Evidence map›Paper›PMID 25771493›Full record

ArticleEpilepsy & behavior : E&B2015

Fluoxetine prevents respiratory arrest without enhancing ventilation in DBA/1 mice.

Chang Zeng, Xiaoyan Long, Joseph F Cotten, Stuart A Forman, Ken Solt, Carl L Faingold, Hua-Jun Feng

Open access · greenAbstract read
In one paragraph

Article in Epilepsy & behavior : E&B, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

29 citing papers in PubMed, 53 citations in OpenAlex.

  1. Sudden Unexpected Death in Epilepsy: Central Respiratory Chemoreception.International journal of molecular sciences · 2025
    Review
  2. Dravet syndrome: novel insights intoFrontiers in neuroscience · 2025
    Review
  3. Review
  4. Article
  5. Seizures Cause Prolonged Impairment of Ventilation, COThe Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Sudden unexpected death in epilepsy.Current opinion in neurology · 2022
    Review
  12. Review
  13. Review
  14. A ketogenic diet protects DBA/1 and Scn1aEpilepsy & behavior : E&B · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  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

7 authors at 4 institutions in 2 countries.

Chang ZengDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA; Health Management Center, Xiangya Hospital, Central South University, Changsha, China.
Xiaoyan LongDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Joseph F CottenDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Stuart A FormanDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Ken SoltDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Carl L FaingoldDepartment of Pharmacology, Southern Illinois University School of Medicine, Springfield, IL, USA.
Hua-Jun FengDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. Electronic address: feng.huajun@mgh.harvard.edu.
Harvard University · USMassachusetts General Hospital · USSouthern Illinois University School of Medicine · USXiangya Hospital Central South University · CN

Funding

Redesigning General Anesthesia (Admin Supp)R01GM104948 · NIGMS · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI BOYDEN, EDWARD S., BROWN, EMERY N · 2012 to 2016
$4.4M
TASK Potassium Channel Antagonists to Treat Opioid Depression of BreathingR01HL117871 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI COTTEN, JOSEPH F · 2013 to 2017
$2.1M
Role of Central 5-HT Transmission in Respiratory Arrest Induced by SeizuresR03NS078591 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI FENG, HUAJUN · 2012 to 2013
$159k
NHLBI NIH HHS R01 HL117871NHLBI NIH HHS R01HL117871NIGMS NIH HHS R01 GM104948NINDS NIH HHS R03 NS078591NINDS NIH HHS R03NS078591
6 · The paper itself

Abstract

Sudden unexpected death in epilepsy (SUDEP) is a fatal epileptic event. DBA/1 mice are a relevant animal model for the study of SUDEP, as these mice exhibit seizure-induced respiratory arrest (S-IRA) leading to death, which has been observed in patients with witnessed SUDEP. Fluoxetine, a selective serotonin (5-hydroxytryptamine or 5-HT) reuptake inhibitor (SSRI), reduces S-IRA in DBA/1 mice. Given that DBA/1 mice with S-IRA can be resuscitated using a ventilator, we hypothesized that breathing stimulants can prevent S-IRA and that fluoxetine prevents S-IRA by enhancing ventilation in these mice. Spontaneous respiratory function in anesthetized or awake DBA/1 mice was examined using noninvasive plethysmography before and after administering fluoxetine or breathing stimulants, doxapram, and 5,6,7,8-tetrahydropyrido[4,3-d]pyrimidine (PK-THPP). The effects of these drugs on S-IRA in DBA/1 mice were tested. As reported previously, systemic administration of fluoxetine reduced S-IRA in awake DBA/1 mice, but fluoxetine in anesthetized and awake DBA/1 mice did not increase basal ventilation or the ventilatory response to 7% CO2. Both doxapram and PK-THPP increased ventilation in room air and in air+7% CO2 in anesthetized DBA/1 mice. However, neither of the breathing stimulants reduced the incidence of S-IRA. Our studies confirm that fluoxetine reduces S-IRA in DBA/1 mice without enhancing basal ventilation in the absence of seizures. Although breathing stimulants increased ventilation in the absence of seizures, they were ineffective in reducing S-IRA, indicating that drug-induced increases in ventilation are insufficient to compensate for S-IRA in DBA/1 mice.

Indexed as

AnimalsDeath, SuddenDisease Models, AnimalEpilepsyFluoxetineMiceMice, Inbred DBAPulmonary VentilationRespiratory InsufficiencySelective Serotonin Reuptake InhibitorsFluoxetineSelective Serotonin Reuptake InhibitorsBreathing stimulantsSeizure-induced respiratory arrestSSRISUDEPVentilation

Identifiers

PMID25771493
PMCPMC4424071
OpenAlexW2039985494

What OpenQuestion holds

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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.