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CU Study Finds Brain's Immune System May Cause Seizures

As The Brain Tries To Repair The Damage, It May Be Making Things Worse

POSTED: 5:42 pm MDT July 6, 2009
UPDATED: 6:55 pm MDT July 6, 2009

The brain's method for repairing traumatic injuries may be the cause of chronic seizures, according to a new study from the University of Colorado at Boulder.

As the brain begins to recover from the injury, an army of glial cells begin to cluster around the injury trying to repair the damage.

But according to the study, it is these cells that are responsible for a kind of adult epilepsy, called acquired epilepsy, which is often found in people who have suffered a brain injury or infection, according to CU-Boulder psychology and neuroscience professor Daniel Barth, the study's chief author.

"These glial cells migrate to the damaged area and release chemicals called cytokines that, unfortunately, also profoundly increase the excitability of the neurons that they are near," Barth said. "In our new study, we showed for the first time that glial cells moving in and secreting these cytokines cause the neurons in the area to become excitable enough to cause seizures."

The results of the study appear in the July issue of the journal Brain. Barth co-authored the paper with CU-Boulder professors of psychology and neuroscience Linda Watkins and Steven Maier, CU-Boulder graduate students Krista Rodgers and Alexis Northcutt and Professor Mark Hutchinson of the University of Adelaide in Australia. The National Institutes of Health funded the study.

Acquired epilepsy is one of the few forms of epilepsy that has the potential for being prevented, because known head injuries are often followed by latent periods when changes in the brain lead to the development of chronic seizures.

The findings are extremely promising, according to Barth, because if the brain's initial immunity reaction could be temporarily shut down, this could prevent the development of acquired epilepsy.

"After a traumatic brain injury, there is often a period of several months where nothing seems to be happening," Barth said. "And then suddenly the person may start having seizures, which often develop into chronic epilepsy."

What the research team believes is happening is that the initial immune response to the brain injury causes the first seizures. Then the adaptive immune system, which works on a longer-term basis, kicks in and makes structural changes in the brain, which could perpetuate epilepsy as a life-long condition, said Barth.

Drugs are available on the market that suppress the immune system temporarily, Barth said. Even more promising are drugs currently under Food and Drug Administration trials for human use that cross the blood-brain barrier, which in simple terms means patients can take a pill which will effectively suppress the glial cells and stop them from reacting.

"The thought is that maybe there is a window of opportunity where we could go in after an injury and administer one of these immune response inhibitors and stop a process that we think is going to lead to epilepsy," Barth said. "So instead of giving anti-seizure drugs, which have no effect in preventing or subsequently treating post-traumatic epilepsy, we could give some anti-immune drugs which may actually stop the process of developing epilepsy in the first place."

The research team came to its conclusions through a series of experiments with rats in which they applied a bacteria called lipopolysaccharide, or LPS, to the brain, activating the micro-glial cells. The glial cells very rapidly clustered around the area where the LPS was applied and created an immune reaction in that locale.

The glial cells then released their cytokines, causing the neurons to become excitable enough to cause seizures. By directly applying other drugs that either blocked the activation of glial cells or the effect of cytokines on neurons, all signs of increased brain excitability and seizures were abolished, Barth said.
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