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Publication : Lipid-accumulated reactive astrocytes promote disease progression in epilepsy.

First Author  Chen ZP Year  2023
Journal  Nat Neurosci Volume  26
Issue  4 Pages  542-554
PubMed ID  36941428 Mgi Jnum  J:349186
Mgi Id  MGI:7486670 Doi  10.1038/s41593-023-01288-6
Citation  Chen ZP, et al. (2023) Lipid-accumulated reactive astrocytes promote disease progression in epilepsy. Nat Neurosci 26(4):542-554
abstractText  Reactive astrocytes play an important role in neurological diseases, but their molecular and functional phenotypes in epilepsy are unclear. Here, we show that in patients with temporal lobe epilepsy (TLE) and mouse models of epilepsy, excessive lipid accumulation in astrocytes leads to the formation of lipid-accumulated reactive astrocytes (LARAs), a new reactive astrocyte subtype characterized by elevated APOE expression. Genetic knockout of APOE inhibited LARA formation and seizure activities in epileptic mice. Single-nucleus RNA sequencing in TLE patients confirmed the existence of a LARA subpopulation with a distinct molecular signature. Functional studies in epilepsy mouse models and human brain slices showed that LARAs promote neuronal hyperactivity and disease progression. Targeting LARAs by intervention with lipid transport and metabolism could thus provide new therapeutic options for drug-resistant TLE.
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