
neuronal
signaling
to
favor
growth.
This
review
delves
into
pivotal
interplay
mechanisms,
focusing
on
excitatory
glutamatergic
inhibitory
GABAergic
pathways.
Glutamatergic
synapses
utilize
glutamate
propagate
signals,
while
employ
gamma-aminobutyric
acid
(GABA)
inhibit
firing.
can
be
broadly
classified
ionotropic
(NMDAR,
AMPAR
kainite
receptors)
metabotropic
subtypes.
The
harmonious
orchestration
these
types
is
essential
normal
function,
dysregulation
implicated
neurodegenerative
disorders
such
as
Alzheimer's
disease
epilepsy.
Emerging
evidence
reveals
glioma
metastatic
exploit
pathways
neurotransmitters
enhance
proliferation
survival.
In
this
review,
we
will
first
explore
intricate
mechanisms
underlying
signaling.
Next,
summarize
recent
advancements
understanding
how
cancer
hijack
advantage.
Finally,
propose
novel
therapeutic
strategies
aimed
at
disrupting
aberrant
neuron-tumor
communication,
offering
potential
treatment
combating
otherwise
incurable
Language: Английский
Ketogenic Diet and Neuroinflammation: Implications for Neuroimmunometabolism and Therapeutic Approaches to Refractory Epilepsy
Nutrients,
Journal Year:
2024,
Volume and Issue:
16(23), P. 3994 - 3994
Published: Nov. 22, 2024
Refractory
epilepsy,
characterized
by
seizures
that
do
not
respond
to
standard
antiseizure
medications,
remains
a
significant
clinical
challenge.
The
central
role
of
the
immune
system
on
occurrence
epileptic
disorders
has
been
long
studied,
but
recent
perspectives
immunometabolism
and
neuroinflammation
are
reshaping
scientific
knowledge.
ketogenic
diet
its
variants
have
considered
an
important
medical
nutrition
therapy
for
refractory
epilepsy
may
potential
modulation
effect
system,
specifically,
metabolism
cells.
In
this
comprehensive
review,
we
gathered
current
evidence-based
practice,
interventional
ongoing
trials
addressing
in
epilepsy.
We
also
discussed
detail
anticonvulsant
mechanisms,
neuroimmunometabolism,
highlighting
Th17/Treg
homeostasis
as
one
most
interesting
aspects
deserving
consideration
future
trials.
Language: Английский
Relationship between inflammation/immunity and epilepsy: A multi-omics mendelian randomization study integrating GWAS, eQTL, and mQTL data
Jing Mu,
No information about this author
Chang-qing Cao,
No information about this author
Yi-Gu Gong
No information about this author
et al.
Epilepsy & Behavior,
Journal Year:
2024,
Volume and Issue:
161, P. 110112 - 110112
Published: Oct. 29, 2024
Language: Английский
Ulinastatin Modulates NLRP3 Inflammasome Pathway in PTZ-Induced Epileptic Mice: A Potential Mechanistic Insight
Huan Wang,
No information about this author
Yuzhu Ma,
No information about this author
Dongmei Jin
No information about this author
et al.
Heliyon,
Journal Year:
2024,
Volume and Issue:
10(19), P. e38050 - e38050
Published: Sept. 19, 2024
Language: Английский
Causal role of peripheral immune cells in epilepsy: A large-scale genetic correlation study
Ting Zhao,
No information about this author
Junshuan Cui,
No information about this author
Shenglian Lan
No information about this author
et al.
International Immunopharmacology,
Journal Year:
2024,
Volume and Issue:
142, P. 113238 - 113238
Published: Sept. 23, 2024
Language: Английский
Research trends of glioma-related epilepsy: A bibliometric analysis from 2004 to 2023
Ruofei Liang,
No information about this author
Chaosu Hu,
No information about this author
Haiyu Li
No information about this author
et al.
Journal of Central Nervous System Disease,
Journal Year:
2024,
Volume and Issue:
16
Published: Oct. 16, 2024
Glioma-related
epilepsy
(GRE)
is
a
hotspot
in
recent
years
and
there
remains
many
urgent
unsolved
issues.
This
study
aimed
to
conduct
bibliometric
analysis
on
GRE
research
over
the
past
2
decades.
We
collected
scientific
outputs
relating
Web
of
Science
Core
Collection
(WoSCC)
from
2004
2023
conducted
visual
using
VOSviewer
Microsoft
Excel.
A
total
2697
publications
were
retrieved
with
an
increasing
trend
20
years.
The
USA
ranked
first
publication
number,
citation
H-index.
Institut
National
de
la
Sante
et
Recherche
Medicale
(Inserm)
was
institution
most
publications.
In
field
GRE,
core
journals
Journal
Neurosurgery,
Epilepsia
Neurology.
Duffau,
Hugues
author
papers
citations,
highest
Co-occurrence
revealed
that
latest
focus
awake
craniotomy,
immunotherapy,
cognitive
impairment,
basic
pathogenesis,
particular
emphasis
IDH1
mutation.
intended
gain
deeper
understanding
current
global
identify
hotspots,
as
well
provide
theoretical
reference
for
further
studies.
Language: Английский