Molecular mechanism of circadian rhythmicity of seizures in temporal lobe epilepsy

The circadian pattern of seizures in people with epilepsy was first described two millennia ago. However, these phenomena have not received enough scientific attention, possibly due to the lack of promising hypotheses to address the interaction between seizure generation and a physiological clock. T...

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Main Author: Chang-Hoon eCho
Format: Article
Language:English
Published: Frontiers Media S.A. 2012-11-01
Series:Frontiers in Cellular Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fncel.2012.00055/full
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author Chang-Hoon eCho
author_facet Chang-Hoon eCho
author_sort Chang-Hoon eCho
collection DOAJ
description The circadian pattern of seizures in people with epilepsy was first described two millennia ago. However, these phenomena have not received enough scientific attention, possibly due to the lack of promising hypotheses to address the interaction between seizure generation and a physiological clock. To propose testable hypotheses at the molecular level, interactions between circadian rhythm, especially transcription factors governing clock genes expression, and the mTOR (mammalian target of rapamycin) signaling pathway, the major signaling pathway in epilepsy, will be reviewed. Then, two closely related hypotheses will be proposed: 1) Rhythmic activity of hyperactivated mTOR signaling molecules results in rhythmic increases in neuronal excitability. These rhythmic increases in excitability periodically exceed the seizure threshold, displaying the behavioral seizures. 2) Oscillation of neuronal excitability in SCN modulates the rhythmic excitability in the hippocampus through subiculum via long-range projections. Findings from published results, their implications, and proposals for new experiments will be discussed. These attempts may ignite further discussion on what we still need to learn about the rhythmicity of spontaneous seizures.
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spelling doaj.art-d86b4f30690b493ba81fc544760c343a2022-12-21T19:30:33ZengFrontiers Media S.A.Frontiers in Cellular Neuroscience1662-51022012-11-01610.3389/fncel.2012.0005534191Molecular mechanism of circadian rhythmicity of seizures in temporal lobe epilepsyChang-Hoon eCho0Children's Hospital of PhiladelphiaThe circadian pattern of seizures in people with epilepsy was first described two millennia ago. However, these phenomena have not received enough scientific attention, possibly due to the lack of promising hypotheses to address the interaction between seizure generation and a physiological clock. To propose testable hypotheses at the molecular level, interactions between circadian rhythm, especially transcription factors governing clock genes expression, and the mTOR (mammalian target of rapamycin) signaling pathway, the major signaling pathway in epilepsy, will be reviewed. Then, two closely related hypotheses will be proposed: 1) Rhythmic activity of hyperactivated mTOR signaling molecules results in rhythmic increases in neuronal excitability. These rhythmic increases in excitability periodically exceed the seizure threshold, displaying the behavioral seizures. 2) Oscillation of neuronal excitability in SCN modulates the rhythmic excitability in the hippocampus through subiculum via long-range projections. Findings from published results, their implications, and proposals for new experiments will be discussed. These attempts may ignite further discussion on what we still need to learn about the rhythmicity of spontaneous seizures.http://journal.frontiersin.org/Journal/10.3389/fncel.2012.00055/fullEpilepsyHippocampuscircadianclockmTORsubiculum
spellingShingle Chang-Hoon eCho
Molecular mechanism of circadian rhythmicity of seizures in temporal lobe epilepsy
Frontiers in Cellular Neuroscience
Epilepsy
Hippocampus
circadian
clock
mTOR
subiculum
title Molecular mechanism of circadian rhythmicity of seizures in temporal lobe epilepsy
title_full Molecular mechanism of circadian rhythmicity of seizures in temporal lobe epilepsy
title_fullStr Molecular mechanism of circadian rhythmicity of seizures in temporal lobe epilepsy
title_full_unstemmed Molecular mechanism of circadian rhythmicity of seizures in temporal lobe epilepsy
title_short Molecular mechanism of circadian rhythmicity of seizures in temporal lobe epilepsy
title_sort molecular mechanism of circadian rhythmicity of seizures in temporal lobe epilepsy
topic Epilepsy
Hippocampus
circadian
clock
mTOR
subiculum
url http://journal.frontiersin.org/Journal/10.3389/fncel.2012.00055/full
work_keys_str_mv AT changhoonecho molecularmechanismofcircadianrhythmicityofseizuresintemporallobeepilepsy