Evidence map›Paper›PMID 22115940›Full record

ArticleNeurobiology of disease2012

Interictal spikes, seizures and ictal cell death are not necessary for post-traumatic epileptogenesis in vitro.

Yevgeny Berdichevsky, Volodymyr Dzhala, Michelle Mail, Kevin J Staley

Open access · greenAbstract read
In one paragraph

Article in Neurobiology of disease, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

44 citing papers in PubMed, 67 citations in OpenAlex.

  1. Article
  2. Article
  3. Chemogenetics with PSAMGene therapy · 2025
    Article
  4. Selective modulation of epileptic tissue by an adenosine ABritish journal of pharmacology · 2024
    Article
  5. Review
  6. A Dynamic Balance between Neuronal Death and Clearance in anThe Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Disrupting Epileptiform Activity by Preventing Parvalbumin Interneuron Depolarization Block.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Epilepsy-on-a-Chip System for Antiepileptic Drug Discovery.IEEE transactions on bio-medical engineering · 2019
    Article
  15. Review
  16. A Proposed Mechanism for Spontaneous Transitions between Interictal and Ictal Activity.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2019
    Article
  17. Article
  18. Article
  19. Article
  20. Article
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 2 institutions in 1 country.

Yevgeny BerdichevskyDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02129, USA.
Volodymyr Dzhala
Michelle Mail
Kevin J Staley
Harvard University · USMassachusetts General Hospital · US

Funding

Optimizing Organotypic Slices to Study EpileptogenesisR01NS077908 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI STALEY, KEVIN J. · 2011 to 2014
$1.7M
Moderate-throughput screening for anti-epileptogenic drugs.R21NS072258 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI STALEY, KEVIN J. · 2011 to 2012
$470k
NINDS NIH HHS R01 NS077908NINDS NIH HHS R21 NS072258
6 · The paper itself

Abstract

Clinical studies indicate that phenytoin prevents acute post-traumatic seizures but not subsequent post-traumatic epilepsy. We explored this phenomenon using organotypic hippocampal slice cultures as a model of severe traumatic brain injury. Hippocampal slices were cultured for up to eight weeks, during which acute and chronic electrical recordings revealed a characteristic evolution of spontaneous epileptiform discharges, including interictal spikes, seizure activity and electrical status epilepticus. Cell death exhibited an early peak immediately following slicing, and a later secondary peak that coincided with the peak of seizure-like activity. The secondary peak in neuronal death was abolished by either blockade of glutamatergic transmission with kynurenic acid or by elimination of ictal activity and status epilepticus with phenytoin. Withdrawal of kynurenic acid or phenytoin was followed by a sharp increase in spontaneous seizure activity. Phenytoin's anticonvulsant and neuroprotective effects failed after four weeks of continuous administration. These data support the clinical findings that after brain injury, anticonvulsants prevent seizures but not epilepsy or the development of anticonvulsant resistance. We extend the clinical data by showing that secondary neuronal death is correlated with ictal but not interictal activity, and that blocking all three of these sequelae of brain injury does not prevent epileptogenesis in this in vitro model.

Indexed as

Action PotentialsAnimalsAnticonvulsantsBrain InjuriesCell DeathEpilepsyExcitatory Amino Acid AntagonistsHippocampusKynurenic AcidMiceMice, Inbred C57BLOrgan Culture TechniquesPatch-Clamp TechniquesPhenytoinRatsRats, Sprague-DawleyAnticonvulsantsExcitatory Amino Acid AntagonistsKynurenic AcidPhenytoin

Identifiers

PMID22115940
PMCPMC3786688
OpenAlexW2033341118

What OpenQuestion holds

Textmetadata
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.