• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Refractory mechanisms of intractable epilepsy: an experimental analysis of polymicrogyria and clinical approaches

Research Project

Project/Area Number 15K09617
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatrics
Research InstitutionShiga University of Medical Science

Principal Investigator

Takano Tomoyuki  滋賀医科大学, 医学部, 非常勤講師 (80236249)

Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywordsてんかん / 皮質形成異常 / 多小脳回症 / インターニューロン / けいれん準備性 / Epilepsy / Polymicrogyria / Interneuron / GAP43 / 介在神経細胞
Outline of Final Research Achievements

Intraperitoneal pentylenetetrazole injection elicited seizures of variable severity in the polymicrogyria rats (PMG). Neuron degeneration and reactive axonal elongation were significantly and widely distributed in the interneurons of PMG, suggesting that the relatively selective vulnerability of inhibitory interneurons constitutes the basis for the decreased seizure threshold observed in this model of polymicrogyria. In the clinical investigations of patients with severe motor and intellectual disabilities (SMID), an electroencephalogram analysis revealed that multifocal spike discharge was more frequently detected in the profound SMID group than in the non-profound SMID group. Multifocal epileptogenesis was thought to be one of the most characteristic findings in SMID patients, which may be closely associated with a factor involved in the intractability of epilepsy in these patients.

Academic Significance and Societal Importance of the Research Achievements

本研究は、難治性てんかんの動物実験モデルを利用した基礎研究と、高度の脳障害を有するてんかん症例を対象とした臨床研究を相互に関連させ、多面的にてんかんの難治性病態の解明を試みた研究課題である。両者の研究結果の考察から、てんかんの難治性病態には病理学的には介在神経細胞の脆弱性による興奮・抑制機構の不均衡が、電気生理学的には脳の広範囲な領域に分布する多焦点性の発作活動の関与が重要な要因であると推測した。

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (13 results)

All 2018 2017 2016 2015

All Journal Article (7 results) (of which Peer Reviewed: 6 results,  Open Access: 2 results,  Acknowledgement Compliant: 2 results) Presentation (4 results) (of which Int'l Joint Research: 3 results,  Invited: 1 results) Book (2 results)

  • [Journal Article] Epilepsy with multifocal spike discharge in patients with severe motor and intellectual disabilities.2018

    • Author(s)
      Takano T, Okumura K, Yamazaki S, Ogawa K, Harada Y, Yorifuji J, Ando R, Hayashi A.
    • Journal Title

      J Neurol Disord

      Volume: 6 Issue: 05 Pages: 1-6

    • DOI

      10.4172/2329-6895.1000391

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] マイコプラズマ感染症関連の無菌性髄膜炎に外転神経麻痺を合併し, 免疫グロブリンが奏功した1例.2018

    • Author(s)
      底田辰之, 松井潤, 西倉紀子, 高野知行.
    • Journal Title

      脳と発達

      Volume: 50 Pages: 60-61

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] 脳梁欠損,全前脳胞症.2016

    • Author(s)
      高野知行
    • Journal Title

      小児内科

      Volume: 48 Pages: 236-241

    • Related Report
      2016 Research-status Report
  • [Journal Article] Remissive epilepsy with dysembryoplastic neuroepithelial tumor involving the thalamus.2016

    • Author(s)
      Nishikura N, Takano T, et al.
    • Journal Title

      Pediatrics International

      Volume: 58 Issue: 6 Pages: 496-500

    • DOI

      10.1111/ped.12911

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Increased expression of GAP43 in interneurons in a rat model of experimental polymicrogyria.2015

    • Author(s)
      Takano T, Matsui K.
    • Journal Title

      J Child Neurol

      Volume: 30 Issue: 6 Pages: 716-728

    • DOI

      10.1177/0883073814541476

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Role of microglia in autism: Recent advances.2015

    • Author(s)
      Takano T.
    • Journal Title

      Dev Neurosci

      Volume: 37 Issue: 3 Pages: 195-202

    • DOI

      10.1159/000398791

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Interneuron dysfunction in syndromic autism: Recent advances.2015

    • Author(s)
      Takano T.
    • Journal Title

      Dev Neurosci

      Volume: 37 Issue: 6 Pages: 467-475

    • DOI

      10.1159/000434638

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] Epilepsy in cases of severe motor and intellectual disabilities syndrome: The relationship between the extent of disabilities and the characteristics of epilepsy.2018

    • Author(s)
      Takano T, Okumura K, Harada Y, Yorifuji J, Ando R, Ito M, Ogawa K, Yamazaki S.
    • Organizer
      13th European Congress on Epileptology
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] てんかんを有する児童・生徒の生活指導2017

    • Author(s)
      高野知行
    • Organizer
      日本小児看護協会 第27回学術集会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] nterneuron dysfunction in syndromic autism2016

    • Author(s)
      Takano T
    • Organizer
      The 46th Annual Meeting of Neuroscience
    • Place of Presentation
      San Diego (USA)
    • Year and Date
      2016-11-12
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Characterization of early and later onset epilepsy in individual with autism2015

    • Author(s)
      Matsui J, Nishikura N, Sawai C, Sakaue Y, Sokoda T, Takano T, Takeuchi Y
    • Organizer
      The 17th Annual Meeting of Infantile Seizure Society “International Symposium on Benign Infantile Seizures (ISBIS)”
    • Place of Presentation
      Tokyo
    • Year and Date
      2015-09-25
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Book] てんかん学用語事典2017

    • Author(s)
      高野知行 他
    • Total Pages
      165
    • Publisher
      診断と治療社
    • Related Report
      2017 Research-status Report
  • [Book] 小児神経専門医テキスト2017

    • Author(s)
      高野知行 他
    • Total Pages
      362
    • Publisher
      診断と治療社
    • Related Report
      2017 Research-status Report

URL: 

Published: 2015-04-16   Modified: 2020-03-30  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi