Cytokines and neuro-specific proteins in viral encephalitis and convulsive syndrome in children. II. Convulsive syndrome

In this Section we provide new data on the pathogenetic factors in pediatric convulsive syndrome, including a prominent role of viral infection in developing seizures and epilepsy (EPL) in children, as evidenced by clinical and experimental studies. Various forms of convulsive syndrome associated wi...

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Autores principales: L. A. Alekseeva, G. F. Zheleznikova, E. Y. Gorelik, N. V. Sckripchenko, A. A. Zhirkov
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Publicado: Sankt-Peterburg : NIIÈM imeni Pastera 2021
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spelling oai:doaj.org-article:67c4c1556ae3479881a99e4065a748f82021-11-22T07:09:55ZCytokines and neuro-specific proteins in viral encephalitis and convulsive syndrome in children. II. Convulsive syndrome2220-76192313-739810.15789/2220-7619-CAN-1449https://doaj.org/article/67c4c1556ae3479881a99e4065a748f82021-06-01T00:00:00Zhttps://www.iimmun.ru/iimm/article/view/1449https://doaj.org/toc/2220-7619https://doaj.org/toc/2313-7398In this Section we provide new data on the pathogenetic factors in pediatric convulsive syndrome, including a prominent role of viral infection in developing seizures and epilepsy (EPL) in children, as evidenced by clinical and experimental studies. Various forms of convulsive syndrome associated with viral infection include febrile convulsions and febrile epileptic status, encephalitis-related acute symptomatic seizures, and postencephalitic epilepsy. The human herpesvirus-6 isolated in temporal lobe epilepsy is a frequent causative agent of febrile seizures and febrile epileptic status. Febrile seizures and, especially, febrile epileptic status are associated with further developing epilepsy. Of special note is the febrile infection-related epileptic syndrome (FIRES) more often affecting school-aged children and characterized by extremely severe course and unfavorable outcome. Convulsive syndrome is associated with systemic inflammation and overproduced pro-inflammatory cytokines that increase permeability of the blood-brain barrier and functional activity of brain-resident cells, which are involved in eliciting seizures and maintaining epileptogenesis. Taking into consideration the key role of inflammation underlying convulsive syndrome, in recent decades cytokines and chemokines have been widely studied as possible prognostic criteria for epileptogenesis. Neuron-specific proteins are examined as markers of brain cell damage in various inflammatory diseases of the central nervous system. The first Section of the review presented current understanding on systemic and local cytokine/chemokine response in viral encephalitis. Here we present clinical trials published within the last 5—7 years assessing cytokines/chemokines and neuron-specific proteins in children with various forms of convulsive syndrome, including epilepsy. Association between biomarker level and disease clinical parameters as well as potential for their use to diagnose and predict its further course are discussed.L. A. AlekseevaG. F. ZheleznikovaE. Y. GorelikN. V. SckripchenkoA. A. ZhirkovSankt-Peterburg : NIIÈM imeni Pasteraarticlecytokineschemokinesneurospecific proteinsfebrile convulsionsepileptic statusepilepsyneonatal convulsionsfireschildrenInfectious and parasitic diseasesRC109-216RUInfekciâ i Immunitet, Vol 11, Iss 3, Pp 433-446 (2021)
institution DOAJ
collection DOAJ
language RU
topic cytokines
chemokines
neurospecific proteins
febrile convulsions
epileptic status
epilepsy
neonatal convulsions
fires
children
Infectious and parasitic diseases
RC109-216
spellingShingle cytokines
chemokines
neurospecific proteins
febrile convulsions
epileptic status
epilepsy
neonatal convulsions
fires
children
Infectious and parasitic diseases
RC109-216
L. A. Alekseeva
G. F. Zheleznikova
E. Y. Gorelik
N. V. Sckripchenko
A. A. Zhirkov
Cytokines and neuro-specific proteins in viral encephalitis and convulsive syndrome in children. II. Convulsive syndrome
description In this Section we provide new data on the pathogenetic factors in pediatric convulsive syndrome, including a prominent role of viral infection in developing seizures and epilepsy (EPL) in children, as evidenced by clinical and experimental studies. Various forms of convulsive syndrome associated with viral infection include febrile convulsions and febrile epileptic status, encephalitis-related acute symptomatic seizures, and postencephalitic epilepsy. The human herpesvirus-6 isolated in temporal lobe epilepsy is a frequent causative agent of febrile seizures and febrile epileptic status. Febrile seizures and, especially, febrile epileptic status are associated with further developing epilepsy. Of special note is the febrile infection-related epileptic syndrome (FIRES) more often affecting school-aged children and characterized by extremely severe course and unfavorable outcome. Convulsive syndrome is associated with systemic inflammation and overproduced pro-inflammatory cytokines that increase permeability of the blood-brain barrier and functional activity of brain-resident cells, which are involved in eliciting seizures and maintaining epileptogenesis. Taking into consideration the key role of inflammation underlying convulsive syndrome, in recent decades cytokines and chemokines have been widely studied as possible prognostic criteria for epileptogenesis. Neuron-specific proteins are examined as markers of brain cell damage in various inflammatory diseases of the central nervous system. The first Section of the review presented current understanding on systemic and local cytokine/chemokine response in viral encephalitis. Here we present clinical trials published within the last 5—7 years assessing cytokines/chemokines and neuron-specific proteins in children with various forms of convulsive syndrome, including epilepsy. Association between biomarker level and disease clinical parameters as well as potential for their use to diagnose and predict its further course are discussed.
format article
author L. A. Alekseeva
G. F. Zheleznikova
E. Y. Gorelik
N. V. Sckripchenko
A. A. Zhirkov
author_facet L. A. Alekseeva
G. F. Zheleznikova
E. Y. Gorelik
N. V. Sckripchenko
A. A. Zhirkov
author_sort L. A. Alekseeva
title Cytokines and neuro-specific proteins in viral encephalitis and convulsive syndrome in children. II. Convulsive syndrome
title_short Cytokines and neuro-specific proteins in viral encephalitis and convulsive syndrome in children. II. Convulsive syndrome
title_full Cytokines and neuro-specific proteins in viral encephalitis and convulsive syndrome in children. II. Convulsive syndrome
title_fullStr Cytokines and neuro-specific proteins in viral encephalitis and convulsive syndrome in children. II. Convulsive syndrome
title_full_unstemmed Cytokines and neuro-specific proteins in viral encephalitis and convulsive syndrome in children. II. Convulsive syndrome
title_sort cytokines and neuro-specific proteins in viral encephalitis and convulsive syndrome in children. ii. convulsive syndrome
publisher Sankt-Peterburg : NIIÈM imeni Pastera
publishDate 2021
url https://doaj.org/article/67c4c1556ae3479881a99e4065a748f8
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AT gfzheleznikova cytokinesandneurospecificproteinsinviralencephalitisandconvulsivesyndromeinchildreniiconvulsivesyndrome
AT eygorelik cytokinesandneurospecificproteinsinviralencephalitisandconvulsivesyndromeinchildreniiconvulsivesyndrome
AT nvsckripchenko cytokinesandneurospecificproteinsinviralencephalitisandconvulsivesyndromeinchildreniiconvulsivesyndrome
AT aazhirkov cytokinesandneurospecificproteinsinviralencephalitisandconvulsivesyndromeinchildreniiconvulsivesyndrome
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