Glia and epilepsy: Excitability and inflammation

Orrin Devinsky, Annamaria Vezzani, Souhel Najjar, Nihal C. De Lanerolle, Michael A. Rogawski

Research output: Contribution to journalArticle

Abstract

Epilepsy is characterized by recurrent spontaneous seizures due to hyperexcitability and hypersynchrony of brain neurons. Current theories of pathophysiology stress neuronal dysfunction and damage, and aberrant connections as relevant factors. Most antiepileptic drugs target neuronal mechanisms. However, nearly one-third of patients have seizures that are refractory to available medications; a deeper understanding of mechanisms may be required to conceive more effective therapies. Recent studies point to a significant contribution by non-neuronal cells, the glia - especially astrocytes and microglia - in the pathophysiology of epilepsy. This review critically evaluates the role of glia-induced hyperexcitability and inflammation in epilepsy.

Original languageEnglish
Pages (from-to)174-184
Number of pages11
JournalTrends in Neurosciences
Volume36
Issue number3
DOIs
Publication statusPublished - Mar 2013

Keywords

  • Astrocyte
  • Epilepsy
  • Glia
  • Microglia
  • Neuroinflammation

ASJC Scopus subject areas

  • Neuroscience(all)

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