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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2009-8-24
pubmed:abstractText
Inflammatory mechanisms are involved in the pathogenesis of epilepsy. Vice versa, immune functions are regulated by the brain. We measured postictal changes in serum levels of the immuno-modulating cytokines IL-1beta, IL-6 and TNFalpha in patients with well-defined temporal lobe epilepsy (TLE) and determined modifying factors. Serum levels of IL-1beta, IL-6 and TNFalpha were quantified by ELISA at baseline as well as immediately, 1h and 24h after a complex partial (CPS) or secondary generalized tonic-clonic seizure (GTCS) during video-EEG monitoring in 25 patients suffering from temporal epilepsy. IL-6 increased by 51% immediately after the seizure (p<0.01) and remained elevated for 24h. This increase lacked in patients with hippocampal sclerosis (HS; n=16, mean increase 28%, p>0.5, vs. 112%, p<0.01 in patients without HS). IL-6 levels were higher after right-sided seizures as compared to left-sided seizures 24h after the seizure (8.7pg/mL vs. 3.4pg/mL, p<0.05). In patients taking valproate (VPA, n=9), the levels of IL-1beta were higher as compared to patients not treated with VPA. The results suggest a relationship between the cytokine system and characteristics of TLE such as side and pathology.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1872-6844
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
86
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
82-8
pubmed:meshHeading
pubmed-meshheading:19520550-Adolescent, pubmed-meshheading:19520550-Adult, pubmed-meshheading:19520550-Cytokines, pubmed-meshheading:19520550-Electroencephalography, pubmed-meshheading:19520550-Enzyme-Linked Immunosorbent Assay, pubmed-meshheading:19520550-Epilepsy, Temporal Lobe, pubmed-meshheading:19520550-Female, pubmed-meshheading:19520550-Functional Laterality, pubmed-meshheading:19520550-Humans, pubmed-meshheading:19520550-Interleukin-1beta, pubmed-meshheading:19520550-Interleukin-6, pubmed-meshheading:19520550-Male, pubmed-meshheading:19520550-Middle Aged, pubmed-meshheading:19520550-Retrospective Studies, pubmed-meshheading:19520550-Statistics, Nonparametric, pubmed-meshheading:19520550-Time Factors, pubmed-meshheading:19520550-Tumor Necrosis Factor-alpha, pubmed-meshheading:19520550-Video Recording, pubmed-meshheading:19520550-Young Adult
pubmed:year
2009
pubmed:articleTitle
Etiology and site of temporal lobe epilepsy influence postictal cytokine release.
pubmed:affiliation
Department of Neurology, University of Marburg, Marburg, Germany. bauerse@med.uni-marburg.de
pubmed:publicationType
Journal Article