Grafts of adenosine-releasing cells suppress seizures in kindling epilepsy

  • Alexander Huber
    Institute of Pharmacology and Toxicology, Eidgenössische Technische Hochschule and University of Zurich, Winterthurerstrasse 190, CH-8057 Zurich, Switzerland; Division of Surgical Research and Gene Therapy Center, Centre Hospitalier Universitaire Vaudois, CH-1011 Lausanne, Switzerland; and Swiss Federal Institute of Technology, Bâtiment CE, Ecublens, CH-1014 Lausanne, Switzerland
  • Vivianne Padrun
    Institute of Pharmacology and Toxicology, Eidgenössische Technische Hochschule and University of Zurich, Winterthurerstrasse 190, CH-8057 Zurich, Switzerland; Division of Surgical Research and Gene Therapy Center, Centre Hospitalier Universitaire Vaudois, CH-1011 Lausanne, Switzerland; and Swiss Federal Institute of Technology, Bâtiment CE, Ecublens, CH-1014 Lausanne, Switzerland
  • Nicole Déglon
    Institute of Pharmacology and Toxicology, Eidgenössische Technische Hochschule and University of Zurich, Winterthurerstrasse 190, CH-8057 Zurich, Switzerland; Division of Surgical Research and Gene Therapy Center, Centre Hospitalier Universitaire Vaudois, CH-1011 Lausanne, Switzerland; and Swiss Federal Institute of Technology, Bâtiment CE, Ecublens, CH-1014 Lausanne, Switzerland
  • Patrick Aebischer
    Institute of Pharmacology and Toxicology, Eidgenössische Technische Hochschule and University of Zurich, Winterthurerstrasse 190, CH-8057 Zurich, Switzerland; Division of Surgical Research and Gene Therapy Center, Centre Hospitalier Universitaire Vaudois, CH-1011 Lausanne, Switzerland; and Swiss Federal Institute of Technology, Bâtiment CE, Ecublens, CH-1014 Lausanne, Switzerland
  • Hanns Möhler
    Institute of Pharmacology and Toxicology, Eidgenössische Technische Hochschule and University of Zurich, Winterthurerstrasse 190, CH-8057 Zurich, Switzerland; Division of Surgical Research and Gene Therapy Center, Centre Hospitalier Universitaire Vaudois, CH-1011 Lausanne, Switzerland; and Swiss Federal Institute of Technology, Bâtiment CE, Ecublens, CH-1014 Lausanne, Switzerland
  • Detlev Boison
    Institute of Pharmacology and Toxicology, Eidgenössische Technische Hochschule and University of Zurich, Winterthurerstrasse 190, CH-8057 Zurich, Switzerland; Division of Surgical Research and Gene Therapy Center, Centre Hospitalier Universitaire Vaudois, CH-1011 Lausanne, Switzerland; and Swiss Federal Institute of Technology, Bâtiment CE, Ecublens, CH-1014 Lausanne, Switzerland

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<jats:p> Adenosine is an inhibitor of neuronal activity in the brain. The local release of adenosine from grafted cells was evaluated as an <jats:italic>ex vivo</jats:italic> gene therapy approach to suppress synchronous discharges and epileptic seizures. Fibroblasts were engineered to release adenosine by inactivating the adenosine-metabolizing enzymes adenosine kinase and adenosine deaminase. After encapsulation into semipermeable polymers, the cells were grafted into the brain ventricles of electrically kindled rats, a model of partial epilepsy. Grafted rats provided a nearly complete protection from behavioral seizures and a near-complete suppression of afterdischarges in electroencephalogram recordings, whereas the full tonic–clonic convulsions in control rats remained unaltered. Thus, the local release of adenosine resulting in adenosine concentrations <25 nM at the site of action is sufficient to suppress seizure activity and, therefore, provides a potential therapeutic principle for the treatment of drug-resistant partial epilepsies. </jats:p>

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