Interleukin-1ß secretion in hippocampal sclerosis patients with mesial temporal lobe epilepsy.

ABSTRACT

Mesial temporal lobe epilepsy with hippocampal sclerosis (MTLE-HS) is a common medically intractable epilepsy syndrome. Although pathogenesis of HS still remains highly controversial, genetics may play a role as a predisposing factor. Previous evidence in a Japanese population revealed that the homozygotes for allele T at position -511 of the interleukin (IL)-1ß gene promoter region (IL-1ß-511 T/T) confers susceptibility to the development of HS. However, whether this polymorphism has an effect on IL-1ß levels in MTLEHS patients was not demonstrated. This study aimed to analyze the distribution of this particular polymorphism in a group of Turkish HS patients and correlate the polymorphism with IL-1ß secretion from the lymphocytes, thus revealing a functional role for IL-1ß in the etiopathogenesis of HS. A single base pair polymorphism at position -511 in the promoter region of the IL-1ß gene was analyzed. The spontaneous and 1 ng/mL lipopolysaccharidestimulated production of IL-1ß by peripheral blood mononuclear cells after 4 and 24 h of incubation were measured by ELISA method. The heterozygous type (-511 C/T) was the most common genotype. There was no difference in frequency of allele -511 T between patients and controls. Analysis of IL-1ß levels, genotype and allele distributions showed no significant difference among the groups (P>0.05). Nevertheless, it was seen that patients who carry a T allele at position -511 of the IL-1ß gene had increased IL-1ß levels. T-allele carriage may be important. Only IL-1ß secretion from the lymphocytes has been assessed in this study. Considering the importance of IL-1ß in the etiopathogenesis of HS, further studies are needed to evaluate locally produced IL-1ß levels.