scholarly journals Inflammatory mechanisms contribute to the neurological manifestations of tuberous sclerosis complex

2015 ◽  
Vol 80 ◽  
pp. 70-79 ◽  
Author(s):  
Bo Zhang ◽  
Jia Zou ◽  
Nicholas R. Rensing ◽  
Meihua Yang ◽  
Michael Wong
2008 ◽  
Vol 8 (6) ◽  
pp. 159-162 ◽  
Author(s):  
Peter B. Crino

The recent development of several mouse models for tuberous sclerosis complex (TSC) provides in vivo systems to test new therapies for the neurological manifestations of TSC. Rapamycin is known to antagonize the effects of loss of TSC protein function in vitro and in mouse TSC models, rapamycin can prevent seizures and improve learning task performance. These findings provide new hope for TSC patients suffering from intractable seizures and possibly, for those with autism and cognitive disabilities.


CNS Drugs ◽  
1995 ◽  
Vol 3 (3) ◽  
pp. 174-185 ◽  
Author(s):  
Richard E. Appleton ◽  
Alan E. Fryer

2019 ◽  
Vol 127 ◽  
pp. 390-397 ◽  
Author(s):  
Shu-ichi Okamoto ◽  
Olga Prikhodko ◽  
Juan Pina-Crespo ◽  
Anthony Adame ◽  
Scott R. McKercher ◽  
...  

Author(s):  
Michael Wong

Abstract Background Tuberous sclerosis complex (TSC) is a genetic disorder characterized by severe neurological manifestations, including epilepsy, intellectual disability, autism, and a range of other behavioral and psychiatric symptoms, collectively referred to as TSC-associated neuropsychiatric disorders (TAND). Various tumors and hamartomas affecting different organs are the pathological hallmarks of the disease, especially cortical tubers of the brain, but specific cellular and molecular abnormalities, such as involving the mechanistic target of rapamycin (mTOR) pathway, have been identified that also cause or contribute to neurological manifestations of TSC independent of gross structural lesions. In particular, while neurons are immediate mediators of neurological symptoms, different types of glial cells have been increasingly recognized to play important roles in the phenotypes of TSC. Main body This review summarizes the literature supporting glial dysfunction from both mouse models and clinical studies of TSC. In particular, evidence for the role of astrocytes, microglia, and oligodendrocytes in the pathophysiology of epilepsy and TAND in TSC is analyzed. Therapeutic implications of targeting glia cells in developing novel treatments for the neurological manifestations of TSC are also considered. Conclusions Different types of glial cells have both cell autonomous effects and interactions with neurons and other cells that are involved in the pathophysiology of the neurological phenotype of TSC. Targeting glial-mediated mechanisms may represent a novel therapeutic approach for epilepsy and TAND in TSC patients.


2021 ◽  
Author(s):  
Aimen Malik ◽  
Arshia Akbar ◽  
Gohar Ashraf ◽  
Hammad Akram

UNSTRUCTURED Tuberous Sclerosis Complex (TSC) is a rare multisystem neuro-cutaneous disorder associated with the growth of benign tumors in different organs such as the brain, lungs, kidneys, heart, and eye. The dermatological findings of this disorder are very common; present at early age and not easy to miss. The neurological manifestations of TSC include seizures, autism, and intellectual disabilities. Furthermore, intracranial abnormalities and hamartoma formation in the heart and other organs are found among sufferers. The clinical diagnostic criteria have been critically evaluated and updated in the 2012 International Tuberous Sclerosis Conference. The diagnosis is based on genetic criteria, clinical criteria, and various manifestations of skin, kidneys, lungs, and brain. The management involves multispecialty and multidisciplinary approaches. Here, we present a case of a 13-years-old female with characteristic clinical, radiological, and pathological features of TSC. The patient had many dermatological manifestations of the condition.


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