Pre-clinical in-vivo and in-vitro investigations to discover new anti-epileptogenic drugs and their cellular targets

Lead Research Organisation: University of Oxford
Department Name: Clinical Neurosciences

Abstract

For my PhD research I propose to work on the discovery of new antiepileptogenic substances and to contribute to our understanding of how they work. For patients with epilepsy the uncertainty about when the next seizure will occur impairs their quality of life more than the seizure itself. It is therefore desirable to not only lower seizure frequency, but to achieve seizure freedom. As epilepsy is not curable today this can unfortunately often only be reached through life-long medication with anti-seizure drugs. Thus, it is crucial to develop anti-epileptogenic drugs (AEDs) that permanently reduce the cerebral excitability instead of only controlling seizures. However, such drugs are not yet available. Amongst others, this is due to the insufficient output of preclinical research of new antiepileptogenic substances. As antiepileptogenesis is a fascinating emerging field in neuroscience, I want to spent my PhD investigating such AEDs in preclinical research. Specifically, I propose to start with examining cellular components that potentially participate in epileptogenesis in order to unravel possible targets for new AEDs. I plan to do this in specimens obtained from patients with epilepsy by surgery or autopsy, as well as from animals with chronic epilepsy, for example induced by status epilepticus or kindling. Additionally, I intend to test the outcome of treatment with respective agents in such animal models. Therefore, I propose to perform randomized and blind tests in an animal model of chronic epilepsy by injection of different doses of potential AEDs, as well as of a control solution (e.g. physiological saline solution) at various time points prior, during
and after the induction of epilepsy. The outcome of a treatment with respective agents could be determined by observing the animals and their seizure frequency over a long period and by examination of isolated brain slices and singular cells, for example with electrophysiological measurements and patch clamp investigations. On one hand my goal is to find molecular biological components in cerebral cells suitable for targeting with AEDs. On the other hand, I aim to successfully prove the antiepileptogenic potential of agents targeting such structures in animal models so that they then can be used for clinical trials. Since epilepsy is a common neurological condition (over 1% of the population suffer from epilepsy), I believe that the development of antiepileptogenic medication is fundamental for the well-being of many people. As I already have research experience in diverse medical disciplines and am very enthusiastic about neuroscience and specifically epilepsy research, I am well-suited for undertaking a PhD at University of Oxford.

Publications

10 25 50

Studentship Projects

Project Reference Relationship Related To Start End Student Name
MR/N013468/1 01/10/2016 30/09/2025
1826429 Studentship MR/N013468/1 01/10/2016 23/04/2021 Paula Rocktaeschel (nee Roepenack)
 
Description Cheney School Science Festival 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact Outreach activity to inform about astrocytes and their function in the healthy and diseased brain. We attended the Cheney Science School Festival, which attracts approx. 1000 local visitors, with posters about astrocytes as well as a fun activity in a ball pond symbolising the synaptic space.
Year(s) Of Engagement Activity 2019
 
Description IF Science Festival Oxford 2018 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact We aimed to design a stand with fun hands-on activities as part of the Oxford Neuroscience presence at the IF Oxford 2018 to introduce the public to the existence and function of astrocytes in the human brain.

The general perception of the brain is of a collection of firing neurons. However, recent research breakthroughs have shown that the non-neuronal "other" cells, named glial cells, are essential for proper brain function and play an important role in neurological disorders. Out of the several types of glial non-neuronal cells, we decided to focus on astrocytes to illustrate the latest paradigms on the role of the glial non-neuronal cells in health and disease.

Our stand was designed around three main parts:

1) On posters, we introduced the public audience to the term "astrocyte" and explained the shape and anatomy of these non-neuronal cells in the brain. Furthermore, we outlined the breakthroughs in astrocyte research since their discovery by Rudolph Virchow.

2) On A3 handouts, we explained how astrocytes function in the healthy brain and talked about their role in neurological conditions. Astrocytes play an important role in isolating synapses which is known as their "passive function". More importantly, astrocytes have an active function supporting neuronal firing and synapse maturation, for example through active release of gliotransmitters and clearance of neurotransmitters. They even have their own neuron-independent signalling.
Astrocytic malfunctioning plays an important role in various neurological disorders such as Epilepsy, Alzheimer's Disease or Multiple Sclerosis. To each of these diseases we dedicated a separate handout explaining how astrocytes contribute to the disease mechanism.

3) We used a big ball pond (3x3m) filled with lots of colorful balls to demonstrate the synaptic clearance function in a fun hands-on activity. The ball pond resembled the synatic space and up to six visitors (kids and adults) could take on the astrocytic role by jumping into the ball pond. We then mimicked synaptic neurotransmitter release by throwing in 60 flashing balls which had to be fished out by the visitors as quickly as possible. We measured the time it took them to clear the synaptic space and kept a record of it throughout the day so that each team could try to beat its predecessors.


This activity was part of the Explorazone of the festival which ran at the Oxford Town Hall for a whole weekend and attracted more than 4000 visitors in total. I chaired the development and execution of this activity together with two other researchers from Oxford Neuroscience. We had some very interesting discussions with members of the general public about brain functioning, astrocytes, brain diseases and how we use our stem cell research to tackle questions regarding glial function. On the weekend, we were also asked to bring our activity to another science festival in Oxford which will take place in March 2019.
Year(s) Of Engagement Activity 2018
URL https://if-oxford.com/wp-content/uploads/2018/08/IF-2018-programme_A4-for-web.pdf