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JCI InsightNeurosciencePeer-reviewed journal article

Reactive astrocyte-driven epileptogenesis is induced by microglia initially activated following status epilepticus

Fumikazu SanoiD, Eiji ShigetomiiD, Youichi ShinozakiiD, Haruka Tsuzukiyama, Kozo Saito, Katsuhiko MikoshibaiD, Hiroshi HoriuchiiD, Dennis Lawrence CheungiD, Junichi NabekuraiD, Kanji Sugita, Masao Aihara, Schuichi KoizumiiD

PDFDOIPreprint

Abstract

Extensive activation of glial cells during a latent period has been well documented in various animal models of epilepsy; however, it remains unknown whether such glial activation is capable of promoting epileptogenesis. Here, we show that temporally distinct activation profiles of microglia and astrocytes collaboratively contribute to epileptogenesis in a drug-induced status epilepticus model. We found that reactive microglia appear first, followed by reactive astrocytes and increased susceptibility to seizures. Pharmacological intervention against microglial activation reduces astrogliosis, aberrant astrocyte Ca2+ signaling, and seizure susceptibility. Reactive astrocytes exhibit larger Ca2+ signals mediated by IP3R2, whereas deletion of this type of Ca2+ signaling reduces seizure susceptibility after status epilepticus. Together, our findings indicate that the sequential activation of glial cells constitutes a cause of epileptogenesis after status epilepticus.

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