Editorial: Cross-talk of synaptic proteins in neurological diseases
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By
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Anil Annamneedi
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Rushendhiran Kesavan
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Gülcan Akgül
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Rajkumar Vutukuri
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June 8, 2026
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Clinical Scorecard: Interactions of Synaptic Proteins in Neurological Disorders
At a Glance
| Category | Detail |
| Condition | Neurological and neurodevelopmental disorders |
| Key Mechanisms | Synaptic protein interactions, glutamatergic signaling, AMPA receptor dynamics |
| Target Population | Patients with epilepsy, Alzheimer's disease, Autism Spectrum Disorder (ASD) |
| Care Setting | Clinical pathology and research settings |
Key Highlights
- Disruption of synaptic balance can lead to various neurological disorders.
- AMPA receptors play a crucial role in synaptic strength and plasticity.
- Human brain tissue studies reveal chronic depletion of synaptic proteins in epilepsy.
- Shared genetic architecture links ASD and epilepsy through presynaptic dysfunction.
- S100B protein may protect against amyloid-β toxicity in Alzheimer's disease.
Guideline-Based Recommendations
Diagnosis
- Utilize human tissue samples for accurate pathology in epilepsy research.
- Consider genetic risk factors in the assessment of ASD and epilepsy.
Management
- Explore therapeutic strategies targeting synaptic dysfunction.
- Investigate the role of presynaptic alterations in treatment approaches.
Monitoring & Follow-up
- Assess AMPA receptor phosphorylation levels in epilepsy patients.
- Monitor S100B expression in relation to amyloid-β exposure.
Risks
- Chronic seizure conditions may lead to synaptic protein depletion.
- Early life seizure history could impact excitatory synaptic regulation.
Patient & Prescribing Data
Individuals with drug-resistant temporal lobe epilepsy and Alzheimer's disease
Focus on synaptic integrity and receptor dynamics for potential therapeutic interventions.
Clinical Best Practices
- Integrate findings from basic structural biology into clinical practice.
- Utilize precision medicine approaches based on genetic insights.
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