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Tau pathology in epilepsy: emerging mechanisms and translational opportunities - PubMed

4 hours ago
  • #epilepsy
  • #tau pathology
  • #neurodegeneration
  • Epilepsy onset in adulthood is most common after 55 years, increasing healthcare burden due to global aging.
  • A bidirectional link exists between epilepsy and dementia, with tau pathology as a potential mechanistic connection.
  • Tau protein's biochemical and structural changes can lead to abnormal phosphorylation and pathological aggregation.
  • Tau's role in seizures and cognitive difficulties is examined from animal models to human epileptic syndromes.
  • Seizure prevalence is evaluated across primary and secondary tauopathies to understand hyperexcitability phenotypes.
  • Neurophysiology, metabolic imaging, and fluid biomarkers are discussed as non-invasive measures for neurodegeneration in epilepsy.
  • Clinical trials targeting pathological tau in neurodegenerative conditions, including sodium selenate, are explored.
  • There's a need for deeper characterization of tau pathology in epilepsy to understand its role in pathogenesis and dementia.