Evidence map›Paper›PMID 26040919›Full record

ArticleEpilepsia2015

Genetic variation in the adenosine regulatory cycle is associated with posttraumatic epilepsy development.

Matthew L Diamond, Anne C Ritter, Edwin K Jackson, Yvette P Conley, Patrick M Kochanek, Detlev Boison, Amy K Wagner

Abstract read
In one paragraph

Article in Epilepsia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Adenosine Kinase: An Epigenetic Modulator and Drug Target.Journal of inherited metabolic disease · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Neuroglia and brain energy metabolism.Handbook of clinical neurology · 2025
    Review
  9. New epilepsy therapies in development.Nature reviews. Drug discovery · 2024
    Review
  10. Article
  11. Targeting the adenosine AChinese journal of traumatology = Zhonghua chuang shang za zhi · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review
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 2 institutions in 1 country.

Matthew L DiamondDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.
Anne C RitterDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.
Edwin K JacksonDepartment of Pharmacology and Chemical Biology, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.
Yvette P ConleyDepartment of Health Promotion and Human Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.
Patrick M KochanekDepartment of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.
Detlev BoisonRS Dow Neurobiology Labs, Legacy Research Institute, Portland, Oregon, U.S.A.
Amy K WagnerDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.
University of Pittsburgh · USLegacy Health · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Dopamine Genetic Variants Modulating Recovery After TBIR01HD048162 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WAGNER, AMY K · 2004 to 2008
$1.8M
2,3 cAMP in Traumatic Brain InjuryR01NS087978 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JACKSON, EDWIN KERRY, KOCHANEK, PATRICK M · 2014 to 2018
$1.7M
Genomic Variability and Symptomatology After Traumatic Brain InjuryR01NR013342 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CONLEY, YVETTE P · 2011 to 2013
$1.2M
NCATS NIH HHS UL1 TR000005NICHD NIH HHS R01 HD048162NICHD NIH HHS R01HD048162NINDS NIH HHS R01 NS087978NINDS NIH HHS R01NS087978NINR NIH HHS R01 NR013342NINR NIH HHS R01NR013342
6 · The paper itself

Abstract

objectiveDetermine if genetic variation in enzymes/transporters influencing extracellular adenosine homeostasis, including adenosine kinase (ADK), [ecto-5'-nucleotidase (NT5E), cluster of differentiation 73 (CD73)], and equilibrative nucleoside transporter type-1 (ENT-1), is significantly associated with epileptogenesis and posttraumatic epilepsy (PTE) risk, as indicated by time to first seizure analyses.

methodsNine ADK, three CD73, and two ENT-1 tagging single nucleotide polymorphisms (SNPs) were genotyped in 162 white adults with moderate/severe traumatic brain injury (TBI) and no history of premorbid seizures. Kaplan-Meier models were used to screen for genetic differences in time to first seizure occurring >1 week post-TBI. SNPs remaining significant after correction for multiple comparisons were examined using Cox proportional hazards analyses, adjusting for subdural hematoma, injury severity score, and isolated TBI status. SNPs significant in multivariate models were then entered simultaneously into an adjusted Cox model.

resultsComparing Kaplan-Meier curves, rs11001109 (ADK) rare allele homozygosity and rs9444348 (NT5E) heterozygosity were significantly associated with shorter time to first seizure and an increased seizure rate 3 years post-TBI. Multivariate Cox proportional hazard models showed that these genotypes remained significantly associated with increased PTE hazard up to 3 years post-TBI after controlling for variables of interest (rs11001109: hazard ratio (HR) 4.47, 95% confidence interval (CI) 1.27-15.77, p = 0.020; rs9444348: HR 2.95, 95% CI 1.19-7.31, p = 0.019) . SIGNIFICANCE: Genetic variation in ADK and NT5E may help explain variability in time to first seizure and PTE risk, independent of previously identified risk factors, after TBI. Once validated, identifying genetic variation in adenosine regulatory pathways relating to epileptogenesis and PTE may facilitate exploration of therapeutic targets and pharmacotherapy development.

Indexed as

5'-NucleotidaseAdenosine KinaseAdultBrain InjuriesEpilepsy, Post-TraumaticEquilibrative Nucleoside Transporter 1FemaleGenetic Predisposition to DiseaseGPI-Linked ProteinsHumansMaleMultivariate AnalysisPolymorphism, Single NucleotideProportional Hazards Models5'-NucleotidaseAdenosine KinaseEquilibrative Nucleoside Transporter 1GPI-Linked ProteinsNT5E protein, humanSLC29A1 protein, humanAdenosineEpileptogenesisGeneticsPosttraumatic epilepsyRehabilomicsTraumatic brain injury

Identifiers

PMID26040919
PMCPMC4523397
OpenAlexW1810210262

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.