Abstract
Focal cortical dysplasia (FCD), a common malformation of cortical development, is frequently associated with pharmacoresistant epilepsy in both children and adults. Adenosine is an inhibitory modulator of brain activity and a prospective anti-seizure agent with potential for clinical translation. Our previous results demonstrated that the major adenosine-metabolizing enzyme adenosine kinase (ADK) was upregulated in balloon cells (BCs) within FCD type IIB lesions, suggesting that dysfunction of the adenosine system is implicated in the pathophysiology of FCD. In our current study, we therefore performed a comprehensive analysis of adenosine signaling in surgically resected cortical specimens from patients with FCD type I and type II via immunohistochemistry and immunoblot analysis. Adenosine enzyme signaling was assessed by quantifying the levels of the key enzymes of adenosine metabolism, i.e., ADK, adenosine deaminase (ADA), and ecto-5'-nucleotidase (CD73). Adenosine receptor signaling was assessed by quantifying the levels of adenosine A2A receptor (A2AR) and putative downstream mediators of adenosine, namely, glutamate transporter-1 (GLT-1) and mammalian target of rapamycin (mTOR). Within lesions in FCD specimens, we found that the adenosine-metabolizing enzymes ADK and ADA, as well as the adenosine-producing enzyme CD73, were upregulated. We also observed an increase in A2AR density, as well as a decrease in GLT-1 levels and an increase in mTOR levels, in FCD specimens compared with control tissue. These results suggest that dysregulation of the adenosine system is a common pathologic feature of both FCD type I and type II. The adenosine system might therefore be a therapeutic target for the treatment of epilepsy associated with FCD.
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The datasets generated in the current research are available from the corresponding authors on reasonable request.
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This work was supported by the National Natural Science Foundation of China (grant numbers 81571275 and 11932003) and the National Institutes of Health (grant numbers NS065957, NS103740, and NS127846).
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This work was supported by the National Natural Science Foundation of China (grant numbers 81571275 and 11932003) and the National Institutes of Health (grant numbers NS065957, NS103740, and NS127846).
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All authors contributed to the study conception and design. The overall experimental design was conceived and supervised by Tianfu Li and Guoming Luan; Mengyi Guo, Jing Zhang, Jing Wang and Xiongfei Wang helped Tianfu Li and Guoming Luan in drafting and preparing the manuscript for submission; Immunohistochemistry, western blot, as well as the analysis of the data were performed by Mengyi Guo, Jing Zhang, Jing Wang, Chongyang Tang, Jiahui Deng, Zhonghua Xiong and Xiangru Kong; Yuguang Guan and Jian Zhou helped in the selection and collection of brain tissues; Detlev Boison provided advice and co-wrote the manuscript. All authors read and approved the final manuscript.
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Guo, M., Zhang, J., Wang, J. et al. Aberrant adenosine signaling in patients with focal cortical dysplasia. Mol Neurobiol 60, 4396–4417 (2023). https://doi.org/10.1007/s12035-023-03351-6
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DOI: https://doi.org/10.1007/s12035-023-03351-6