The role of infiltrating macrophages and IL-6 production on seizure development after viral infection

Abstract

Epilepsy is a chronic neurological disorder characterized by recurrent seizures. Seizures, which are often associated with viral encephalitis, occur in response to imbalances between excitatory and inhibitory inputs within the brain. Patients with viral encephalitis are 16 times more likely to develop epilepsy. It is estimated that around 65 million people worldwide suffer from epilepsy. Although treatments to prevent seizures are available, 30% of the patients do not respond to the medication. In order to develop new immunomodulatory treatments that could lead to an eventual cure for seizures/epilepsy, a better understanding of the seizure development mechanism is required. We have developed an experimental model of virus-induced seizures/epilepsy. In our model, C57BL/6J mice are infected intra-cranially with the Daniels strain (DAV) of Theiler’s murine encephalomyelitis virus. Between 3 and 10 days post infection (d.p.i.), around 50% of the infected mice will develop spontaneous acute seizures and approximately 50% of these mice develop epilepsy. Because seizures begin to develop at 3 d.p.i we believe it happens as a consequence of the activation of the innate immune response. We found that seizures are correlated with an increase in myeloid cells infiltrating into the brain. Also, the pro-inflammatory cytokines IL-6 and TNF alpha were elevated at 3 d.p.i. IL-6 knockout mice infected with DAV experienced significantly fewer seizures. Because infiltrating macrophages are the main producers of IL-6, we depleted macrophages from mice and we infected them with DAV. We did not observed seizures in animals depleted of macrophages, suggesting macrophages are playing a central role in the development of seizures after viral infection.