Scientists at the University of Wisconsin–Madison have discovered that an arthritis medication, tofacitinib, can stop seizures and restore memory in mice with epilepsy-like conditions. The drug also reduces brain inflammation caused by epilepsy. If proven effective in humans, it would be the first treatment offering prolonged seizure relief even after discontinuation. This research, led by Professor Avtar Roopra and postdoctoral researcher Olivia Hoffman, could revolutionize epilepsy treatment for millions globally.
Epilepsy, one of the most prevalent neurological disorders, often develops following brain injuries such as strokes or physical impacts. Over time, electrical activity in the brain becomes unbalanced, leading to seizures that cause widespread cell death. Current treatments address symptoms but fail for about a third of patients, leaving brain surgery as the only option for severe cases.
In their groundbreaking study, Hoffman and her team utilized advanced data science techniques to analyze gene expression patterns in epileptic mouse brains. They identified STAT3, a protein central to the JAK signaling pathway, as a key player in seizure activity. A similar analysis of human brain tissue confirmed STAT3's role in epilepsy.
This discovery was bolstered by findings from a large Taiwanese study linking rheumatoid arthritis patients on JAK-inhibitor drugs to lower epilepsy rates. Inspired by these insights, the researchers tested tofacitinib on mice predisposed to epilepsy. Administered during the critical "reignition" phase when seizures re-emerge, the drug proved remarkably effective, eliminating seizures for extended periods and restoring cognitive functions.
The success of this trial has been replicated across different epilepsy models, raising hopes for broader applications. Since tofacitinib is already FDA-approved for arthritis, clinical trials for epilepsy could proceed more swiftly than usual. Despite funding challenges, ongoing research aims to pinpoint which brain cells benefit most from the drug and explore its potential across various epilepsy types.
With further studies underway, this innovative approach holds promise not only for treating seizures but also for reversing cognitive impairments associated with chronic epilepsy. The dual impact of tofacitinib on both seizure control and memory restoration marks a significant advancement in neuroscience, potentially transforming lives worldwide.