Increased activation of Iba1+ microglia in pediatric epilepsy patients with Rasmussen's encephalitis compared with cortical dysplasia and tuberous sclerosis complex

Martin Wirenfeldt, Ryan Clare, Spencer Tung, Alexander Bottini, Gary W Mathern, Harry V Vinters

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Microgliosis is prominent in Rasmussen's encephalitis (RE), a disease with severe seizure activity. However, it is unclear if microglial activation is similar with different histopathologic substrates. Iba1-immunolabelled microglial activation was assessed in neocortex from pediatric epilepsy surgery patients with RE (n=8), cortical dysplasia (CD; n=6) and tuberous sclerosis complex (TSC; n=6). Microglial reactivity was increased, in severely affected RE areas (29% labeling) compared with minimally affected areas of RE cases (15%) and cases of TSC (14%) and CD (12%). There was no qualitative association of Iba1 immunolabelling with the presence of CD8(+) cytotoxic T-cells and no statistical association with clinical epilepsy variables, such as seizure duration or frequency. Iba1 appears to be an excellent marker for detecting extensive microglial activation in patients with RE. In addition, this study supports the notion that Iba1-labeled microglial activation is increased in patients with active RE, compared with cases of CD and TSC.

Original languageEnglish
JournalNeurobiology of Disease
Volume34
Issue number3
Pages (from-to)432-40
Number of pages9
ISSN0969-9961
DOIs
Publication statusPublished - Jun 2009
Externally publishedYes

Keywords

  • Adolescent
  • Brain/pathology
  • CD8-Positive T-Lymphocytes/physiology
  • Calcium-Binding Proteins
  • Cell Proliferation
  • Child
  • Child, Preschool
  • Cohort Studies
  • DNA-Binding Proteins/metabolism
  • Encephalitis/complications
  • Epilepsy/complications
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Malformations of Cortical Development/complications
  • Microfilament Proteins
  • Microglia/pathology
  • Seizures/complications
  • Severity of Illness Index
  • Tuberous Sclerosis/complications

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