2019
DOI: 10.1093/brain/awy320
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The role of astrocytes in seizure generation: insights from a novel in vitro seizure model based on mitochondrial dysfunction

Abstract: Many patients with mitochondrial disease have neurological symptoms, including drug-refractory epilepsy. Chan et al. develop an in vitro model of mitochondrial epilepsy with face and predictive validity. The model provides mechanistic insights into the role of astrocytes and the GABA-glutamate-glutamine cycle in driving seizure generation.

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Cited by 53 publications
(48 citation statements)
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“…They also decrease the activity of the glutamine synthase, preventing the production of glutamine from glutamate and reducing in this way the rate of the glutamate-glutamine cycle. This eventually leads to lower production of GABA neurotransmitter in the GABAergic neurons, diminishing its firing [70,109]. Finally, the pro-inflammatory mediators severely affect the permeability of the BBB; this allows the entry of albumin, and peripheral inflammatory leukocytes which will aggravate inflammation.…”
Section: Neuroinflammation and Seizuresmentioning
confidence: 99%
“…They also decrease the activity of the glutamine synthase, preventing the production of glutamine from glutamate and reducing in this way the rate of the glutamate-glutamine cycle. This eventually leads to lower production of GABA neurotransmitter in the GABAergic neurons, diminishing its firing [70,109]. Finally, the pro-inflammatory mediators severely affect the permeability of the BBB; this allows the entry of albumin, and peripheral inflammatory leukocytes which will aggravate inflammation.…”
Section: Neuroinflammation and Seizuresmentioning
confidence: 99%
“…Moreover, drug-resistant MTLE patients were found to have inhibited neurogenesis, reactive astrocyte proliferation, and HS (Muro-García et al, 2019 ). Interestingly, in both mitochondrial epilepsy (a type of epilepsy that is extremely difficult to treat and has a poor prognosis due to mutations in mitochondrial DNA) and Rasmussen’s encephalitis (RE; a type of epilepsy with chronic brain inflammation), patients experienced astrocyte apoptosis and loss (Bauer et al, 2007 ; Chan et al, 2019 ). Above all, reactive astrocytes play an important role in epileptogenesis and epileptic development.…”
Section: Il-4 Glial Cells and Epilepsymentioning
confidence: 99%
“…Astrocytes are intimately involved in diverse neuronal functions, such as modulating synaptic activity and plasticity; regulating the extracellular microenvironment by buffering neurotransmitter, ion, and water content, and regulating local blood flow and the delivery of energy substrates (Devinsky et al, 2012). Dysregulation of astrocyte function may cause seizures or promote epileptogenesis (Wetherington et al, 2008;Chan et al, 2019).…”
Section: Introductionmentioning
confidence: 99%