MTOR pathway in focal cortical dysplasia type 2: What do we know?
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Updated: Feb 8, 2026

Calcium Imaging of Cortical Neurons using Fura-2 AM
Published on: January 19, 2009
Fernanda Majolo1, Daniel Rodrigo Marinowic1, Denise Cantarelli Machado1
1Brain Institute of Rio Grande do Sul (BraIns), Brazil; Postgraduate Program in Medicine and Health Sciences, PUCRS, Brazil.
Abstract:
Focal cortical dysplasia (FCD) is the most commonly encountered developmental malformation that causes refractory epilepsy. Focal cortical dysplasia type 2 is one of the most usual neuropathological findings in tissues resected therapeutically from patients with drug-resistant epilepsy. Unlike other types of FCD, it is characterized by laminar disorganization and dysplastic neurons, which compromise the organization of the six histologically known layers in the cortex; the morphology and/or cell location can also be altered. A comprehensive review about the pathogenesis of this disease is important because of the necessity to update the results reported over the past years. Here, we present an updated review through Pubmed about the mammalian target of rapamycin (MTOR) pathway in FCD type 2. A wide variety of aspects was covered in 44 articles related to molecular and cellular biology, including experiments in animal and human models. The first publications appeared in 2004, but there is still a lack of studies specifically for one type of FCD. With the advancement of techniques and greater access to molecular and cellular experiments, such as induced pluripotent stem cells (iPSCs) and organoids, it is believed that the trend is increasing the number of publications contributing to the achievement of new discoveries.
Insights
Focal cortical dysplasia type 2 (FCD2), a cause of refractory epilepsy, involves abnormal brain development. This review updates knowledge on the mTOR pathway
Area of Science:
- Neuroscience
- Developmental Biology
- Molecular Biology
Background:
- Focal cortical dysplasia (FCD) is a common cause of refractory epilepsy.
- FCD type 2 is characterized by cortical laminar disorganization and dysplastic neurons.
- Understanding FCD pathogenesis is crucial for advancing epilepsy treatment.
Purpose of the Study:
- To provide an updated review of the mammalian target of rapamycin (mTOR) pathway in FCD type 2.
- To consolidate recent findings on FCD type 2 pathogenesis.
- To highlight the need for further research into specific FCD types.
Main Methods:
- Comprehensive literature review using PubMed.
- Analysis of 44 articles covering molecular and cellular biology.
- Inclusion of studies using animal and human models, including iPSCs and organoids.
Main Results:
- The mTOR pathway is a significant area of research in FCD type 2.
- Studies span molecular, cellular, animal, and human model investigations.
- Research on FCD type 2 has evolved since 2004, with increasing contributions from advanced techniques.
Conclusions:
- The mTOR pathway plays a critical role in the pathogenesis of FCD type 2.
- Advancements in techniques like iPSCs and organoids are accelerating discoveries in FCD research.
- Continued investigation is needed to fully elucidate the specific mechanisms in different FCD types.
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