Doublecortin expression in the normal and epileptic adult human brain

Y W J Liu1, M A Curtis, H M Gibbons

  • 1Department of Anatomy with Radiology, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland, New Zealand.

Insights

New neurons may be generated in the adult human temporal cortex in mesial temporal lobe epilepsy (MTLE). This study found increased doublecortin (Dcx)-positive cells in epilepsy patients, suggesting a role in neurological disease.

Area of Science:

  • Neuroscience
  • Epilepsy Research
  • Cell Biology

Background:

  • Mesial temporal lobe epilepsy (MTLE) is characterized by recurrent seizures and hippocampal damage.
  • While animal models show increased neurogenesis in MTLE, this has not been confirmed in adult humans.
  • Understanding neurogenesis in human epilepsy is crucial for pathophysiology insights.

Purpose of the Study:

  • To investigate the presence and characteristics of neuroblast markers in the adult human temporal cortex in MTLE.
  • To determine if epilepsy influences the generation of new neurons in the temporal cortex.
  • To explore the potential functional role of these cells in epilepsy.

Main Methods:

  • Immunohistochemistry was used to identify doublecortin (Dcx)-positive cells in human temporal cortex and hippocampus samples from normal and MTLE individuals.
  • Co-expression analysis was performed using markers for proliferation (proliferating cell nuclear antigen) and neuronal differentiation (TuJ1, NeuN).

Main Results:

  • Doublecortin (Dcx)-positive cells, indicative of migrating neuroblasts, were found in both normal and MTLE adult human brains.
  • Significantly higher numbers of Dcx-positive cells were observed in the temporal cortex of MTLE patients compared to controls.
  • A substantial portion of Dcx-positive cells in the epileptic temporal cortex co-expressed markers for proliferation and early neuronal development, with some also expressing mature neuronal markers.

Conclusions:

  • This study identifies a novel population of Dcx-positive cells in the adult human temporal cortex.
  • Epilepsy appears to upregulate these Dcx-positive cells, suggesting increased neurogenesis in the temporal cortex.
  • These findings raise the possibility of a functional role for newly generated neurons in the pathophysiology of human temporal lobe epilepsy.

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