Elevated serum plasminogen activator inhibitor-1 is associated with seizure burden, drug resistance, and neuroinflammatory markers in pediatric epilepsy - Scorecard - MDSpire

Elevated serum plasminogen activator inhibitor-1 is associated with seizure burden, drug resistance, and neuroinflammatory markers in pediatric epilepsy

  • By

  • Xiao Xiao

  • Xiaoyan Shi

  • Jun Feng

  • Xinyu Zhou

  • Manli Wang

  • Bingbing Zhang

  • Chen Xu

  • Jihong Tang

  • July 14, 2026

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Clinical Scorecard: Increased Levels of Serum Plasminogen Activator Inhibitor-1 Correlate with Seizure Frequency, Drug Resistance, and Neuroinflammatory Indicators in Children with Epilepsy

At a Glance

CategoryDetail
ConditionPediatric Epilepsy
Key MechanismsNeuroinflammation and blood-brain barrier disruption
Target PopulationChildren with epilepsy
Care SettingClinical research study

Key Highlights

  • Serum PAI-1 levels significantly elevated in epilepsy patients compared to controls.
  • PAI-1 correlates positively with seizure frequency and drug resistance.
  • PAI-1 is a potential diagnostic biomarker for epilepsy with an AUC of 0.916.
  • Higher PAI-1 levels are associated with neuroinflammatory markers and poorer quality of life.
  • PAI-1 may serve as a risk-stratification biomarker for treatment resistance.

Guideline-Based Recommendations

Diagnosis

  • Utilize PAI-1 levels as a biomarker for diagnosing epilepsy.

Management

  • Consider PAI-1 levels in assessing seizure burden and treatment resistance.

Monitoring & Follow-up

  • Monitor PAI-1 levels for potential changes in seizure frequency and treatment response.

Risks

  • Elevated PAI-1 levels may indicate increased risk of drug-resistant epilepsy.

Patient & Prescribing Data

Pediatric patients with epilepsy

Understanding PAI-1 levels may guide treatment strategies and risk assessment.

Clinical Best Practices

  • Incorporate PAI-1 level assessment in the clinical evaluation of pediatric epilepsy.
  • Use PAI-1 as a marker for monitoring neuroinflammation and seizure severity.

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