Epilepsy Research (2014) 108, 396—404
j ourna l h om epa ge: www.elsevier.com/locate/epilepsyres
Glutathione pegylated liposomal
methylprednisolone administration after
the early phase of status epilepticus did not
modify epileptogenesis in the rat
Linda Holtman
a
, Erwin A. van Vliet
a,b
, Chantal Appeldoorn
c
,
Pieter J. Gaillard
c
, Marco de Boer
c
, Rick Dorland
c
,
Wytse J. Wadman
a,b
, Jan A. Gorter
a,b,*
a
Swammerdam Institute for Life Sciences, Center for Neuroscience, University of Amsterdam, Science Park
904, 1098 XH Amsterdam, The Netherlands
b
Epilepsy Institute in The Netherlands Foundation (Stichting Epilepsie Instellingen Nederland, SEIN),
Achterweg 5, 2103 SW Heemstede, The Netherlands
c
to-BBB technologies BV, J.H. Oortweg 19, 2333 CH Leiden, The Netherlands
Received 23 July 2013; received in revised form 2 December 2013; accepted 6 January 2014
Available online 31 January 2014
KEYWORDS
Brain inflammation;
Temporal lobe
epilepsy;
Pulse treatment;
Methylprednisolone;
Liposomes
Summary It has been reported that glucocorticoids (GCs) can effectively control seizures
in pediatric epilepsy syndromes, possibly by inhibition of inflammation. Since inflammation is
supposed to be involved in epileptogenesis, we hypothesized that treatment with GCs would
reduce brain inflammation and thereby modify epileptogenesis in a rat model for temporal lobe
epilepsy, in which epilepsy gradually develops after electrically induced status epilepticus (SE).
To prevent the severe adverse effects that are inevitable with long-term GC treatment,
we used liposome nanotechnology (G-Technology
®
) to enhance the sustained delivery to the
brain. Starting 4 h after onset of SE, rats were treated with glutathione pegylated liposomal
methylprednisolone (GSH-PEG liposomal MP) according to a treatment protocol (1× per week;
10 mg/kg) that is effective in other models of neuroinflammation.
Continuous electro-encephalogram (EEG) recordings revealed that SE duration and onset of
spontaneous seizures were not affected by GSH-PEG liposomal MP treatment. The number and
duration of spontaneous seizures were also not different between vehicle and GSH-PEG liposo-
mal MP-treated animals. Six weeks after SE, brain inflammation, as assessed by quantification
of microglia activation, was not reduced by GSH-PEG liposomal MP-treatment. Also, neuronal
cell loss and mossy fiber sprouting were not affected.
∗
Corresponding author at: Swammerdam Institute for Life Sciences, Center for Neuroscience, University of Amsterdam, Science Park 904,
1098 XH Amsterdam, The Netherlands. Tel.: +31 205257893.
E-mail address: j.a.gorter@uva.nl (J.A. Gorter).
0920-1211/$ — see front matter © 2014 Elsevier B.V. All rights reserved.
http://dx.doi.org/10.1016/j.eplepsyres.2014.01.010