Interneuron Transplantation for Drug-Resistant Epilepsy

Neurosurg Clin N Am. 2024 Jan;35(1):151-160. doi: 10.1016/j.nec.2023.08.006. Epub 2023 Sep 22.

Abstract

Current epilepsy surgical techniques, such as brain resection, laser ablation, and neurostimulation, target seizure networks macroscopically, and they may yield an unfavorable balance between seizure reduction, procedural invasiveness, and neurologic morbidity. The transplantation of GABAergic interneurons is a regenerative technique for altering neural inhibition in cortical circuits, with potential as an alternative and minimally invasive approach to epilepsy treatment. This article (1) reviews some of the preclinical evidence supporting interneuron transplantation as an epilepsy therapy, (2) describes a first-in-human study of interneuron transplantation for epilepsy, and (3) considers knowledge gaps that stand before the effective clinical application of this novel treatment.

Keywords: Cell therapy; Epilepsy; Interneuron transplantation; Neural circuit repair; Regenerative medicine.

Publication types

  • Review

MeSH terms

  • Epilepsy* / surgery
  • Humans
  • Interneurons / physiology
  • Seizures