Neuron-glia interactions in the pathophysiology of epilepsy

Nat Rev Neurosci. 2019 May;20(5):282-297. doi: 10.1038/s41583-019-0126-4.

Abstract

Epilepsy is a neurological disorder afflicting ~65 million people worldwide. It is caused by aberrant synchronized firing of populations of neurons primarily due to imbalance between excitatory and inhibitory neurotransmission. Hence, the historical focus of epilepsy research has been neurocentric. However, the past two decades have enjoyed an explosion of research into the role of glia in supporting and modulating neuronal activity, providing compelling evidence of glial involvement in the pathophysiology of epilepsy. The mechanisms by which glia, particularly astrocytes and microglia, may contribute to epilepsy and consequently could be harnessed therapeutically are discussed in this Review.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Animals
  • Epilepsy / physiopathology*
  • Humans
  • Neuroglia / physiology*
  • Neurons / physiology*
  • Synaptic Transmission / physiology