Evidence map›Paper›PMID 21854372›Full record

ArticleEpilepsia2011

Validation of the rat model of cryptogenic infantile spasms.

Tamar Chachua, Mi-Sun Yum, Jana Velíšková, Libor Velíšek

Open access · bronzeAbstract read
In one paragraph

Article in Epilepsia, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
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

46 citing papers in PubMed, 81 citations in OpenAlex.

  1. Article
  2. Infantile epileptic spasms syndrome: Mechanisms and therapeutic approaches.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
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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

4 authors at 1 institution in 1 country.

Tamar ChachuaDepartment of Neurology, Albert Einstein College of Medicine Einstein/Montefiore Comprehensive Epilepsy Center, Bronx, New York, USA.
Mi-Sun Yum
Jana Velíšková
Libor Velíšek
Albert Einstein College of Medicine · US

Funding

Novel mechanism-based treatments for infantile spasmsRC4NS072966 · NINDS · NEW YORK MEDICAL COLLEGE · PI VELISEK, LIBOR · 2010 to 2010
$1.8M
Neuroprotective strategies in seizure-induced damageR01NS056093 · NINDS · NEW YORK MEDICAL COLLEGE · PI VELISKOVA, JANA · 2008 to 2011
$1.4M
Model of Idiopathic Infantile SpasmsR21NS059504 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI VELISEK, LIBOR · 2008 to 2009
$399k
NINDS NIH HHS NS-056093NINDS NIH HHS NS-059504NINDS NIH HHS NS-072966NINDS NIH HHS R01 NS056093NINDS NIH HHS R21 NS059504NINDS NIH HHS RC4 NS072966
6 · The paper itself

Abstract

purposeTo determine whether a new model of cryptogenic infantile spasms consisting of prenatal priming with betamethasone and postnatal trigger of spasms by N-methyl-D-aspartate (NMDA) responds to chronic adrenocorticotropic hormone (ACTH) treatment, and has electroencephalography (EEG) signature, efficacy of treatments, and behavioral impairments similar to those in human infantile spasms.

methodsRats prenatally primed with betamethasone on gestational day 15 were used. Spasms were triggered with NMDA between postnatal days (P) 10 and 15 in a single session or in multiple sessions in one subject. The expression of spasms was compared to prenatally saline-injected controls. Effects of relevant treatments (ACTH, vigabatrin, methylprednisolone, rapamycin) were determined in betamethasone-primed rats. In the rats after spasms, behavioral evaluation was performed in the open field and elevated plus maze on P20-22. KEY

findingsNMDA at P10-15 (the rat "infant" period) triggers the spasms significantly earlier and in greater numbers in the prenatal betamethasone-exposed brain compared to controls. Similar to human condition, the spasms occur in clusters. Repeated trigger of spasms is associated with ictal EEG electrodecrements and interictal large-amplitude waves, a possible rat variant of hypsarrhythmia. Chronic ACTH treatment in a randomized experiment, and chronic pretreatment with methylprednisolone significantly suppress the number of spasms similar to the human condition. Pretreatment with vigabatrin, but not rapamycin, suppressed the spasms. Significant behavioral changes occurred following multiple bouts of spasms. SIGNIFICANCE: The model of infantile spasms has remarkable similarities with the human condition in semiology, EEG, pharmacologic response, and long-term outcome. Therefore, the model can be used to search for novel and more effective treatments for infantile spasms.

Indexed as

Disease Models, AnimalAdrenocorticotropic HormoneAnimalsAnimals, NewbornBetamethasoneElectroencephalographyExploratory BehaviorFemaleGABA AgentsGlucocorticoidsHumansInfant, NewbornMaleMaze LearningMethylprednisoloneN-MethylaspartateAdrenocorticotropic HormoneBetamethasoneGABA AgentsGlucocorticoidsMethylprednisoloneN-MethylaspartateVigabatrin

Identifiers

PMID21854372
PMCPMC3169722
OpenAlexW1607421315

What OpenQuestion holds

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LicenceTDM
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.