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Inflammasome induction in Rasmussen's encephalitis: cortical and associated white matter pathogenesis.


ABSTRACT:

Background

Rasmussen's encephalitis (RE) is an inflammatory encephalopathy of unknown cause defined by seizures with progressive neurological disabilities. Herein, the pathogenesis of RE was investigated focusing on inflammasome activation in the brain.

Methods

Patients with RE at the University of Alberta, Edmonton, AB, Canada, were identified and analyzed by neuroimaging, neuropsychological, molecular, and pathological tools. Primary human microglia, astrocytes, and neurons were examined using RT-PCR, enzyme-linked immunosorbent assay (ELISA), and western blotting.

Results

Four patients with RE were identified at the University of Alberta. Magnetic resonance imaging (MRI) disclosed increased signal intensities in cerebral white matter adjacent to cortical lesions of RE patients, accompanied by a decline in neurocognitive processing speed (P <0.05). CD3?, HLA-DRA, and TNF? together with several inflammasome-associated genes (IL-1?, IL-18, NLRP1, NLRP3, and CASP1) showed increased transcript levels in RE brains compared to non-RE controls (n?=?6; P <0.05). Cultured human microglia displayed expression of inflammasome-associated genes and responded to inflammasome activators by releasing IL-1?, which was inhibited by the caspase inhibitor, zVAD-fmk. Major histocompatibility complex (MHC) class II, IL-1?, caspase-1, and alanine/serine/cysteine (ASC) immunoreactivity were increased in RE brain tissues, especially in white matter myeloid cells, in conjunction with mononuclear cell infiltration and gliosis. Neuroinflammation in RE brains was present in both white matter and adjacent cortex with associated induction of inflammasome components, which was correlated with neuroimaging and neuropsychological deficits.

Conclusion

Inflammasome activation likely contributes to the disease process underlying RE and offers a mechanistic target for future therapeutic interventions.

SUBMITTER: Ramaswamy V 

PROVIDER: S-EPMC3881507 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature

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Publications

Inflammasome induction in Rasmussen's encephalitis: cortical and associated white matter pathogenesis.

Ramaswamy Vijay V   Walsh John G JG   Sinclair D Barry DB   Johnson Edward E   Tang-Wai Richard R   Wheatley B Matt BM   Branton William W   Maingat Ferdinand F   Snyder Thomas T   Gross Donald W DW   Power Christopher C  

Journal of neuroinflammation 20131213


<h4>Background</h4>Rasmussen's encephalitis (RE) is an inflammatory encephalopathy of unknown cause defined by seizures with progressive neurological disabilities. Herein, the pathogenesis of RE was investigated focusing on inflammasome activation in the brain.<h4>Methods</h4>Patients with RE at the University of Alberta, Edmonton, AB, Canada, were identified and analyzed by neuroimaging, neuropsychological, molecular, and pathological tools. Primary human microglia, astrocytes, and neurons were  ...[more]

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