Evidence map›Paper›PMID 21541221›Full record

ArticleCardiovascular psychiatry and neurology2011

The etiological role of blood-brain barrier dysfunction in seizure disorders.

Nicola Marchi, William Tierney, Andreas V Alexopoulos, Vikram Puvenna, Tiziana Granata, Damir Janigro

Open access · hybridAbstract read
In one paragraph

Article in Cardiovascular psychiatry and neurology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.0field-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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Eclampsia.Journal of education & teaching in emergency medicine · 2021
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Matrix Metalloproteinase-Mediated Blood-Brain Barrier Dysfunction in Epilepsy.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2018
    Article
  14. Article
  15. Review
  16. Review
  17. Observational
  18. Article
  19. Review
  20. Review
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

6 authors at 2 institutions in 2 countries.

Nicola MarchiDepartment of Molecular Medicine, Cleveland Clinic Foundation, NB-20 LRI 9500 Euclid Avenue, Cleveland, OH 44195, USA.
William Tierney
Andreas V Alexopoulos
Vikram Puvenna
Tiziana Granata
Damir Janigro
Cleveland Clinic · USFondazione IRCCS Istituto Neurologico Carlo Besta · IT

Funding

CD 8 T Cell Mediated Disruption of Blood Brain Tight JunctionR01NS060881 · NINDS · UNIVERSITY OF CINCINNATI · PI JOHNSON, AARON J · 2009 to 2013
$1.7M
MECHANISMS OF MULTIDRUG RESISTANCER01NS043284 · NINDS · CLEVELAND CLINIC LERNER COL/MED-CWRU · PI JANIGRO, DAMIR · 2002 to 2005
$1.3M
HETEROGENEITY OF HIPPOCAMPAL GLIAR01NS038195 · NINDS · UNIVERSITY OF WASHINGTON · PI JANIGRO, DAMIR · 1999 to 2002
$574k
Development of predictive in vitro model of drug absorption across the human BBBR21HD057256 · NICHD · CLEVELAND CLINIC LERNER COM-CWRU · PI JANIGRO, DAMIR · 2009 to 2010
$391k
NICHD NIH HHS R21 HD057256NINDS NIH HHS R01 NS038195NINDS NIH HHS R01 NS043284NINDS NIH HHS R01 NS060881
6 · The paper itself

Abstract

A wind of change characterizes epilepsy research efforts. The traditional approach, based on a neurocentric view of seizure generation, promoted understanding of the neuronal mechanisms of seizures; this resulted in the development of potent anti-epileptic drugs (AEDs). The fact that a significant number of individuals with epilepsy still fail to respond to available AEDs restates the need for an alternative approach. Blood-brain barrier (BBB) dysfunction is an important etiological player in seizure disorders, and combination therapies utilizing an AED in conjunction with a "cerebrovascular" drug could be used to control seizures more effectively than AED therapy alone. The fact that the BBB plays an etiologic role in other neurological diseases will be discussed in the context of a more "holistic" approach to the patient with epilepsy, where comorbidity variables are also encompassed by drug therapy.

Identifiers

PMID21541221
PMCPMC3085334
OpenAlexW2064910591

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.