Biomarkers for epileptogenesis in patients with autoimmune epilepsy

Batool F. Kirmani, K. Au, Seema Mir, M. Hogan, Dennis (Dong Hwan) Kim, Pushpa Sharma
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引用次数: 1

Abstract

Autoimmune epilepsy (AE) is a general term to describe recurrent seizures that have an immune-mediated origin. It is increasingly being recognized as a cause of epilepsy due to accumulating evidence supporting an immunemediated pathogenesis in patients who have shown resistance to traditional antiepileptic drugs (AEDs). The diagnosis of AE is one of the exclusions. Currently, there are no strict diagnostic guidelines for AE, and it is similarly under-recognized. The importance of early diagnosis of AE cannot be overstated, as prompt immunotherapy is important for seizure reduction. Further investigations into potential biomarkers are needed for early detection of AE and include targeted immunotherapies in combination with AEDs. The goal of this review was to provide an overview of the following biomarkers that have been associated with AE: AMPAR, LGl1, CASPR2, DPPX, GABAAR, GABABR, GFAP, GlyR, mGluR5, NMDAR, VGCC (P/Q types), amphiphysin, ANNA-1, CRMP-5, GAD65, and Ma1/
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自身免疫性癫痫患者癫痫发生的生物标志物
自身免疫性癫痫(AE)是一个通用术语,用于描述由免疫介导的复发性癫痫。由于越来越多的证据支持对传统抗癫痫药物(AED)表现出耐药性的患者的免疫介导发病机制,它越来越被认为是癫痫的病因。AE的诊断是排除在外的情况之一。目前,没有严格的AE诊断指南,它也同样被低估了。早期诊断AE的重要性怎么强调都不为过,因为及时免疫治疗对减少癫痫发作很重要。需要对潜在的生物标志物进行进一步研究,以早期检测AE,并包括与AED联合的靶向免疫疗法。这篇综述的目的是概述与AE相关的以下生物标志物:AMPAR、LGl1、CASPR2、DPPX、GABAAR、GABABR、GFAP、GlyR、mGluR5、NMDAR、VGCC(P/Q型)、两physin、ANNA-1、CRMP-5、GAD65和Ma1/
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