PMID- 36677008 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230124 IS - 2218-1989 (Print) IS - 2218-1989 (Electronic) IS - 2218-1989 (Linking) VI - 13 IP - 1 DP - 2023 Jan 4 TI - Biomarkers of Drug Resistance in Temporal Lobe Epilepsy in Adults. LID - 10.3390/metabo13010083 [doi] LID - 83 AB - Temporal lobe epilepsy (TLE) is the most common type of focal epilepsy in adults. Experimental and clinical data indicate that neuroinflammation and neurodegeneration accompanying epileptogenesis make a significant contribution to the chronicity of epilepsy and the development of drug resistance in TLE cases. Changes in plasma and serum concentrations of proteins associated with neuroinflammation and neurodegeneration can be predictive biomarkers of the course of the disease. This study used an enzyme-linked immunosorbent assay of the following plasma proteins: brain-derived neurotrophic factor (BDNF), tumor necrosis factor alpha (TNFa), and high-mobility group protein B1 (HMGB1) in patients with mesial TLE to search for biomarkers of the disease. The objective of the study was to examine biomarkers of the neuroinflammation and neurodegeneration of plasma: BDNF, TNFa, and HMGB1. The aim of the study was to identify changes in the concentration of circulating pro-inflammatory and neurotrophic factors that are prognostically significant for the development of drug resistance and the course of TLE. A decrease in the concentration of BDNF, TNFa, and HMGB1 was registered in the group of patients with TLE compared with the control group. A significant decrease in the concentration of HMGB1 in patients with drug-resistant TLE was observed. Aberrations in plasma concentrations of BDNF, TNFa, and HMGB1 in patients with TLE compared with the controls have been confirmed by earlier studies. A decrease in the expression of the three biomarkers may be the result of neurodegenerative processes caused by the long course of the disease. The results of the study may indicate the acceptability of using HMGB1 and TNFa as prognostic biological markers to indicate the severity of the disease course and the risk of developing drug resistance. FAU - Panina, Yulia S AU - Panina YS AD - Department of Medical Genetics and Clinical Neurophysiology, Institute of Postgraduate Education, V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, 660022 Krasnoyarsk, Russia. FAU - Timechko, Elena E AU - Timechko EE AD - Department of Medical Genetics and Clinical Neurophysiology, Institute of Postgraduate Education, V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, 660022 Krasnoyarsk, Russia. FAU - Usoltseva, Anna A AU - Usoltseva AA AUID- ORCID: 0000-0002-9678-6719 AD - Department of Medical Genetics and Clinical Neurophysiology, Institute of Postgraduate Education, V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, 660022 Krasnoyarsk, Russia. FAU - Yakovleva, Kristina D AU - Yakovleva KD AUID- ORCID: 0000-0002-2728-5830 AD - Department of Medical Genetics and Clinical Neurophysiology, Institute of Postgraduate Education, V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, 660022 Krasnoyarsk, Russia. FAU - Kantimirova, Elena A AU - Kantimirova EA AD - Department of Medical Genetics and Clinical Neurophysiology, Institute of Postgraduate Education, V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, 660022 Krasnoyarsk, Russia. FAU - Dmitrenko, Diana V AU - Dmitrenko DV AUID- ORCID: 0000-0003-4639-6365 AD - Department of Medical Genetics and Clinical Neurophysiology, Institute of Postgraduate Education, V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, 660022 Krasnoyarsk, Russia. LA - eng PT - Journal Article DEP - 20230104 PL - Switzerland TA - Metabolites JT - Metabolites JID - 101578790 PMC - PMC9866293 OTO - NOTNLM OT - biomarkers OT - drug resistance OT - neurodegeneration OT - neuroinflammation OT - temporal lobe epilepsy COIS- The authors declare no conflict of interest. EDAT- 2023/01/22 06:00 MHDA- 2023/01/22 06:01 PMCR- 2023/01/04 CRDT- 2023/01/21 01:39 PHST- 2022/11/24 00:00 [received] PHST- 2022/12/26 00:00 [revised] PHST- 2023/01/01 00:00 [accepted] PHST- 2023/01/21 01:39 [entrez] PHST- 2023/01/22 06:00 [pubmed] PHST- 2023/01/22 06:01 [medline] PHST- 2023/01/04 00:00 [pmc-release] AID - metabo13010083 [pii] AID - metabolites-13-00083 [pii] AID - 10.3390/metabo13010083 [doi] PST - epublish SO - Metabolites. 2023 Jan 4;13(1):83. doi: 10.3390/metabo13010083.