Evidence map›Paper›PMID 18070091›Full record

ArticleEpilepsia2008

Early treatment suppresses the development of spike-wave epilepsy in a rat model.

Hal Blumenfeld, Joshua P Klein, Ulrich Schridde, Matthew Vestal, Timothy Rice, Davender S Khera, Chhitij Bashyal, Kathryn Giblin, Crystal Paul-Laughinghouse, Frederick Wang and 8 more

Abstract readComparative Study
In one paragraph

Article in Epilepsia, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 2 syntheses or guidelines pooled it, 205 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Article
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  7. Review
  8. Review
  9. The role of HCN channels on the effects of T-type calcium channels and GABAPflugers Archiv : European journal of physiology · 2024
    Article
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  17. Critical periods inFrontiers in physiology · 2022
    Review
  18. Article
  19. TheFrontiers in neural circuits · 2021
    Review
  20. Review

20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 2 institutions in 2 countries.

Hal BlumenfeldDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut 06520-8018, USA. hal.blumenfeld@yale.edu
Joshua P Klein
Ulrich Schridde
Matthew Vestal
Timothy Rice
Davender S Khera
Chhitij Bashyal
Kathryn Giblin
Crystal Paul-Laughinghouse
Frederick Wang
Anuradha Phadke
John Mission
Ravi K Agarwal
Dario J Englot
Joshua Motelow
Hrachya Nersesyan
Stephen G Waxman
April R Levin
Neurology, Inc · USInstitute of Neurobiology · BG

Funding

Preventing spike-wave epileptogenesis: critical periods & neuroimaging biomarkersR01NS049307 · NINDS · YALE UNIVERSITY · PI BLUMENFELD, HAL · 2004 to 2010
$2.3M
Neuroimaging, energetics, and neuronal activity in spike-wave seizuresF30NS059074 · NINDS · YALE UNIVERSITY · PI ENGLOT, DARIO J · 2008 to 2010
$91k
NINDS NIH HHS F30 NS059074NINDS NIH HHS R01 NS049307
6 · The paper itself

Abstract

purposeCurrent treatments for epilepsy may control seizures, but have no known effects on the underlying disease. We sought to determine whether early treatment in a model of genetic epilepsy would reduce the severity of the epilepsy phenotype in adulthood.

methodsWe used Wistar albino Glaxo rats of Rijswijk (WAG/Rij) rats, an established model of human absence epilepsy. Oral ethosuximide was given from age p21 to 5 months, covering the usual period in which seizures develop in this model (age approximately 3 months). Two experiments were performed: (1) cortical expression of ion channels Nav1.1, Nav1.6, and HCN1 (previously shown to be dysregulated in WAG/Rij) measured by immunocytochemistry in adult treated rats; and (2) electroencephalogram (EEG) recordings to measure seizure severity at serial time points after stopping the treatment.

resultsEarly treatment with ethosuximide blocked changes in the expression of ion channels Nav1.1, Nav1.6, and HCN1 normally associated with epilepsy in this model. In addition, the treatment led to a persistent suppression of seizures, even after therapy was discontinued. Thus, animals treated with ethosuximide from age p21 to 5 months still had a marked suppression of seizures at age 8 months. DISCUSSION: These findings suggest that early treatment during development may provide a new strategy for preventing epilepsy in susceptible individuals. If confirmed with other drugs and epilepsy paradigms, the availability of a model in which epileptogenesis can be controlled has important implications both for future basic studies, and human therapeutic trials.

Indexed as

AnimalsAnimals, NewbornAnticonvulsantsCerebral CortexCyclic Nucleotide-Gated Cation ChannelsDisease Models, AnimalElectroencephalographyEpilepsy, AbsenceEthosuximideFemaleHumansHyperpolarization-Activated Cyclic Nucleotide-Gated ChannelsIon ChannelsNAV1.1 Voltage-Gated Sodium ChannelNAV1.6 Voltage-Gated Sodium ChannelNerve Tissue ProteinsAnticonvulsantsCyclic Nucleotide-Gated Cation ChannelsEthosuximideHCN1 protein, humanHcn1 protein, ratHyperpolarization-Activated Cyclic Nucleotide-Gated ChannelsIon ChannelsNAV1.1 Voltage-Gated Sodium ChannelNAV1.6 Voltage-Gated Sodium ChannelNerve Tissue ProteinsPotassium ChannelsSCN1A protein, humanScn1a protein, ratScn8a protein, ratSodium Channels

Identifiers

PMID18070091
PMCPMC3143182
OpenAlexW2020372671

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.