“…Although, the exact contribution of COX-2 to the epileptogenesis process remains uncertain, the present findings of induction of astrocytic COX-2 in therapy-refractive TLE patients with longstanding and progressive HS may have profound effects on brain function. Activation of the astrocytic metabolism of arachidonic acid leading to increased prostagandin synthesis may promote neuronal damage, either directly through the production of oxygen radicals (Kontos and Povlishock, 1986), or indirectly by modulating glutamate neurotransmitter release and uptake (Gegelashvili and Schousboe, 1997, Manzoni and Mennini, 1997and Bezzi et al, 1998. Accordingly, drugs that inhibit COX activity such as indomethacin, or selective COX-2 inhibitors such as rofecoxib have been found to reduce seizure frequencies and hippocampal cell death in several animal models of epilepsy (Wallenstein, 1987, Wallenstein, 1991, Baran et al, 1994, Paoletti et al, 1998, Kunz and Oliw, 2001and Okada et al, 2001).…”