A personalized approach to the diagnosis of epilepsy in obese children DOI
Ilgar Mamedov, O. A. Perevesentsev,

E.G. Kulakova

et al.

Laboratory Service, Journal Year: 2025, Volume and Issue: 14(1), P. 5 - 5

Published: April 8, 2025

Introduction. Epilepsy is one of the important problems modern neurology. Various epileptic syndromes can be combined with other diseases, in particular, obesity. Currently, various aspects etiopathogenesis seizures against background obesity are actively studied. The aim work to develop an approach personalized biochemical diagnostics epilepsy children based on potential changes profile organic acids urine. Materials and methods. study included 22 patients aged 1 16 years (mean age 11.7 years): 6 comparison group. HPLC-MS. Results carried out 60 In group obesity, excess upper reference limit a number markers Krebs cycle (fumaric 2-ketoglutaric acids), bacterial dysbiosis lactic acid were detected. Also patient sample, contrast group, increase level mitochondrial dysfunction was found. Results. exceeded. sample patients, Conclusion. Thus, we identified metabolic associated

Language: Английский

Targeted lipidomics analysis of possible molecular mechanisms of lipid changes in temporal lobe epilepsy models DOI Creative Commons

Huaiyu Sun,

Xuewei Li, Zhiqing Chen

et al.

Frontiers in Pharmacology, Journal Year: 2025, Volume and Issue: 15

Published: Jan. 9, 2025

Lipids are vital biomolecules involved in the formation of various biofilms. Seizures can cause changes lipid metabolism brain. In-depth studies at multiple levels urgently needed to elucidate composition, distribution, and metabolic pathways brain after seizure. In this research, a cutting-edge targeted quantitative lipidomics study was conducted on hippocampal tissues six rats with temporal lobe epilepsy normal rats. Accurate quantification based linear equations calculated using an internal standard. The lipids were quantitatively qualitatively analyzed by ultra-high performance liquid chromatography (UPLC) mass spectrometry (MS). A total 21 classes identified. Among them, most abundant triacylglycerol (TG), phosphatidyl ethanolamine (PE-P), fatty acids (FA). Cholesteryl ester (ChE) exhibits considerable difference between epileptic samples. ChE found be significantly upregulated lipid, while FA observed downregulated lipid. Based absolute analysis rat specimens, contents change trends different observed. Upregulation dihydroceramide (DHCer) observed, distribution elucidated causes possible molecular mechanisms accumulation epilepsy. results methods described provide comprehensive new therapeutic target for treatment

Language: Английский

Citations

0

Epilepsy–heart syndrome: Concept, clinical context, and opportunity for integrated care DOI Creative Commons
Gashirai K Mbizvo, Iain Buchan, Anthony G Marson

et al.

Epilepsia, Journal Year: 2025, Volume and Issue: unknown

Published: March 13, 2025

Abstract In this concept paper, we introduce epilepsy‐heart syndrome as a shared burden of illness between epilepsy and cardiac disorders. This pragmatic definition is agnostic which condition came first (the or the disorder), recognising that these conditions can each serve risk factor for other owing to bidirectional relationship exists brain heart. To provide clinical context, include ictal asystole an example phenotype syndrome. We highlight evidence patients with coming harm failure integrated care neurology cardiology. underscores unmet need collaborative address this, propose framework care, drawing upon our own centre's recently established successful multidisciplinary team meeting (MDT) neurologists cardiologists, joint cardiology‐neurology PhD programme, work developing national guideline on management Association British Neurologists (ABN) Heart Rhythm Society (BHRS).

Language: Английский

Citations

0

MicroRNAs as Epigenetic Biomarkers of Pathogenetic Mechanisms of the Metabolic Syndrome Induced by Antiseizure Medications: Systematic Review DOI Open Access
N. А. Shnayder,

Nikolai A. Pekarets,

Natalia I. Pekarets

et al.

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(7), P. 2432 - 2432

Published: April 2, 2025

Antiseizure medication (ASM) induced metabolic syndrome (AIMetS) is a common adverse drug reaction (ADR) of pharmacotherapy for epilepsy and psychiatric disorders. However, the sensitivity specificity blood biomarkers may be insufficient due to influence combined pathology, concomitant diseases, peculiarities metabolism ASMs in patients with epilepsy. Methods: The presented results experimental clinical studies microRNAs (miRs) as epigenetic MetS AIMetS, which were entered into different databases, analyzed last decade (2014-2024). Results: A systematic review demonstrated that miRs can act promising key AIMetS domains. variable role various their paralogs pathogenesis AIMetS. Therefore, part this study, an signature was proposed allows us assess risk developing severity low risk, medium high risk. Conclusions: mechanisms development are actual problem epileptology, still far from being resolved. panels (signatures) widespread ADR help increase safety circulating it necessary conduct "bridge" order replicate preclinical real practice.

Language: Английский

Citations

0

A personalized approach to the diagnosis of epilepsy in obese children DOI
Ilgar Mamedov, O. A. Perevesentsev,

E.G. Kulakova

et al.

Laboratory Service, Journal Year: 2025, Volume and Issue: 14(1), P. 5 - 5

Published: April 8, 2025

Introduction. Epilepsy is one of the important problems modern neurology. Various epileptic syndromes can be combined with other diseases, in particular, obesity. Currently, various aspects etiopathogenesis seizures against background obesity are actively studied. The aim work to develop an approach personalized biochemical diagnostics epilepsy children based on potential changes profile organic acids urine. Materials and methods. study included 22 patients aged 1 16 years (mean age 11.7 years): 6 comparison group. HPLC-MS. Results carried out 60 In group obesity, excess upper reference limit a number markers Krebs cycle (fumaric 2-ketoglutaric acids), bacterial dysbiosis lactic acid were detected. Also patient sample, contrast group, increase level mitochondrial dysfunction was found. Results. exceeded. sample patients, Conclusion. Thus, we identified metabolic associated

Language: Английский

Citations

0