Complement system dysregulation in patients affected by Idiopathic Generalized Epilepsy and the effect of antiepileptic treatment

Claudio Liguori, Andrea Romigi, Francesca Izzi, Fabio Placidi, Marzia Nuccetelli, Alberto Cordella, Sergio Bernardini, Mercuri Nicola Biagio

Research output: Contribution to journalArticle

Abstract

Complement system dysregulation has been hypothesized as a possible pathogenetic factor triggering epileptogenesis in both animal models and human studies. The aim of the present study is to evaluate the complement system in adult patients affected by idiopathic generalized epilepsy (IGE), either untreated or treated by antiepileptic drugs (AEDs). Thirty-seven IGE patients were compared to a population of 20 matched healthy controls. IGE patients underwent neurological investigation, epilepsy diary, 24-h EEG recording, and blood sample for the assessment of the complement factors C3 and C4, fibrinogen, and C-reactive protein (CRP) serum levels. We excluded patients with clinical and subclinical seizures in the 24 h before obtaining the blood sample. We observed decreased C3 and C4 serum levels in IGE patients with respect to controls (p < 0.05), and in untreated compared to treated IGE patients (p < 0.05). We found significant correlations in the IGE group linking C3 to C4 (R = 0.34), CRP (R = 0.49), and fibrinogen serum levels (R = 0.61). This study proved a significant alteration of the complement system in IGE patients not related to ictal conditions. The hyperactivation of the complement cascade was more significant in untreated than in treated IGE patients. Hence, this study documented the complement factors dysregulation in patients affected by IGE. However, the impact of complement system alteration in the epileptogenetic process needs to be clarified.

Original languageEnglish
Pages (from-to)107-111
Number of pages5
JournalEpilepsy Research
Volume137
DOIs
Publication statusPublished - Nov 1 2017

Keywords

  • Anti-epileptic drugs
  • C3
  • C4
  • Complement system
  • Idiopathic Generalized Epilepsy

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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