A roughly estimated 50 % of all genes are, at least during fetal development, expressed in brain and might therefore be regarded as find more candidates for seizure disorders. Furthermore, recent research has shown that alterations of genomic DNA copy number and gene regulatory elements are likely to be as important for human disorders as mutations that directly affect genes.53 In the future, whole-genome screening methods such Inhibitors,research,lifescience,medical as
array-based comparative genomic hybridization (aCGH) or genome-wide single nucleotide polymorphism (SNP) analysis will become important tools for the identification of genetic alterations with potential application to common forms of human epilepsy. Selected abbreviations and acronyms ADNFLE autosomal dominant nocturnal frontal lobe epilepsy BFIC benign familial infantile convulsions BFISC benign familial neonatal convulsions CLN neuronal ceroid lipofuscinoses EPM1 epilepsy progressive myoclonus
(Unverricht-Lundborg Inhibitors,research,lifescience,medical disease) GEFS+ generalized epilepsy with febrile seizures plus MERRF myoclonic epilepsy and ragged-red fiber disease nAChR nicotinic acetylcholine receptor SMEI severe myoclonic epilepsy of infancy TM transmembrane regions Notes This work was supported by a grant from the Deutsche Forschungsgemeinschaft (DFG-STE 1651/1-1)
Networks Inhibitors,research,lifescience,medical are endowed with the capacity to generate a large repertoire of bchaviorally relevant patterns and oscillations relying on the intrinsic properties of assemblies of interconnected neurons. These oscillations are not only involved in integrative programs, but also play an important role in the induction of long-lasting modifications of synapse efficacy.1-9 Recurrent activation of synapses and interconnected networks leads Inhibitors,research,lifescience,medical to various forms of neuronal plasticity that constitute the main mechanisms on which networks rely to augment or reduce the response to incoming information.3,10 These mechanisms have been extensively investigated, relying on protocols that induce short- and long-term potentiation and depression of synaptic efficacy.11-14 Inhibitors,research,lifescience,medical They arc usually triggered by a rise in [Ca2+] that initiates a cascade of molecular events and more permanent changes
associated with the formation of novel synapses. Phosphoprotein phosphatase These mechanisms constitute the core of the modulation by activity and experience of network activity and the essence of memory processes.11-14 Epilepsies are associated with episodes of altered/ enhanced activity, and therefore they are expected to also produce long-term alterations in synaptic efficacy and network reorganizations. Studies performed in the last 2 to 3 decades have shown that “seizures beget seizures,” with a cascade of events triggered by seizures that transform a naive network into one that generates seizures.15-20 The sequence starts with an inaugurating event/insult, followed by a cascade of molecular and biochemical events that produce the quasi-permanent shift.