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. 2014 Dec 23;21(2):141–151. doi: 10.1111/cns.12371

Table 2.

Studies investigating inflammation in surgical samples from patients with refractory epilepsies

References Age Population Findings
83 Adults 18 TLE with HS NFkB
84 Adults TLE (8 HS + 6 non‐HS) Activated microglia and activation of the classical complement pathway in cellular and perivascular elements in HS
85 Adults TLE (12 HS + 6 non‐HS) Neuronal and glial activation of the IL1β system
86 Children 5 TLE IL1b and miR‐146
87 Adults 6 TLE COX‐2, TGF‐β, NF‐κB
88 Adults TLE TLR‐4 related to seizure frequency
51 Mostly adults 9 FCD, 9 DNT, 9 Ganglioglioma IL‐1β, IL 1‐RA and IL‐1β receptors correlated with clinical course
49 Adolescents 20 FCD Activated microglia within the dysplastic cortex
89 Children and Adults 9 TSC Microglial activation, IL1b, complement cascade activation, focal changes in BBB permeability
53 Children 6 FCD, 5 encephalomalacia, 1 TLE Astrocyte and Microglial activation
IL‐1b IL‐8, IL‐12p70 and MIP‐1β
50 Adults 17 FCD (8 IB and 9 IIA) Microglia activation
mTOR only in FCDIIA
IL‐1β and MCP1 mainly in FCD II
52 Mostly adults 6 FCD, 6 TSC, 6 Ganglioglioma Intralesional overexpression and cellular distribution of HMGB1 and its cognate receptors TLR2, TLR4 and RAGE

BBB, blood–brain barrier; COX‐2, cyclo‐oxygenase 2; DNT, dysembryoplastic neuroepithelial tumor, FCD, focal cortical dysplasia; HMGB1, high‐mobility group box 1; HS, hippocampal sclerosis; IL1β, InterLeukin 1β, IL1‐RA, IL1 receptor antagonist; IL6, Interleukin 6; mi146, microRNA; mTOR, mammalian Target Of Rapamycin; NFkB, nuclear factor‐kappa B; MCP1, Monocyte chemoattractant protein 1; MIP‐1β, Macrophage inflammatory protein‐1β; TGFβ, Transforming growth factor β; TLE, temporal lobe epilepsy; TSC, tuberous sclerosis complex.