Abstract

Temporal lobe epilepsy (TLE) is a severe neurological disorder accompanied by recurrent spontaneous seizures. Although the knowledge of TLE onset is still incomplete, TLE pathogenesis most likely involves the aberrant expression of microRNAs (miRNAs). miRNAs play an essential role in organism homeostasis and are widely studied in TLE as potential therapeutics and biomarkers. However, many discrepancies in discovered miRNAs occur among TLE studies due to model-specific miRNA expression, different onset ages of epilepsy among patients, or technology-related bias. We employed a massive parallel sequencing approach to analyze brain tissues from 16 adult mesial TLE (mTLE)/hippocampal sclerosis (HS) patients, 8 controls and 20 rats with TLE-like syndrome, and 20 controls using the same workflow and categorized these subjects based on the age of epilepsy onset. All categories were compared to discover overlapping miRNAs with an aberrant expression, which could be involved in TLE. Our cross-comparative analyses showed distinct miRNA profiles across the age of epilepsy onset and found that the miRNA profile in rats with adult-onset TLE shows the closest resemblance to the profile in mTLE/HS patients. Additionally, this analysis revealed overlapping miRNAs between patients and the rat model, which should participate in epileptogenesis and ictogenesis. Among the overlapping miRNAs stand out miR-142-5p and miR-142-3p, which regulate immunomodulatory agents with pro-convulsive effects and suppress neuronal growth. Our cross-comparison study enhanced the insight into the effect of the age of epilepsy onset on miRNA expression and deepened the knowledge of epileptogenesis. We employed the same methodological workflow in both patients and the rat model, thus improving the reliability and accuracy of our results.

Highlights

  • Temporal lobe epilepsy (TLE) is the most common type of epilepsy—a neurological disorder characterized by recurrent spontaneous seizures

  • Previous comparative studies have explored the miRNA profiles mostly in patient samples affected by pharmacotherapies or models of epilepsy, which do not correspond to the human biochemistry of the disease exactly

  • This limitation can be overcome by miRNA profile comparison of patients and model organisms that may reveal specific miRNAs playing an essential role in the onset or development of mesial TLE (mTLE)

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Summary

Introduction

Temporal lobe epilepsy (TLE) is the most common type of epilepsy—a neurological disorder characterized by recurrent spontaneous seizures. This condition includes several subtypes, of which the most prevalent is mesial TLE (mTLE). The monitoring of miRNA expression might disclose the onset or progression of the disease, making miRNAs a useful biomarker. This relation illustrates the close link between many diseases and altered levels of miRNAs (Srinivasan et al, 2013). Numerous studies of miRNA dysregulation in TLE have provided solid evidence for their importance in the epilepsy pathogenesis (Brennan and Henshall, 2018)

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