PMID- 37450928 OWN - NLM STAT- MEDLINE DCOM- 20240509 LR - 20240511 IS - 2152-5250 (Electronic) IS - 2152-5250 (Linking) VI - 15 IP - 3 DP - 2024 May 7 TI - Mitochondrial Dysfunction of Astrocytes Mediates Lipid Accumulation in Temporal Lobe Epilepsy. PG - 1289-1295 LID - 10.14336/AD.2023.0624 [doi] AB - Lipid-accumulated reactive astrocytes (LARAs) have recently been confirmed to be a pivotal cell type present in temporal lobe epilepsy (TLE) lesions. These cells not only induce anomalous lipid accumulation within the epileptic foci but also decrease the seizure threshold by employing upregulated activation of the adenosine A2A receptor (A(2A)R). Furthermore, disturbances in mitochondrial oxidative phosphorylation (OxPhos) have been noted as significant drivers of lipid accumulation in astrocytes. Moreover, the deficiency of OxPhos in astrocytes can induce severe neuroinflammation, which can worsen the progression of TLE. Accordingly, further exploration of the correlation between mitochondrial dysfunction, LARAs-mediated lipid accumulation, and A(2A)R activation within epilepsy lesions is warranted. It could potentially elucidate the vital role of mitochondrial dysfunction in the pathogenesis of TLE. FAU - Su, Yang AU - Su Y AD - Department of Laboratory Medicine, West China Hospital of Sichuan University, China. FAU - Tang, Meng AU - Tang M AD - Department of Laboratory Medicine, West China Hospital of Sichuan University, China. FAU - Wang, Minjin AU - Wang M AD - Department of Laboratory Medicine, West China Hospital of Sichuan University, China. AD - Department of Neurology, West China Hospital of Sichuan University, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20240507 PL - United States TA - Aging Dis JT - Aging and disease JID - 101540533 RN - 0 (Receptor, Adenosine A2A) SB - IM MH - *Epilepsy, Temporal Lobe/metabolism/pathology MH - *Astrocytes/metabolism/pathology MH - Humans MH - *Mitochondria/metabolism/pathology MH - *Lipid Metabolism MH - Oxidative Phosphorylation MH - Animals MH - Receptor, Adenosine A2A/metabolism/genetics PMC - PMC11081153 COIS- Conflicts of interest The authors declare that there is no conflict of interest associated with the study. EDAT- 2023/07/14 19:08 MHDA- 2024/05/10 05:43 PMCR- 2024/05/07 CRDT- 2023/07/14 17:25 PHST- 2023/05/18 00:00 [received] PHST- 2023/06/24 00:00 [accepted] PHST- 2024/05/10 05:43 [medline] PHST- 2023/07/14 19:08 [pubmed] PHST- 2023/07/14 17:25 [entrez] PHST- 2024/05/07 00:00 [pmc-release] AID - AD.2023.0624 [pii] AID - ad-15-3-1289 [pii] AID - 10.14336/AD.2023.0624 [doi] PST - epublish SO - Aging Dis. 2024 May 7;15(3):1289-1295. doi: 10.14336/AD.2023.0624.