Therapeutic window for cyclooxygenase-2 related anti-inflammatory therapy after status epilepticus

NEUROBIOLOGY OF DISEASE

卷:76

Article

Jiang, Jianxiong^1,2  Yang, Myung-Soon¹  Quan, Yi¹  Gueorguieva, Paoula¹  Ganesh, Thota¹  Dingledine, Raymond¹ 

[1] Emory Univ, Sch Med, Dept Pharmacol, Atlanta, GA 30322 USA

[2] Univ Cincinnati, Div Pharmaceut Sci, James L Winkle Coll Pharm, Cincinnati, OH 45267 USA

关键词: Epilepsy;    Seizure;    Status epilepticus;    Neuroinflammation;    Cyclooxygenase;    Prostaglandin;    Interleukin-1 beta;    EP2;    Cytokine;    Chemokine;    Gliosis;   

DOI  :  10.1016/j.nbd.2014.12.032

来源: Elsevier

【 摘 要 】

As a prominent inflammatory effector of cyclooxygenase-2 (COX-2), prostaglandin E2 (PGE(2)) mediates brain inflammation and injury in many chronic central nervous system (CNS) conditions including seizures and epilepsy, largely through its receptor subtype EP2. However, EP2 receptor activation might also be neuroprotective in models of excitotoxicity and ischemia. These seemingly incongruent observations expose the delicacy of immune and inflammatory signaling in the brain; thus the therapeutic window for quelling neuroinflammation might vary with injury type and target molecule. Here, we identify a therapeutic window for EP2 antagonism to reduce delayed mortality and functional morbidity after status epilepticus (SE) in mice. Importantly, treatment must be delayed relative to SE onset to be effective, a finding that could be explained by the time-course of COX-2 induction after SE and compound pharmacokinetics. A large number of inflammatory mediators were upregulated in hippocampus after SE with COX-2 and IL-1 beta temporally leading many others. Thus, EP2 antagonism represents a novel anti-inflammatory strategy to treat SE with a tightly-regulated therapeutic window. (C) 2015 Elsevier Inc. All rights reserved.

【 授权许可】

Free