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Advanced Neurology                                             Tetrapleura tetraptera protects the hippocampus



            normal regulation of its cellular and structural components   Ethics approval and consent to participate
            can adversely affect or alter its functions,  as observed
                                               10
            with  the  PTZ  treatment.  In  contrast,  the  functions  and   This study involved the use of animals. Ethical approval
            structure of the hippocampus appear to be protected with   for the  research was obtained from the  Faculty of  Basic
                                                               Medical Sciences Research and Ethical Committee, with
            T. tetraptera pre-treatment in the present study, with the   approval number: UU_FBMSREC_2022_001.
            mechanism of action likely involving the elevation of the
            GABAergic pathway.                                 Consent for publication
              In summary, PTZ-induced kindling in rats, possibly   Not applicable.
            through  GABAergic  inhibition  and glutamatergic
            stimulation, led to mortality from excitotoxicity, Nissl   Availability of data
            substance dispersal, NSE upregulation, and GFAP    Not applicable.
            downregulation in the hippocampal CA3. Pre-treatment
            with  T.  tetraptera  doses  may  have  modulated both  the   Further disclosure
            GABAergic and glutamatergic pathways to suppress
            kindling, resulting in high quantal protection and minimal   Part of this set of findings has been presented in a
            effects on Nissl substance, NSE, and GFAP.         conference and has been published as an abstract.

            5. Conclusion                                      References
                                                               1.   Sumadewi KT, Harkitasari S, Tjandra DC. Biomolecular
            This study demonstrated that PTZ-induced seizures     mechanisms of epileptic seizures and epilepsy: A  review.
            may result in rat mortality, along with histological and   Acta Epileptologica. 2023;5(1):28.
            immunohistochemical alterations in the hippocampal CA3
            region. Oral administration of T. tetraptera fruit extract,      doi: 10.1186/s42494-023-00137-0
            a safe and phytochemical-rich plant, provided protection   2.  WHO. Epilepsy. World Health Organization; 2023. Available
            against PTZ-induced seizures and mortality in Wistar   from: https://www.who.int/news-room/fact-sheets/detail/
            rats. In addition, the extract preserved hippocampal Nissl   epilepsy [Last accessed on 2023 Dec 06].
            substance, NSE, and GFAP expression. The low (250 mg/kg)   3.   Balestrini S, Arzimanoglou A, Blümcke I,  et al. The
            and intermediate (500 mg/kg) doses of T. tetraptera fruit   aetiologies of epilepsy. Epileptic Disord. 2021;23(1):1-16.
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                                                                  epilepsy. IAIM. 2016;3(10):55-61.
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                                                               5.   Beghi E, Giussani G, Nichols E,  et al. Global, regional,
            Acknowledgments                                       and national burden of epilepsy, 1990–2016: A systematic
                                                                  analysis for the Global Burden of Disease Study 2016. Lancet
            None.                                                 Neurol. 2019;18(4):357-375.
            Funding                                               doi: 10.1016/S1474-4422(18)30454-X
            None.                                              6.   Camfield P, Camfield C. Incidence, prevalence and aetiology
                                                                  of seizures and epilepsy in children.  Epileptic Disord.
            Conflict of interest                                  2015;17(2):117-123.
            The authors declare that they have no competing interests.     doi: 10.1684/epd.2015.0736
                                                               7.   Alkoblan FI, Alsoadan MM, Alhajri AA,  et al. Social
            Author contributions                                  anxiety, social support, and quality of life in patients with
                                                                  epilepsy at a tertiary care hospital in Saudi Arabia. Cureus.
            Conceptualization: Clementina F. Iniodu, Moses B. Ekong   2023;15:e45447.
            Formal analysis: Moses B. Ekong
            Investigation: Clementina F. Iniodu                   doi: 10.7759/cureus.45447
            Methodology: Clementina F. Iniodu, Moses B. Ekong   8.   Temple J, Fisher P, Davies C, Millar C, Gemma Cherry M.
            Supervision: Gabriel J. Ekandem, Moses B. Ekong       Psychosocial factors associated with anxiety and depression
            Writing – original draft: Clementina F. Iniodu, Moses B.   in adolescents with epilepsy: A systematic review. Epilepsy
               Ekong                                              Behav. 2023;149:109522.
            Writing – review & editing: All authors               doi: 10.1016/j.yebeh.2023.109522


            Volume 4 Issue 1 (2025)                         90                               doi: 10.36922/an.6862
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