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Table 6 Summary of potential pro-and anti-epileptogenic properties of inflammatory mediators

From: Protein expression profiling of inflammatory mediators in human temporal lobe epilepsy reveals co-activation of multiple chemokines and cytokines

“Pro-epileptogenic”

“Anti-epileptogenic”

Protein

Function in CNS

reference

Protein

Function in CNS

reference

CCL2

- contributes to immune-cell recruitment across the BBB

[49]

IL-1ra

- An anti-infllammatory protein with seizure inhibiting properties in experimental TLE

[5053]

CCL3

- Capable of inducing Ca2+ transients in neuronal and microglial cultures.

[22, 54]

IL-7

Neurotrophic actions in embryonic brain cultures

[55, 56]

 

- Inhibition of systemic receptor leads to decrease in seizure activity

    

CCL4

- Capable of inducing Ca2+ transients in neuronal and microglial cultures.

[22, 54]

IL-10

- Inhibits development of seizures in FS and a hypoxia model for epilepsy.

[5760]

    

- SNPs that result in increased IL-10 are decreased in FS patients.

 
 

- Inhibition of systemic receptor leads to decrease in seizure activity

    
    

-Can give trophic support to neurons

 

CCL5

- Capable of inducing Ca2+ transients in neuronal and microglial cultures

[22, 49, 54, 61]

IL-13

- Protects BBB integrity.

[62]

 

- Glut release from CNS cells in hypothalamus

    
 

- contributes to immune-cell recruitment across the BBB

    
 

- Inhibition of systemic receptor leads to decrease in seizure activity

    

CCL19

immune-cell recruitment across the BBB.

[63, 64]

IL-25

- Protects BBB integrity

[62, 65]

CCL22

-Immune-cell recruitment across the BBB.

[66, 67]

IL-27

Marked anti-inflammatory actions in EAE.

[68, 69]

CXCL9

-Immune-cell recruitment across the BBB.

[7072]

IFNα

- Suppression of hippocampal CA1 neurons & LTP

[73, 74]

IL-1α

Polymorphisms that lead to increased transcription are associated with TLE

[7577]

HGF

- Enhances neuronal survival

[78, 79]

IL-1β

- Increased NMDA R subunit NR2B phosphorylation leading to increased Ca2+ influx

[80],[25, 52, 81, 82]

VEGF

- neuroprotective after experimental seizures

[8385]

    

- reduces hippocampal excitability

 
 

- Higher levels correlate with increased SRS after eFS

    

IL-5

- Implicated in BBB disruption in CNS tumor bloodvessels

[8688]

IL-5

- Anti-inflammatory actions in the periphery as a Th2 cytokine

[8789]

 

- Induces microglial proliferation

    
    

- Induces microglial activation

 

IL-7

Induces neuronal apoptosis in human NT2 cells

[90]

   

IL-22

- BBB disruption through down-regulation of occludin.

[91]

   

VEGF

BBB disruption → reduction in tight junction proteins in kainate model for TLE

[92, 93].

   

ICAM-1

- implicated in BBB disruption

[20]

   

VCAM-1

- Immune-cell recruitment across the BBB

[20]

   
  1. Abbreviations: BBB blood brain barrier, CNS central nervous system, SRS spontaneous recurrent seizure activity, NMDA N-methyl D-aspartate, NR2B N-methyl D-aspartate receptor subtype 2B, eFS experimental febrile seizures, NT2 neuronal teratocarcinoma Tera 2, FS febrile seizures, LTP long term potentiation, EAE experimental autoimmune encephalitis, SNP single nucleotide polymorphism.