Expressions of glutathione S-transferase alpha, mu, and pi in brains of medically intractable epileptic patients
2008

Glutathione S-transferase expressions in epilepsy patients

Sample size: 40 publication Evidence: moderate

Author Information

Author(s): Shang Wei, Liu Wei-Hong, Zhao Xiu-He, Sun Qin-Jian, Bi Jian-Zhong, Chi Zhao-Fu

Primary Institution: Second Hospital of Shandong University

Hypothesis

Higher levels of GSTs in brain, especially in brain-blood barrier may result in poor intraparenchymal accumulation of AEDs, and lead to medical intractability.

Conclusion

High levels of GST-π in endothelial cells and glial cells/astrocyte correlate to medical intractable epilepsy, suggesting that GST-π contributes to resistance to AED treatment.

Supporting Evidence

  • GST-α expression was not seen in any cortex specimens.
  • 63% of control and 53% of intractable epileptic specimens showed GST-μ immunoreactivity.
  • 50% of control patients and 66% of epileptic patients were GST-π positive.

Takeaway

This study found that a protein called GST-π is more common in the brains of people with hard-to-treat epilepsy, which might make their medicine less effective.

Methodology

The study used immunohistochemistry to examine GST expressions in brain tissues from 32 intractable epileptic patients and 8 non-epileptic controls.

Participant Demographics

32 epileptic patients (18 male, 14 female, aged 8 to 43 years) and 8 non-epileptic controls.

Statistical Information

P-Value

p < 0.01

Statistical Significance

p < 0.01

Digital Object Identifier (DOI)

10.1186/1471-2202-9-67

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