About this trial
Epilepsy is a neurological condition that afflicts 1% of the world population. 30% of patients become drug-resistant to classic antiepileptic treatment and only a small percentage, 5%, can undergo a neurosurgical resection of epileptic focus and recover almost completely from symptoms. To date, an imbalance between inhibitory and excitatory neurotransmission has been well accepted as the main root cause of epilepsy. A better understanding of the molecular mechanisms of this can lead to developing new therapeutic strategies. The investigators of the project want to describe the functional alteration of GABA- A receptor, the main actor of inhibitory neurotransmission in the central nervous system and characterize its subunit composition in the epileptic foci of patients with temporal lobe epilepsy. The authors, also, want to modulate, by means of selective neuroactive molecules, the function of this receptor to increase the inhibitory tone in the epileptic brain.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
Patients suffering from Temporal lobe epilepsy caused by stroke, ischemia, cavernous angiomas, or meningiomas growth.
Trial population
Patients with drug-resistant TLE who undergo neurosurgery for resection of epileptic focus
Trial design
Case-only
Retrospective
Treatments tested in this trial
ex-vivo study
Other interventionex-vivo experiments in tissue slices obtained from biopsies
Treatment groups
Trial outcomes
Primary outcomes
Composition of GABA-A receptors that modulate macroscopic currents
WP1.1- Slices of tissue obtained from 12 patients Tratment :diazepam or nitrazepam and phenobarbital WP 1.2:- Slices of tissue obtained from 12 patients Treatment: BetaCCT and L655,708 or Furosemide .
Modulation of synaptic transmission by GABA-A receptors PAMs and NAMs
WP2.1 Slices of tissue obtained from 12 patients Treatment: diazepam, phenobarbital, BetcCCt, and Furosemide, effect on inhibitory synaptic transmission WP2.2: Slices of tissue obtained from 12 patients Treatment: diazepam, phenobarbital, BetcCCt, and Furosemide, effect on excitatory synaptic transmission
Modulation of inhibitory synaptic transmission by cholinergic, dopaminergic and serotonergic PAMs.
WP 3.1 Slices of tissue obtained from 12 patients Based on results obtained in Primary Outcome 1 and 2 Treatment: PNU dFBr, mCPGB, or L-dopa, effect on inhibitory neurotransmission.
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