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Published on: August 27, 2019
Spontaneous Recurrent Seizures Mediated Cardiac Dysfunction via mTOR Pathway Upregulation: A Putative Target for
Supriya Sharma1,2, Arindam G Mazumder1,2, Anil K Rana1,2
1Pharmacology and Toxicology Laboratory, CSIR-Institute of Himalayan Bioresource Technology, Palampur-176061, Himachal Pradesh, India.
Background:
Alteration in electrophysiology, leading to cardiac dysfunction and subsequently a nontraumatic death is a complication of epilepsy known as "SUDEP" (Sudden Unexpected Death in Epilepsy).
Aims:
The present study was designed to understand the molecular changes and cardiac parameters during different phases of epileptogenesis in lithium-pilocarpine (Li-pilo) rat model of epilepsy.
Methods:
The animals were exposed to Li-pilo to induce Spontaneous Recurrent Seizures (SRS). Noninvasive blood pressure and electrocardiography was recorded at 7th, 28th and 75th day following pilocarpine administration, considered as latent, initial and late SRS phases, respectively. The serum biochemistry, cardiac histopathology, protein and mRNA expressions were studied, following electrocardiography on day 75.
Results:
The mean arterial pressure decreased during the latent phase, thereafter it progressively increased during the initial and the late SRS phases, as compared to the basal and the latent phase. Histopathological analysis of the heart sections indicated hypertrophy, degenerative changes and fibrous tissue deposition in epileptic animals, along with increased levels of lactate dehydrogenase and creatine kinase-MB in the serum. The expression of HIF-1α, phospho-S6, phospho-mTOR, TGF-β, collagen I and Na+/K+-ATPase α1 proteins, and mRNA levels of HIF-1α, mTOR, Rps6, Scn1b, Scn3b, Nav1.5 and TGF-β were increased in the cardiac tissue of epileptic animals, as compared to control.
Conclusion:
Our results conclusively showed that Li-pilo-induced SRS leads to cardiac dysfunction via mTOR pathway upregulation, thus suggested the regulatory control of mTOR pathway as a potential target for SUDEP management.
Insights
Sudden Unexpected Death in Epilepsy (SUDEP) involves cardiac dysfunction. This study found that mTOR pathway upregulation in epilepsy leads to heart problems, suggesting it as a target for SUDEP prevention.
Area of Science:
- Neuroscience
- Cardiology
- Molecular Biology
Background:
- Sudden Unexpected Death in Epilepsy (SUDEP) is a serious complication of epilepsy.
- SUDEP is characterized by electrophysiological alterations leading to cardiac dysfunction and sudden death.
Purpose of the Study:
- To investigate molecular and cardiac changes during epileptogenesis in a rat model.
- To understand the mechanisms underlying cardiac dysfunction in epilepsy.
Main Methods:
- Lithium-pilocarpine (Li-pilo) induced epilepsy in rats, creating Spontaneous Recurrent Seizures (SRS).
- Cardiac function was assessed via blood pressure and ECG at different SRS phases (latent, initial, late).
- Serum biochemistry, cardiac histology, and protein/mRNA expression (including mTOR pathway markers) were analyzed.
Main Results:
- Epileptic rats showed altered blood pressure, cardiac hypertrophy, degeneration, and fibrosis.
- Elevated serum markers (LDH, CK-MB) and increased cardiac expression of HIF-1α, mTOR, TGF-β, and ion channels were observed.
- Upregulation of the mTOR pathway was a key finding in the cardiac tissue of epileptic animals.
Conclusions:
- Epilepsy-induced Spontaneous Recurrent Seizures (SRS) cause cardiac dysfunction.
- The mTOR pathway plays a crucial role in this cardiac dysfunction.
- Targeting the mTOR pathway may offer a strategy for managing SUDEP.
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