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Publication : Epileptiform GluN2B-driven excitation in hippocampus as a therapeutic target against temporal lobe epilepsy.

First Author  Gorlewicz A Year  2022
Journal  Exp Neurol Volume  354
Pages  114087 PubMed ID  35469852
Mgi Jnum  J:338844 Mgi Id  MGI:7278393
Doi  10.1016/j.expneurol.2022.114087 Citation  Gorlewicz A, et al. (2022) Epileptiform GluN2B-driven excitation in hippocampus as a therapeutic target against temporal lobe epilepsy. Exp Neurol 354:114087
abstractText  GluN2B is an NMDAR subunit that displays restricted expression in the mature hippocampus - a structure playing a major role in temporal lobe epilepsy. However, the contribution of GluN2B to the pathophysiology of the condition has not been fully explored. Here we combined status epilepticus models of temporal lobe epilepsy, protein expression studies, and patch-clamp experiments to demonstrate the profound change in the nature of glutamatergic transmission mediated in the epileptiform hippocampus by a subpopulation of GluN2B-containing NMDAR receptors. Satisfactory control of chronic seizures in temporal lobe epilepsy is still impossible for about 40% of patients. Therefore, new therapeutic approaches against the condition are desired. Using video-EEG recordings in animals and ex vivo extracellular recordings in brain sections, we present here the potential of ifenprodil (GluN2B selective NMDAR antagonist) for altering the course of epileptogenesis and ictogenesis in temporal lobe epilepsy. In sum, we identify GluN2B as one of the factors in the pathogenesis of recurrent seizures and provide a rationale for clinical studies on ifenprodil as a new candidate therapeutic against temporal lobe epilepsy.
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