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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....

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Detalles Bibliográficos
Autores principales: de Nys, Rebekah, Kumar, Raman, Gecz, Jozef
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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