Evidence map›Paper›PMID 25012371›Full record

ReviewAdvances in experimental medicine and biology2014

When and how do seizures kill neurons, and is cell death relevant to epileptogenesis?

Ray Dingledine, Nicholas H Varvel, F Edward Dudek

Abstract readReview
In one paragraph

Review in Advances in experimental medicine and biology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

110 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Severe hypernatremia in a dog following activated charcoal treatment for chocolate ingestion.The Canadian veterinary journal = La revue veterinaire canadienne · 2025
    Article
  6. Review
  7. Article
  8. Causal correlation between seizure activity and brain damage.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  9. Article
  10. Pathophysiology of Status Epilepticus Revisited.International journal of molecular sciences · 2025
    Review
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Review
  19. Increasing adult-born neurons protects mice from epilepsy.bioRxiv : the preprint server for biology · 2024
    Article
  20. Review

50 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

3 authors.

Ray DingledineDepartment of Pharmacology, Emory University School of Medicine, Atlanta, GA, 30322, USA, rdingledine@pharm.emory.edu.
Nicholas H Varvel
F Edward Dudek

Funding

Prostanoid modulators that reduce brain injury and inflammation after seizuresU01NS058158 · NINDS · EMORY UNIVERSITY · PI DINGLEDINE, RAYMOND J · 2006 to 2015
$5.9M
Biomarkers for epileptogenesis after brain injuryR01NS086364 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI DUDEK, F. EDWARD, STALEY, KEVIN J. · 2013 to 2017
$3.2M
Prevention of Temporal Lobe EpilepsyP20NS080185 · NINDS · DUKE UNIVERSITY · PI MCNAMARA, JAMES O. · 2012 to 2014
$1.4M
Regulation of epileptogenesis by the transcriptional repressor, RESTR01NS076775 · NINDS · EMORY UNIVERSITY · PI DINGLEDINE, RAYMOND J, HSIEH, JENNY · 2011 to 2014
$1.4M
Ivermectin and human glycine receptor suppression of pharmacoresistant epilepsyR01NS079274 · NINDS · UNIVERSITY OF UTAH · PI DUDEK, F. EDWARD, VAN DEN POL, ANTHONY N · 2012 to 2015
$1.2M
Role of COX2 of Neuronal Origin in Blood-Brain Communication after status epileptR21NS074169 · NINDS · EMORY UNIVERSITY · PI DINGLEDINE, RAYMOND J · 2011 to 2012
$426k
Targeted interneuron ablation and epileptogenesisR21NS079135 · NINDS · UNIVERSITY OF UTAH · PI DUDEK, F. EDWARD · 2012 to 2013
$404k
NINDS NIH HHS NS058158NINDS NIH HHS NS074169NINDS NIH HHS NS076775NINDS NIH HHS NS079135NINDS NIH HHS NS079274NINDS NIH HHS NS086364NINDS NIH HHS P20 NS080185NINDS NIH HHS R01 NS076775NINDS NIH HHS R01 NS079274NINDS NIH HHS R01 NS086364NINDS NIH HHS R21 NS074169NINDS NIH HHS R21 NS079135NINDS NIH HHS U01 NS058158
6 · The paper itself

Abstract

The effect of seizures on neuronal death and the role of seizure-induced neuronal death in acquired epileptogenesis have been debated for decades. Isolated brief seizures probably do not kill neurons; however, severe and repetitive seizures (i.e., status epilepticus) certainly do. Because status epilepticus both kills neurons and also leads to chronic epilepsy, neuronal death has been proposed to be an integral part of acquired epileptogenesis. Several studies, particularly in the immature brain, have suggested that neuronal death is not necessary for acquired epileptogenesis; however, the lack of neuronal death is difficult if not impossible to prove, and more recent studies have challenged this concept. Novel mechanisms of cell death, beyond the traditional concepts of necrosis and apoptosis, include autophagy, phagoptosis, necroptosis, and pyroptosis. The traditional proposal for why neuronal death may be necessary for epileptogenesis is based on the recapitulation of development hypothesis, where a loss of synaptic input from the dying neurons is considered a critical signal to induce axonal sprouting and synaptic-circuit reorganization. We propose a second hypothesis - the neuronal death pathway hypothesis, which states that the biochemical pathways causing programmed neurodegeneration, rather than neuronal death per se, are responsible for or contribute to epileptogenesis. The reprogramming of neuronal death pathways - if true - is proposed to derive from necroptosis or pyroptosis. The proposed new hypothesis may inform on why neuronal death seems closely linked to epileptogenesis, but may not always be.

Indexed as

Cell DeathEpilepsyHumansNeurons

Identifiers

PMID25012371
PMCPMC4624106

What OpenQuestion holds

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Registered trials

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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.