Researchers at the Stanford University School of Medicine discovered that the drug valproic acid boosts the amount of the protein neuropeptide Y in the brain by about 50 percent. What's more, they found that the drug increased the protein in only two parts of the brain - the thalamus and hippocampus, areas associated respectively with petit mal and temporal lobe epileptic seizures. The neuropeptide Y levels in other parts of the brain were unaffected. "That was quite a surprise," said Julia Brill, a postdoctoral scholar in Stanford's neurology department who worked on the study.
VPA has long been a mainstay in treating epilepsy, although how it suppressed seizures was a mystery. It has a minimal sedative effect, but a host of other unpleasant side effects including weight gain, hair loss, upset stomach and liver problems, as well as causing birth defects if taken by pregnant women, so it's less than an ideal medication.
But discovering that VPA triggers an increase in neuropeptide Y not only helps explain how VPA works, it suggests a possible way to stimulate the brain to quell seizures: The key could be to increase the amount of this anti-epileptic compound in the brain. Neuropeptides are very small proteins that often help transmit signals between neurons, the specialized cells in the brain that generate and transmit thought.
"This finding really emphasizes that our brains have the inherent capacity to stop seizures," said John Huguenard, PhD, associate professor of neurology and neurological sciences and senior author of a paper describing the work published in June in the Journal of Neuroscience, on which Brill is first author. Although there may be more than one mechanism by which our brains stop seizures, an increase in neuropeptide Y is clearly one of them, he said, and he and Brill are already exploring other ways to trigger production of the peptide and prolong its action.
The precise nature of this response to VPA, which is sold under the brand name Depakote, offers the promise of a new approach in treating seizures.
Unlike VPA, most anti-epileptic medications work by binding to various channels or receptors on neurons throughout the brain, thereby directly slowing the pace of signal transmission and reception. This approach to treating epilepsy is effective because seizures occur when neurons are overstimulated and begin firing too rapidly and in unison, sending pulsing barrages of signals coursing through the brain. Slowing the pace of communication among the neurons prevents them from becoming overstimulated.
But a seizure often originates in just one part of the brain, so preventing seizures by slowing down the entire brain is like trying to stop cars from speeding on one particular thoroughfare by installing speed bumps on every street in town.
Huguenard and Brill said that if a way could be found to increase neuropeptide Y only in the part of the brain from which a particular type of seizure emanates, it might be possible to develop anti-epileptic medications with few, if any, side effects.
Robert Fisher, MD, professor of neurology and neurological sciences at Stanford and a practicing clinician who treats epileptic patients, said the findings point to a potentially better way of treating the disease. Fisher was not involved in this study, though he has worked with Huguenard on other research.
"All of our seizure medications are controlled poisons, all with significant side effects," Fisher explained. "If we can find out more about the natural mechanisms that produce seizures, then we can hopefully counteract it with a rifle bullet rather than a shotgun that causes all kinds of side effects."
Brill made the discovery about VPA while working with rats. Increases of neuropeptide Y had been observed in rodent brains in response to seizures, and injections of the peptide had been shown to suppress seizures in the animals. So Brill and Huguenard suspected VPA might work by somehow acting to increase the neuropeptide Y levels.
When humans are treated with VPA, they typically receive increasing doses over a period of days before it takes effect, so Brill set up a comparable regimen with some rats. After giving them doses of VPA in concentrations known to be large enough to suppress seizures, she examined their brains and discovered the localized increases in the peptide. She also determined that after receiving the VPA, both the duration of the seizures and the extent to which they spread from their site of origin were reduced. With epileptic seizures, an initially small seizure can spread to other parts of the brain and trigger more severe seizures.
VPA is primarily used to treat absence epilepsy seizures, which mainly affect children. These are seizures that involve the thalamus, in which the sufferer appears to simply freeze for a few moments or up to half a minute. Although such seizures might appear minor, in fact they can happen dozens of times a day and have a severe effect on the ability of children to lead normal lives.
Exactly how VPA triggers the increased production of neuropeptide Y in the thalamus and hippocampus is still a puzzle.
Brill said there are probably intermediate steps, a cascade of signals, leading to the boost in the neuropeptide. "If you can identify the pathway that valproic acid uses to increase the neuropeptide Y, then maybe you can figure out a different way to stimulate that same pathway and get neuropeptide Y production," she said, adding that if a way could be found to activate the signals closer to the final stage that triggers the peptide increase, "maybe you could get rid of some of the detrimental effects that valproic acid has."
"Our next step will be to understand the signaling pathways that lead to the targeted increase in NPY in the different brain regions," Huguenard added.
Louis Bergeron | EurekAlert!
Water forms 'spine of hydration' around DNA, group finds
26.05.2017 | Cornell University
How herpesviruses win the footrace against the immune system
26.05.2017 | Helmholtz-Zentrum für Infektionsforschung
Staphylococcus aureus is a feared pathogen (MRSA, multi-resistant S. aureus) due to frequent resistances against many antibiotics, especially in hospital infections. Researchers at the Paul-Ehrlich-Institut have identified immunological processes that prevent a successful immune response directed against the pathogenic agent. The delivery of bacterial proteins with RNA adjuvant or messenger RNA (mRNA) into immune cells allows the re-direction of the immune response towards an active defense against S. aureus. This could be of significant importance for the development of an effective vaccine. PLOS Pathogens has published these research results online on 25 May 2017.
Staphylococcus aureus (S. aureus) is a bacterium that colonizes by far more than half of the skin and the mucosa of adults, usually without causing infections....
Physicists from the University of Würzburg are capable of generating identical looking single light particles at the push of a button. Two new studies now demonstrate the potential this method holds.
The quantum computer has fuelled the imagination of scientists for decades: It is based on fundamentally different phenomena than a conventional computer....
An international team of physicists has monitored the scattering behaviour of electrons in a non-conducting material in real-time. Their insights could be beneficial for radiotherapy.
We can refer to electrons in non-conducting materials as ‘sluggish’. Typically, they remain fixed in a location, deep inside an atomic composite. It is hence...
Two-dimensional magnetic structures are regarded as a promising material for new types of data storage, since the magnetic properties of individual molecular building blocks can be investigated and modified. For the first time, researchers have now produced a wafer-thin ferrimagnet, in which molecules with different magnetic centers arrange themselves on a gold surface to form a checkerboard pattern. Scientists at the Swiss Nanoscience Institute at the University of Basel and the Paul Scherrer Institute published their findings in the journal Nature Communications.
Ferrimagnets are composed of two centers which are magnetized at different strengths and point in opposing directions. Two-dimensional, quasi-flat ferrimagnets...
An Australian-Chinese research team has created the world's thinnest hologram, paving the way towards the integration of 3D holography into everyday...
24.05.2017 | Event News
23.05.2017 | Event News
22.05.2017 | Event News
26.05.2017 | Life Sciences
26.05.2017 | Life Sciences
26.05.2017 | Physics and Astronomy