Evidence map›Paper›PMID 24483230›Full record

ArticleEpilepsia2014

Increased cortical extracellular adenosine correlates with seizure termination.

Jamie J Van Gompel, Mark R Bower, Gregory A Worrell, Matt Stead, Su-Youne Chang, Stephan J Goerss, Inyong Kim, Kevin E Bennet, Fredric B Meyer, W Richard Marsh and 2 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Epilepsia, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
10.9field-weighted citation impact, top 1% 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

43 citing papers in PubMed, 83 citations in OpenAlex.

  1. Article
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  10. Biomarkers for Deep Brain Stimulation in Animal Models of Depression.Neuromodulation : journal of the International Neuromodulation Society · 2022
    Review
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4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Jamie J Van GompelDepartment of Neurological Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
Mark R Bower
Gregory A Worrell
Matt Stead
Su-Youne Chang
Stephan J Goerss
Inyong Kim
Kevin E Bennet
Fredric B Meyer
W Richard Marsh
Charles D Blaha
Kendall H Lee
Mayo Clinic · USNeurological Surgery · USUniversity of Memphis · US

Funding

MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
WINCS and DBSR01NS070872 · NINDS · MAYO CLINIC ROCHESTER · PI LEE, KENDALL H. · 2011 to 2015
$1.7M
WincsNanotrode development for DBSR01NS075013 · NINDS · MAYO CLINIC ROCHESTER · PI LEE, KENDALL H. · 2011 to 2015
$1.6M
Microseizures, Ultra-slow & High Frequency Oscillations: Biomarkers of epilepsyR01NS063039 · NINDS · MAYO CLINIC ROCHESTER · PI WORRELL, GREGORY A · 2009 to 2013
$1.5M
Mechanism of Action of Deep Brain StimulationK08NS052232 · NINDS · MAYO CLINIC ROCHESTER · PI LEE, KENDALL H. · 2008 to 2012
$857k
NCRR NIH HHS UL1 RR024150NINDS NIH HHS K08 NS052232NINDS NIH HHS K08 NS 52232NINDS NIH HHS R01 NS063039NINDS NIH HHS R01 NS063039-01NINDS NIH HHS R01 NS070872NINDS NIH HHS R01 NS075013NINDS NIH HHS R01 NS 70872NINDS NIH HHS R01 NS 75013
6 · The paper itself

Abstract

objectiveSeizures are currently defined by their electrographic features. However, neuronal networks are intrinsically dependent on neurotransmitters of which little is known regarding their periictal dynamics. Evidence supports adenosine as having a prominent role in seizure termination, as its administration can terminate and reduce seizures in animal models. Furthermore, microdialysis studies in humans suggest that adenosine is elevated periictally, but the relationship to the seizure is obscured by its temporal measurement limitations. Because electrochemical techniques can provide vastly superior temporal resolution, we test the hypothesis that extracellular adenosine concentrations rise during seizure termination in an animal model and humans using electrochemistry.

methodsWhite farm swine (n = 45) were used in an acute cortical model of epilepsy, and 10 human epilepsy patients were studied during intraoperative electrocorticography (ECoG). Wireless Instantaneous Neurotransmitter Concentration Sensor (WINCS)-based fast scan cyclic voltammetry (FSCV) and fixed potential amperometry were obtained utilizing an adenosine-specific triangular waveform or biosensors, respectively.

resultsSimultaneous ECoG and electrochemistry demonstrated an average adenosine increase of 260% compared to baseline, at 7.5 ± 16.9 s with amperometry (n = 75 events) and 2.6 ± 11.2 s with FSCV (n = 15 events) prior to electrographic seizure termination. In agreement with these animal data, adenosine elevation prior to seizure termination in a human patient utilizing FSCV was also seen. SIGNIFICANCE: Simultaneous ECoG and electrochemical recording supports the hypothesis that adenosine rises prior to seizure termination, suggesting that adenosine itself may be responsible for seizure termination. Future work using intraoperative WINCS-based FSCV recording may help to elucidate the precise relationship between adenosine and seizure termination.

Indexed as

AdenosineAdultAnimalsCerebral CortexElectroencephalographyExtracellular FluidFemaleHumansMaleMiddle AgedSeizuresSwineYoung AdultAdenosineAdenosineAmperometryElectrochemistryEpilepsyFast scan cyclic voltammetryHuman trialLarge animal modelPurineSeizure

Identifiers

PMID24483230
PMCPMC4104491
OpenAlexW1991219514

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.