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Zombie neurons in epilepsy: a burgeoning role for senescence in drug-resistant epilepsy
Gemma L Carvill
Gemma L Carvill
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Commentary

Zombie neurons in epilepsy: a burgeoning role for senescence in drug-resistant epilepsy

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Abstract

Cellular senescence is a cell state induced by irreparable cellular damage. The hallmark of senescence is cell cycle exit, yet neurons, which are postmitotic from birth, have also been found to undergo senescence. Neuronal senescence is prevalent in aging as well as in neurodegenerative disease. However, a role for senescence in epilepsy is virtually unexplored. In this issue of the JCI, Ge and authors used resected brain tissue from individuals with drug-resistant epilepsy, a genetic knockout mouse model, and a chemoconvulsant mouse model, to demonstrate a subset of cortical pyramidal senescent neurons that likely contribute to the pathophysiology of epilepsy. These findings highlight senescence as a possible target in precision-therapy approaches for epilepsy and warrant further investigation.

Authors

Gemma L Carvill

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Figure 1

Senescent neurons contribute to drug-resistant epilepsy.

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Senescent neurons contribute to drug-resistant epilepsy.
Healthy neurons...
Healthy neurons, which are postmitotic from birth, are typically paused in the G0 phase of the cell cycle. Senescent neurons feature a senescence-associated secretory-phenotype (SASP), consisting of inflammatory cytokines and chemokines. They also display DNA damage, decayed nuclear envelopes, and organelle damage, including mitochondria and lysosome degradation. Ge et al. performed patch-seq on neurons from individuals with drug-resistant epilepsy, characterizing neuronal morphological, electrophysiological, and transcriptional profiles. This strategy enriched a subpopulation of pathological cortical pyramidal neurons possessing a senescent phenotype. Neurons with this phenotype expressed markers of cell senescence, including β-galactosidase. They also showed increased expression of cell cycle inhibitors (e.g. P21, P53) typically associated with cell cycle arrest. Notably, a mouse model of chronic epilepsy also induced senescent neurons.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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