Metabolic and homeostatic changes in seizures and acquired epilepsy—mitochondria, calcium dynamics and reactive oxygen species

Stjepana Kovac, Albena T.Dinkova Kostova, Alexander M. Herrmann, Nico Melzer, Sven G. Meuth, Ali Gorji

Research output: Contribution to journalReview articlepeer-review

Abstract

Acquired epilepsies can arise as a consequence of brain injury and result in unprovoked seizures that emerge after a latent period of epileptogenesis. These epilepsies pose a major challenge to clinicians as they are present in the majority of patients seen in a common outpatient epilepsy clinic and are prone to pharmacoresistance, highlighting an unmet need for new treatment strategies. Metabolic and homeostatic changes are closely linked to seizures and epilepsy, although, surprisingly, no potential treatment targets to date have been translated into clinical practice. We summarize here the current knowledge about metabolic and homeostatic changes in seizures and acquired epilepsy, maintaining a particular focus on mitochondria, calcium dynamics, reactive oxygen species and key regulators of cellular metabolism such as the Nrf2 pathway. Finally, we highlight research gaps that will need to be addressed in the future which may help to translate these findings into clinical practice.

Original languageEnglish (US)
Article number1935
JournalInternational Journal of Molecular Sciences
Volume18
Issue number9
DOIs
StatePublished - Sep 8 2017

Keywords

  • Calcium
  • Cell death
  • Epilepsy
  • Mitochondria
  • Nrf2
  • Reactive oxygen species

ASJC Scopus subject areas

  • Catalysis
  • Molecular Biology
  • Computer Science Applications
  • Spectroscopy
  • Physical and Theoretical Chemistry
  • Organic Chemistry
  • Inorganic Chemistry

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