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D2HGDH Deficiency Regulates Seizures through GSH/Prdx6/ROS-Mediated Excitatory Synaptic Activity

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机构: [1]Chongqing Med Univ, Chongqing Key Lab Neurol, Affiliated Hosp 1, Dept Neurol, Chongqing 400016, Peoples R China [2]Chongqing Med Univ, Affiliated Hosp 2, Dept Neurol, Chongqing Key Lab Neurol, Chongqing 400010, Peoples R China [3]Kunming Univ Sci & Technol, Peoples Hosp Yunnan Prov 1, Affiliated Hosp, Dept Neurol, Kunming 650032, Yunnan, Peoples R China [4]First Peoples Hosp Yunnan Prov, Yunnan Prov Key Lab Birth Defects & Genet Dis, Kunming 650051, Peoples R China [5]Shanxi Med Univ, Hosp 1, Dept Neurol, Taiyuan 030012, Shanxi, Peoples R China [6]Shanxi Bethune Hosp, Dept Neurol, Taiyuan 030032, Shanxi, Peoples R China [7]Chongqing Med Univ, Minist Educ, Key Lab Major Brain Dis & Aging Res, Chongqing 400016, Peoples R China [8]Monash Univ, Cent Clin Sch, Dept Neurosci, Melbourne, Vic 3004, Australia
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关键词: D-2-hydroxyglutarate dehydrogenase epilepsy excitatory synapses reactive oxygen species

摘要:
Current antiepileptic drugs are ineffective in one-third of patients with epilepsy; however, identification of genes involved in epilepsy can enable a precision medicine approach. Here, it is demonstrated that downregulating D-2-hydroxyglutarate dehydrogenase (D2HGDH) enhances susceptibility to epilepsy. Furthermore, its potential involvement in the seizure network through synaptic function modulation is investigated. D2HGDH knockdown reduces the glutathione reduced (GSH)/glutathione oxidized (GSSG) ratio and elevates reactive oxygen species (ROS) levels within neurons. Oxidative stress may play a crucial role in the pathogenesis of epilepsy. The specific contribution of each pathway varies among patients, highlighting the complexity of this disease. In this study, downregulation of D2HGDH affects modulation of ROS levels, synaptic transmission, and seizure susceptibility. Furthermore, the acid calcium-independent phospholipase A2 (aiPLA2) inhibitor, MJ33, restores the GSH/GSSG balance and reverses the increase in ROS levels caused by D2HGDH knockdown, resulting in remission of epilepsy-related behaviors. The results demonstrate that downregulation of D2HGDH affects synaptic function by regulating ROS production. These findings support the use of targeted gene therapy as a potential alternative to antioxidant-based treatments for refractory epilepsy.

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出版当年[2025]版:
大类 | 1 区 综合性期刊
小类 | 1 区 化学:综合 1 区 材料科学:综合 1 区 纳米科技
最新[2025]版:
大类 | 1 区 综合性期刊
小类 | 1 区 化学:综合 1 区 材料科学:综合 1 区 纳米科技
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出版当年[2023]版:
Q1 CHEMISTRY, MULTIDISCIPLINARY Q1 MATERIALS SCIENCE, MULTIDISCIPLINARY Q1 NANOSCIENCE & NANOTECHNOLOGY
最新[2023]版:
Q1 CHEMISTRY, MULTIDISCIPLINARY Q1 MATERIALS SCIENCE, MULTIDISCIPLINARY Q1 NANOSCIENCE & NANOTECHNOLOGY

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第一作者机构: [1]Chongqing Med Univ, Chongqing Key Lab Neurol, Affiliated Hosp 1, Dept Neurol, Chongqing 400016, Peoples R China
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通讯机构: [1]Chongqing Med Univ, Chongqing Key Lab Neurol, Affiliated Hosp 1, Dept Neurol, Chongqing 400016, Peoples R China [7]Chongqing Med Univ, Minist Educ, Key Lab Major Brain Dis & Aging Res, Chongqing 400016, Peoples R China [8]Monash Univ, Cent Clin Sch, Dept Neurosci, Melbourne, Vic 3004, Australia
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