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Protocadherin 19 Clustering Epilepsy and Neurosteroids: Opportunities for Intervention
Steroids yield great influence on neurological development through nuclear hormone receptor (NHR)-mediated gene regulation. We recently reported that cell adhesion molecule protocadherin 19 (encoded by the PCDH19 gene) is involved in the coregulation of steroid receptor activity on gene expression....
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8469663/ https://www.ncbi.nlm.nih.gov/pubmed/34575929 http://dx.doi.org/10.3390/ijms22189769 |
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author | de Nys, Rebekah Kumar, Raman Gecz, Jozef |
author_facet | de Nys, Rebekah Kumar, Raman Gecz, Jozef |
author_sort | de Nys, Rebekah |
collection | PubMed |
description | Steroids yield great influence on neurological development through nuclear hormone receptor (NHR)-mediated gene regulation. We recently reported that cell adhesion molecule protocadherin 19 (encoded by the PCDH19 gene) is involved in the coregulation of steroid receptor activity on gene expression. PCDH19 variants cause early-onset developmental epileptic encephalopathy clustering epilepsy (CE), with altered steroidogenesis and NHR-related gene expression being identified in these individuals. The implication of hormonal pathways in CE pathogenesis has led to the investigation of various steroid-based antiepileptic drugs in the treatment of this disorder, with mixed results so far. Therefore, there are many unmet challenges in assessing the antiseizure targets and efficiency of steroid-based therapeutics for CE. We review and assess the evidence for and against the implication of neurosteroids in the pathogenesis of CE and in view of their possible clinical benefit. |
format | Online Article Text |
id | pubmed-8469663 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-84696632021-09-27 Protocadherin 19 Clustering Epilepsy and Neurosteroids: Opportunities for Intervention de Nys, Rebekah Kumar, Raman Gecz, Jozef Int J Mol Sci Review Steroids yield great influence on neurological development through nuclear hormone receptor (NHR)-mediated gene regulation. We recently reported that cell adhesion molecule protocadherin 19 (encoded by the PCDH19 gene) is involved in the coregulation of steroid receptor activity on gene expression. PCDH19 variants cause early-onset developmental epileptic encephalopathy clustering epilepsy (CE), with altered steroidogenesis and NHR-related gene expression being identified in these individuals. The implication of hormonal pathways in CE pathogenesis has led to the investigation of various steroid-based antiepileptic drugs in the treatment of this disorder, with mixed results so far. Therefore, there are many unmet challenges in assessing the antiseizure targets and efficiency of steroid-based therapeutics for CE. We review and assess the evidence for and against the implication of neurosteroids in the pathogenesis of CE and in view of their possible clinical benefit. MDPI 2021-09-09 /pmc/articles/PMC8469663/ /pubmed/34575929 http://dx.doi.org/10.3390/ijms22189769 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review de Nys, Rebekah Kumar, Raman Gecz, Jozef Protocadherin 19 Clustering Epilepsy and Neurosteroids: Opportunities for Intervention |
title | Protocadherin 19 Clustering Epilepsy and Neurosteroids: Opportunities for Intervention |
title_full | Protocadherin 19 Clustering Epilepsy and Neurosteroids: Opportunities for Intervention |
title_fullStr | Protocadherin 19 Clustering Epilepsy and Neurosteroids: Opportunities for Intervention |
title_full_unstemmed | Protocadherin 19 Clustering Epilepsy and Neurosteroids: Opportunities for Intervention |
title_short | Protocadherin 19 Clustering Epilepsy and Neurosteroids: Opportunities for Intervention |
title_sort | protocadherin 19 clustering epilepsy and neurosteroids: opportunities for intervention |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8469663/ https://www.ncbi.nlm.nih.gov/pubmed/34575929 http://dx.doi.org/10.3390/ijms22189769 |
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