Abstract:
:Seizures are a serious and debilitating co-morbidity of primary brain tumors that affect most patients, yet their etiology is poorly understood. In many CNS pathologies, including epilepsy and brain injury, high levels of extracellular glutamate have been implicated in seizure generation. It has been shown that gliomas release neurotoxic levels of glutamate through their high expression of system xc-. More recently it was shown that the surrounding peritumoral cortex is spontaneously hyperexcitable. In this review, we discuss how gliomas induce changes in the surrounding environment that may further contribute to elevated extracellular glutamate and tumor-associated seizures. Peritumoral astrocytes become reactive and lose their ability to remove glutamate, while microglia, in response to signals from glioma cells, may release glutamate. In addition, gliomas increase blood brain barrier permeability, allowing seizure-inducing serum components, including glutamate, into the peritumoral region. These factors, working together or alone, may influence the frequency and severity of tumor-associated epilepsy.
journal_name
Neurochem Intjournal_title
Neurochemistry internationalauthors
Buckingham SC,Robel Sdoi
10.1016/j.neuint.2013.01.027subject
Has Abstractpub_date
2013-12-01 00:00:00pages
696-701issue
7eissn
0197-0186issn
1872-9754pii
S0197-0186(13)00036-3journal_volume
63pub_type
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