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The glucocorticoid receptor specific modulator CORT108297 reduces brain pathology following status epilepticus.


ABSTRACT:

Objective

Glucocorticoid levels rise rapidly following status epilepticus and remain elevated for weeks after the injury. To determine whether glucocorticoid receptor activation contributes to the pathological sequelae of status epilepticus, mice were treated with a novel glucocorticoid receptor modulator, C108297.

Methods

Mice were treated with either C108297 or vehicle for 10 days beginning one day after pilocarpine-induced status epilepticus. Baseline and stress-induced glucocorticoid secretion were assessed to determine whether hypothalamic-pituitary-adrenal axis hyperreactivity could be controlled. Status epilepticus-induced pathology was assessed by quantifying ectopic hippocampal granule cell density, microglial density, astrocyte density and mossy cell loss. Neuronal network function was examined indirectly by determining the density of Fos immunoreactive neurons following restraint stress.

Results

Treatment with C108297 attenuated corticosterone hypersecretion after status epilepticus. Treatment also decreased the density of hilar ectopic granule cells and reduced microglial proliferation. Mossy cell loss, on the other hand, was not prevented in treated mice. C108297 altered the cellular distribution of Fos protein but did not restore the normal pattern of expression.

Interpretation

Results demonstrate that baseline corticosterone levels can be normalized with C108297, and implicate glucocorticoid signaling in the development of structural changes following status epilepticus. These findings support the further development of glucocorticoid receptor modulators as novel therapeutics for the prevention of brain pathology following status epilepticus.

SUBMITTER: Wulsin AC 

PROVIDER: S-EPMC8169587 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature

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Publications

The glucocorticoid receptor specific modulator CORT108297 reduces brain pathology following status epilepticus.

Wulsin Aynara C AC   Kraus Kimberly L KL   Gaitonde Kevin D KD   Suru Venkat V   Arafa Salwa R SR   Packard Benjamin A BA   Herman James P JP   Danzer Steve C SC  

Experimental neurology 20210318


<h4>Objective</h4>Glucocorticoid levels rise rapidly following status epilepticus and remain elevated for weeks after the injury. To determine whether glucocorticoid receptor activation contributes to the pathological sequelae of status epilepticus, mice were treated with a novel glucocorticoid receptor modulator, C108297.<h4>Methods</h4>Mice were treated with either C108297 or vehicle for 10 days beginning one day after pilocarpine-induced status epilepticus. Baseline and stress-induced glucoco  ...[more]

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