Objective
Post-traumatic seizures (PTS) commonly occur following severe traumatic brain injury (sTBI). Risk factors for PTS have been identified, but variability in who develops PTS remains. Excitotoxicity may influence epileptogenesis following sTBI. Glutamate transporters manage glutamate levels and excitatory neurotransmission, and they have been associated with both epilepsy and TBI. Therefore, we aimed to determine if genetic variation in neuronal glutamate transporter genes is associated with accelerated epileptogenesis and increased PTS risk after sTBI.
Methods
Individuals (N=253), 18-75yrs with sTBI, were assessed for genetic relationships with PTS. SNPs within SLC1A1 and SLC1A6 were assayed. Kaplan-Meier estimates and log-rank statistics were used to compare seizure rates from injury to 3yrs post-injury for SNPs by genotype. Hazard ratios were estimated using Cox proportional hazards regression for SNPs significant in Kaplan-Meier analyses adjusting for known PTS risk factors.
Results
32 tagging SNPs were examined (SLC1A1: n=28, SLC1A6: n=4). 49 (19.37%) subjects had PTS. Of these, 18 (36.7%) seized within 7days, and 31 (63.3%) seized between 8d-3yrs post-TBI. Correcting for multiple comparisons, genotypes at SNP rs10974620 (SLC1A1) were significantly associated with time-to-first seizure across the full 3yr follow-up (seizure rates: 77.1% minor allele homozygotes, 24.8% heterozygotes, 16.6% major allele homozygotes; p=0.001). When follow-up began day 2, genotypes at SNP rs7858819 (SLC1A1) were significantly associated with PTS risk (seizure rates: 52.7% minor allele homozygotes, 11.8% heterozygotes, 21.1% major allele homozygotes; p=0.002). Adjusting for covariates, rs10974620 remained significant (p=0.017, minor allele versus major allele homozygotes HR: 3.4, 95%CI: 1.3-9.3). rs7858819 also remained significant in adjusted models (p=0.023, minor allele versus major allele homozygotes HR: 3.4, 95%CI: 1.1-10.5).
Significance
Variations within SLC1A1 are associated with risk of epileptogenesis following sTBI. Future studies need to confirm findings, but variation within neuronal glutamate transporter genes may represent a possible pharmaceutical target for PTS prevention and treatment.