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In patients with drug-resistant epilepsy (DRE), there may be changes at the genetic, proteomic, and metabolomic levels when comparing epileptic tissues from DRE to normal tissues in traumatic brain injury (TBI). These changes could help in understanding the pathophysiological mechanisms of epilepsy and in identifying new therapeutic targets.
Genomical studies have identified changes in the expression of certain genes within epileptic tissues. These genes may be involved in pathways related to the balance of neuronal excitability and inhibition, synaptic transmission, and cell apoptosis.
Proteomic studies will reveal changes in the abundance and modifications of proteins in epileptic tissues. These could involve proteins related to the control of neuronal excitability and synaptic transmission, such as ion channels, neurotransmitter receptors, and synaptic proteins.
Metabolomic researches will reveal changes in metabolites within epileptic tissues. Epilepsy may lead to disruptions in metabolic pathways, affecting key processes such as energy metabolism, amino acid metabolism, and lipid metabolism.
Sample Size: There is no minimum or maximum, but is expected to be far less than 10.
In summary, patients with drug-resistant epilepsy might have changes in genes, proteomics, and metabolomics within epileptic tissues compared to normal tissue from TBI. Further research into these changes will deepen our understanding of the pathophysiology of epilepsy and guide the need for new treatment strategies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DRE patients | Patients with drug-resistant epilepsy. |
| |
| Traumatic Brain Injury | Individuals with traumatic brain injury. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Routine clinical treatment | Other | Routine clinical treatment is based on the latest international guidelines for DRE. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Single cell RNA sequencing | Cancerous and paracancerous tissues of patients will be subjected to10x Genomics single-cell RNA sequencing, Bulk RNA-seq and spatial transcriptome. | through study completion, an average of one year |
| Measure | Description | Time Frame |
|---|---|---|
| Differentially expressed proteins | Discovering differentially expressed proteins (DEPs) and their roles in DRE patients, we will conduct 4D-DIA quantitative proteomics analysis. | through study completion, an average of one year |
| The concentration of metabolites |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with drug-resistant epilepsy.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wenfeng Zhao, MD | Contact | 010-83198650 | fengfeng_zw@ccmu.edu.cn | |
| Xiaolei Liu, MD & PhD | Contact | 010-83198650 | ring@vip.163.com |
| Name | Affiliation | Role |
|---|---|---|
| Guoguang Zhao, MD & PhD | Xuanwu Hospital, Beijing | Principal Investigator |
| Hongxing Wang, MD & PhD | Xuanwu Hospital, Beijing | Study Director |
| Yongzhi Shan, MD & PhD |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xuanwu Hospital, Capital Medical University | Beijing | 100053 | China |
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| ID | Term |
|---|---|
| D000069279 | Drug Resistant Epilepsy |
| D000070642 | Brain Injuries, Traumatic |
| ID | Term |
|---|---|
| D004827 | Epilepsy |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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Epileptogenic and para-epileptogenic tissues from DRE patients and normal tissues from individuals with traumatic brain injury.
Metabolites of cancerous and paracancerous tissues in patients will be subjected to LC-MS/MS, GC-MS and Desorption Electrospray Ionization - Imaging Mass Spectrometry. |
| through study completion, an average of one year |
| Xuanwu Hospital, Beijing |
| Study Director |
| D001930 |
| Brain Injuries |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |