Kininogen Level in the Cerebrospinal Fluid May Be a Potential Biomarker for Predicting Epileptogenesis

Purpose: Epilepsy is a highly disabling neurological disorder. Brain insult is the most critical cause of epilepsy in adults. This study aimed to find reliable and efficient biomarkers for predicting secondary epilepsy.Materials and methods: The LiCl-pilocarpine (LiCl-Pilo) chronic epilepsy rat mode...

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Main Authors: Jing Zou, Xinxin Wang, Ligang Huang, Juan Liu, Yingying Kong, Shengtian Li, Qinchi Lu
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-01-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fneur.2019.00037/full
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author Jing Zou
Xinxin Wang
Ligang Huang
Juan Liu
Yingying Kong
Shengtian Li
Qinchi Lu
author_facet Jing Zou
Xinxin Wang
Ligang Huang
Juan Liu
Yingying Kong
Shengtian Li
Qinchi Lu
author_sort Jing Zou
collection DOAJ
description Purpose: Epilepsy is a highly disabling neurological disorder. Brain insult is the most critical cause of epilepsy in adults. This study aimed to find reliable and efficient biomarkers for predicting secondary epilepsy.Materials and methods: The LiCl-pilocarpine (LiCl-Pilo) chronic epilepsy rat model was used, and rat cerebrospinal fluid (CSF) was collected 5 days after status epilepticus (SE). The CSF was analyzed using the label-free LC-ESI-Q-TOF-MS/MS. Differential expression of proteins was confirmed using enzyme-linked immunosorbent assay (ELISA) and Western blotting. The corresponding protein level in the CSF of patients with encephalitis in the postacute phase was determined using ELISA and compared between patients with and without symptomatic epilepsy after encephalitis during a 2-year follow-up.Results: The proteomics and ELISA results showed that the protein level of kininogen (KNG) was obviously elevated in both CSF and hippocampus, but not in serum, 5 days after the onset of SE in LiCl-Pilo chronic epilepsy model rats. In patients with encephalitis, the protein level of KNG in the CSF in the postacute phase was significantly elevated in patients with a recurrent epileptic seizure during a 2-year follow-up than in patients without a recurrent seizure.Conclusion: KNG in the CSF may serve as a potential biomarker for predicting epileptogenesis in patients with encephalitis.
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spelling doaj.art-83cfb2de47b9434098001c3fa0ec3e962022-12-22T01:49:26ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-01-011010.3389/fneur.2019.00037425152Kininogen Level in the Cerebrospinal Fluid May Be a Potential Biomarker for Predicting EpileptogenesisJing Zou0Xinxin Wang1Ligang Huang2Juan Liu3Yingying Kong4Shengtian Li5Qinchi Lu6Department of Neurology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Neurology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Neurology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaKey Laboratory for the Genetics of Development and Neuropsychiatric Disorders (Ministry of Education), Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, ChinaKey Laboratory for the Genetics of Development and Neuropsychiatric Disorders (Ministry of Education), Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, ChinaKey Laboratory for the Genetics of Development and Neuropsychiatric Disorders (Ministry of Education), Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Neurology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaPurpose: Epilepsy is a highly disabling neurological disorder. Brain insult is the most critical cause of epilepsy in adults. This study aimed to find reliable and efficient biomarkers for predicting secondary epilepsy.Materials and methods: The LiCl-pilocarpine (LiCl-Pilo) chronic epilepsy rat model was used, and rat cerebrospinal fluid (CSF) was collected 5 days after status epilepticus (SE). The CSF was analyzed using the label-free LC-ESI-Q-TOF-MS/MS. Differential expression of proteins was confirmed using enzyme-linked immunosorbent assay (ELISA) and Western blotting. The corresponding protein level in the CSF of patients with encephalitis in the postacute phase was determined using ELISA and compared between patients with and without symptomatic epilepsy after encephalitis during a 2-year follow-up.Results: The proteomics and ELISA results showed that the protein level of kininogen (KNG) was obviously elevated in both CSF and hippocampus, but not in serum, 5 days after the onset of SE in LiCl-Pilo chronic epilepsy model rats. In patients with encephalitis, the protein level of KNG in the CSF in the postacute phase was significantly elevated in patients with a recurrent epileptic seizure during a 2-year follow-up than in patients without a recurrent seizure.Conclusion: KNG in the CSF may serve as a potential biomarker for predicting epileptogenesis in patients with encephalitis.https://www.frontiersin.org/article/10.3389/fneur.2019.00037/fullbiomarkerencephalitisepilepsyepileptogenesiskininogenpilocarpine
spellingShingle Jing Zou
Xinxin Wang
Ligang Huang
Juan Liu
Yingying Kong
Shengtian Li
Qinchi Lu
Kininogen Level in the Cerebrospinal Fluid May Be a Potential Biomarker for Predicting Epileptogenesis
Frontiers in Neurology
biomarker
encephalitis
epilepsy
epileptogenesis
kininogen
pilocarpine
title Kininogen Level in the Cerebrospinal Fluid May Be a Potential Biomarker for Predicting Epileptogenesis
title_full Kininogen Level in the Cerebrospinal Fluid May Be a Potential Biomarker for Predicting Epileptogenesis
title_fullStr Kininogen Level in the Cerebrospinal Fluid May Be a Potential Biomarker for Predicting Epileptogenesis
title_full_unstemmed Kininogen Level in the Cerebrospinal Fluid May Be a Potential Biomarker for Predicting Epileptogenesis
title_short Kininogen Level in the Cerebrospinal Fluid May Be a Potential Biomarker for Predicting Epileptogenesis
title_sort kininogen level in the cerebrospinal fluid may be a potential biomarker for predicting epileptogenesis
topic biomarker
encephalitis
epilepsy
epileptogenesis
kininogen
pilocarpine
url https://www.frontiersin.org/article/10.3389/fneur.2019.00037/full
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AT xinxinwang kininogenlevelinthecerebrospinalfluidmaybeapotentialbiomarkerforpredictingepileptogenesis
AT liganghuang kininogenlevelinthecerebrospinalfluidmaybeapotentialbiomarkerforpredictingepileptogenesis
AT juanliu kininogenlevelinthecerebrospinalfluidmaybeapotentialbiomarkerforpredictingepileptogenesis
AT yingyingkong kininogenlevelinthecerebrospinalfluidmaybeapotentialbiomarkerforpredictingepileptogenesis
AT shengtianli kininogenlevelinthecerebrospinalfluidmaybeapotentialbiomarkerforpredictingepileptogenesis
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