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Anti-inflammatory effects of the anticonvulsant drug levetiracetam on electrophysiological properties of astroglia are mediated via TGF?1 regulation.


ABSTRACT:

Background and purpose

The involvement of astrocytes as immune-competent players in inflammation and the pathogenesis of epilepsy and seizure-induced brain damage has recently been recognized. In clinical trials and practice, levetiracetam (LEV) has proven to be an effective antiepileptic drug (AED) in various forms of epileptic seizures, when applied as mono- or added therapy. Little is known about the mechanism(s) of action of LEV. Evidence so far suggests a mode of action different from that of classical AEDs. We have shown that LEV restored functional gap junction coupling and basic membrane properties in an astrocytic inflammatory model in vitro.

Experimental approach

Here, we used neonatal rat astrocytes co-cultured with high proportions (30%) of activated microglia or treated with the pro-inflammatory cytokine interleukin-1? to provoke inflammatory responses. Effects of LEV (50 µg·mL?¹) on electrophysiological properties of astrocytes (by whole cell patch clamp) and on secretion of TGF?1 (by (ELISA)) were studied in these co-cultures.

Key results

LEV restored impaired astrocyte membrane resting potentials via modification of inward and outward rectifier currents, and promoted TGF?1 expression in inflammatory and control co-cultures. Furthermore, LEV and TGF?1 exhibited similar facilitating effects on the generation of astrocyte voltage-gated currents in inflammatory co-cultures and the effects of LEV were prevented by antibody to TGF?1.

Conclusions and implications

Our data suggest that LEV is likely to reduce the harmful spread of excitation elicited by seizure events within the astro-glial functional syncytium, with stabilizing consequences for neuronal-glial interactions.

SUBMITTER: Stienen MN 

PROVIDER: S-EPMC3031068 | biostudies-literature | 2011 Jan

REPOSITORIES: biostudies-literature

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Anti-inflammatory effects of the anticonvulsant drug levetiracetam on electrophysiological properties of astroglia are mediated via TGFβ1 regulation.

Stienen Martin N MN   Haghikia Aiden A   Dambach Hannes H   Thöne Jan J   Wiemann Martin M   Gold Ralf R   Chan Andrew A   Dermietzel Rolf R   Faustmann Pedro M PM   Hinkerohe Daniel D   Prochnow Nora N  

British journal of pharmacology 20110101 2


<h4>Background and purpose</h4>The involvement of astrocytes as immune-competent players in inflammation and the pathogenesis of epilepsy and seizure-induced brain damage has recently been recognized. In clinical trials and practice, levetiracetam (LEV) has proven to be an effective antiepileptic drug (AED) in various forms of epileptic seizures, when applied as mono- or added therapy. Little is known about the mechanism(s) of action of LEV. Evidence so far suggests a mode of action different fr  ...[more]

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