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Published on: May 16, 2019
Microglia in Epilepsy: From Molecular Mechanism to Therapeutic Strategy
Yam Nath Paudel1, Efthalia Angelopoulou2, Sai Kulkarni3
1Department of Neurology, School of Medicine, Virginia Commonwealth University, Richmond, VA 23298, USA.
Abstract:
The limit of disease-modifying therapeutic strategies against epilepsy has prompted mainstream epilepsy research toward understanding the pathways contributing to epileptic seizures. Microglia, the powerhouse of the brain's innate immune system, is known for its role in epileptic seizures, contributing via neuroinflammation, neuronal death, and neurogenesis. Therapeutic targeting of microglia with its inhibitor and therapeutic compounds modulating its activation reduces the development of spontaneous recurrent seizure after status epilepticus in a pre-clinical model. Herein, we review various aspects of microglia in epilepsy, including their contribution to seizure-induced neuronal death and neurogenesis, the outcome of depleting microglia (both pharmacologically and genetically), the aspects of microglia-astrocyte interaction, and promising therapeutic outcomes achieved by targeting microglia.
Insights
Microglia, the brain's immune cells, play a key role in epilepsy by causing neuroinflammation and neuronal death. Targeting microglia shows promise for new epilepsy treatments, reducing seizures in preclinical models.
Area of Science:
- Neuroscience
- Immunology
- Epilepsy Research
Background:
- Epilepsy treatment faces limitations, shifting focus to seizure-pathway understanding.
- Microglia, the central nervous system's immune cells, are implicated in epilepsy pathogenesis.
- Microglia contribute to seizures through neuroinflammation, neuronal death, and neurogenesis.
Purpose of the Study:
- To review the multifaceted role of microglia in epilepsy.
- To explore microglia's involvement in seizure-induced neuronal damage and neurogenesis.
- To discuss therapeutic strategies targeting microglia for epilepsy.
Main Methods:
- Review of existing literature on microglia and epilepsy.
- Analysis of preclinical models investigating microglia depletion and modulation.
- Examination of microglia-astrocyte interactions in epilepsy.
Main Results:
- Microglia activation contributes to neuronal death and neurogenesis following seizures.
- Pharmacological and genetic depletion of microglia reduces spontaneous recurrent seizures post-status epilepticus.
- Targeting microglia demonstrates therapeutic potential in preclinical epilepsy models.
Conclusions:
- Microglia are critical players in epilepsy development and progression.
- Modulating microglial activity offers a promising therapeutic avenue for epilepsy.
- Further research into microglia-based therapies could lead to novel disease-modifying treatments for epilepsy.
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