Preventing and Treating Epilepsy, Brain Degeneration and Psychiatric Disease Following a Brain Injury Targeting Tau Phosphorylation to Treat and Prevent Acquired Epilepsy, Neurodegeneration and Neuropsychiatric Disease Following a Brain Injury Chief Investigator: Professor Terence O'Brien, Associate Professor Christopher Hovens, Dr Nigel Jones Lead Organisation: The University of Melbourne TAC Neurotrauma Funding: $178,866 Project Start Date: 1 March 2011 Project Summary: This project will explore an entirely new approach to the prevention and treatment of epilepsy and the associated mental health disorders following a brain injury. This involves inhibiting pathological forms of the Tau protein, which has been implicated in the development of epilepsy and neurodegeneration. The drug that will be tested in this study, sodium selenate, has already been demonstrated to be safe and well tolerated in humans, meaning that a positive result from these studies could be expediently translated into clinical studies. Our work to date has demonstrated that treatment sodium selenate specifically enhances the activity of the Tau protein phosphatase, PP2A leading to inhibition of the pathological hyperphosphorylation of Tau which likely plays an important role in the neurodegeneration that develops following a brain injury. Strongly supporting a role for pathological Tau in epilepsy we have found that sodium selenate is effective in suppressing induced seizures in a variety of rodent models. The current study will extend this line of translational research to establish: 1. That treatment with sodium selenate is effective at suppressing spontaneous seizures in rat models of epilepsy following a brain insult (i.e. post-kainic acid status epilepticus and fluid percussion injury); 2. That treatment with sodium selenate is effective at inhibiting epileptogenesis and neurodegeneration following a range of acquired brain insults in rat models (i.e. kindling, post-kainic acid status epilepticus and fluid percussion injury). 3. Treatment with sodium selenate will mitigate the increased tissue expression of total and phospho tau following a brain insult, with and without the development of epilepsy. Publications: (as at Apr 2012) JONES N, NGUYEN T, CORCORAN N, VELAKOULIS D, CHEN T, GRUNDY R, O'BRIEN TJ, HOVENS C. Targeting hyperphosphorylated tau with sodium selenate has preclinical anti-epileptic effects. Neurobiology of Disease 2012;45:897-901. Presentations: None (as at Apr 2012)