Metabotropic glutamate receptors as a strategic target for the treatment of epilepsy
- PMID: 16787741
- DOI: 10.1016/j.eplepsyres.2006.05.012
Metabotropic glutamate receptors as a strategic target for the treatment of epilepsy
Abstract
Epilepsy is a chronic neurological disorder that has many known types, including generalized epilepsies that involve cortical and subcortical structures. A proportion of patients have seizures that are resistant to traditional anti-epilepsy drugs, which mainly target ion channels or postsynaptic receptors. This resistance to conventional therapies makes it important to identify novel targets for the treatment of epilepsy. Given the involvement of the neurotransmitter glutamate in the etiology of epilepsy, targets that control glutamatergic neurotransmission are of special interest. The metabotropic glutamate receptors (mGluRs) are of a family of eight G-protein-coupled receptors that serve unique regulatory functions at synapses that use the neurotransmitter glutamate. Their distribution within the central nervous system provides a platform for both presynaptic control of glutamate release, as well as postsynaptic control of neuronal responses to glutamate. In recent years, substantial efforts have been made towards developing selective agonists and antagonists which may be useful for targeting specific receptor subtypes in an attempt to harness the therapeutic potential of these receptors. We examine the possibility of intervening at these receptors by considering the specific example of absence seizures, a form of generalized, non-convulsive seizure that involves the thalamus. Views of the etiology of absence seizures have evolved over time from the "centrencephalic" concept of a diffuse subcortical pacemaker toward the "cortical focus" theory in which cortical hyperexcitability leads the thalamus into the 3-4 Hz rhythms that are characteristic of absence seizures. Since the cortex communicates with the thalamus via a massive glutamatergic projection, ionotropic glutamate receptor (iGluR) blockade has held promise, but the global nature of iGluR intervention has precluded the clinical effectiveness of drugs that block iGluRs. In contrast, mGluRs, because they modulate iGluRs at glutamatergic synapses only under certain conditions, may quell seizure activity by selectively reducing hyperactive glutamatergic synaptic communication within the cortex and thalamus without significantly affecting normal response rates. In this article, we review the circuitry and events leading to absence seizure generation within the corticothalamic network, we present a comprehensive review of the synaptic location and function of mGluRs within the thalamus and cerebral cortex, and review the current knowledge of mGluR modulation and seizure generation. We conclude by reviewing the potential advantages of Group II mGluRs, specifically mGluR2, in the treatment of both convulsive and non-convulsive seizures.
Similar articles
-
[GABAergic mechanisms in generalized epilepsies: the neuroanatomical dimension].Rev Neurol (Paris). 1997;153 Suppl 1:S8-13. Rev Neurol (Paris). 1997. PMID: 9686242 Review. French.
-
Metabotropic glutamate receptors in the thalamocortical network: strategic targets for the treatment of absence epilepsy.Epilepsia. 2011 Jul;52(7):1211-22. doi: 10.1111/j.1528-1167.2011.03082.x. Epub 2011 May 13. Epilepsia. 2011. PMID: 21569017 Review.
-
New vistas and views in the concept of generalized epilepsies.Ideggyogy Sz. 2009 Nov 30;62(11-12):366-80. Ideggyogy Sz. 2009. PMID: 20025127 Review.
-
Evolving concepts on the pathophysiology of absence seizures: the cortical focus theory.Arch Neurol. 2005 Mar;62(3):371-6. doi: 10.1001/archneur.62.3.371. Arch Neurol. 2005. PMID: 15767501 Review.
-
Role of metabotropic glutamate receptors in the control of neuroendocrine function.Neuropharmacology. 2008 Sep;55(4):577-83. doi: 10.1016/j.neuropharm.2008.06.022. Epub 2008 Jun 20. Neuropharmacology. 2008. PMID: 18616955 Review.
Cited by
-
VMAT2 gene expression and function as it applies to imaging beta-cell mass.J Mol Med (Berl). 2008 Jan;86(1):5-16. doi: 10.1007/s00109-007-0242-x. Epub 2007 Jul 31. J Mol Med (Berl). 2008. PMID: 17665159 Review.
-
Epilepsy: Novel therapeutic targets.J Pharmacol Pharmacother. 2012 Apr;3(2):112-7. doi: 10.4103/0976-500X.95505. J Pharmacol Pharmacother. 2012. PMID: 22629084 Free PMC article.
-
Targeting Ionotropic Glutamate Receptors in the Treatment of Epilepsy.Curr Neuropharmacol. 2021;19(6):747-765. doi: 10.2174/1570159X18666200831154658. Curr Neuropharmacol. 2021. PMID: 32867642 Free PMC article. Review.
-
Effects of the mGluR2/3 agonist LY379268 and the mGluR5 antagonist MPEP on handling-induced convulsions during ethanol withdrawal in mice.Alcohol. 2008 May;42(3):191-7. doi: 10.1016/j.alcohol.2008.01.007. Alcohol. 2008. PMID: 18420113 Free PMC article.
-
Metabotropic glutamate receptors (mGluRs) in epileptogenesis: an update on abnormal mGluRs signaling and its therapeutic implications.Neural Regen Res. 2024 Feb;19(2):360-368. doi: 10.4103/1673-5374.379018. Neural Regen Res. 2024. PMID: 37488891 Free PMC article. Review.
Publication types
MeSH terms
Substances
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources