Evidence map›Paper›PMID 26054437›Full record

ArticleNeurobiology of disease2015

Potent anti-seizure effects of D-leucine.

Adam L Hartman, Polan Santos, Kenneth J O'Riordan, Carl E Stafstrom, J Marie Hardwick

Open access · greenAbstract read
In one paragraph

Article in Neurobiology of disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Promising Application of D-Amino Acids toward Clinical Therapy.International journal of molecular sciences · 2022
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Advances in D-Amino Acids in Neurological Research.International journal of molecular sciences · 2020
    Review
  12. Article
  13. Review
  14. Article
  15. d-Leucine: Evaluation in an epilepsy model.Epilepsy & behavior : E&B · 2018
    Article
  16. Article
  17. Article
  18. The changing face of dietary therapy for epilepsy.European journal of pediatrics · 2016
    Review
  19. 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

5 authors at 3 institutions in 1 country.

Adam L HartmanDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA; W. Harry Feinstone Department of Molecular Microbiology and Immunology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205, USA. Electronic address: ahartma2@jhmi.edu.
Polan SantosDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Kenneth J O'RiordanDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USA.
Carl E StafstromDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA; Department of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, WI 53705, USA.
J Marie HardwickDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA; W. Harry Feinstone Department of Molecular Microbiology and Immunology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205, USA. Electronic address: hardwick@jhu.edu.
Johns Hopkins University · USUniversity of Wisconsin–Madison · USJohns Hopkins Medicine · US

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
REGULATION OF BCL XL BY CASPASESR01NS037402 · NINDS · JOHNS HOPKINS UNIVERSITY · PI HARDWICK, J. MARIE · 1999 to 2014
$4.5M
Mechanisms of NeurodegenerationR01NS083373 · NINDS · JOHNS HOPKINS UNIVERSITY · PI HARDWICK, J. MARIE · 2013 to 2017
$1.8M
Mitochodrial Dynamics in Metabolism-based Therapies for EpilepsyK08NS070931 · NINDS · JOHNS HOPKINS UNIVERSITY · PI HARTMAN, ADAM L · 2011 to 2015
$932k
NCATS NIH HHS 1UL1TR001079NCATS NIH HHS UL1 TR001079NINDS NIH HHS K08 NS070931NINDS NIH HHS K08NS070931NINDS NIH HHS R01 NS037402NINDS NIH HHS R01NS037402NINDS NIH HHS R01 NS083373NINDS NIH HHS R01NS083373
6 · The paper itself

Abstract

There are no effective treatments for millions of patients with intractable epilepsy. High-fat ketogenic diets may provide significant clinical benefit but are challenging to implement. Low carbohydrate levels appear to be essential for the ketogenic diet to work, but the active ingredients in dietary interventions remain elusive, and a role for ketogenesis has been challenged. A potential antiseizure role of dietary protein or of individual amino acids in the ketogenic diet is understudied. We investigated the two exclusively ketogenic amino acids, L-leucine and L-lysine, and found that only L-leucine potently protects mice when administered prior to the onset of seizures induced by kainic acid injection, but not by inducing ketosis. Unexpectedly, the D-enantiomer of leucine, which is found in trace amounts in the brain, worked as well or better than L-leucine against both kainic acid and 6Hz electroshock-induced seizures. However, unlike L-leucine, D-leucine potently terminated seizures even after the onset of seizure activity. Furthermore, D-leucine, but not L-leucine, reduced long-term potentiation but had no effect on basal synaptic transmission in vitro. In a screen of candidate neuronal receptors, D-leucine failed to compete for binding by cognate ligands, potentially suggesting a novel target. Even at low doses, D-leucine suppressed ongoing seizures at least as effectively as diazepam but without sedative effects. These studies raise the possibility that D-leucine may represent a new class of anti-seizure agents, and that D-leucine may have a previously unknown function in eukaryotes.

Indexed as

AnimalsAnticonvulsantsKainic AcidLeucineLong-Term PotentiationMaleMiceSeizuresSynaptic TransmissionTreatment OutcomeAnticonvulsantsKainic AcidLeucineAmino acidsEpilepsyKainic acidPreclinical testing

Identifiers

PMID26054437
PMCPMC4640989
OpenAlexW584730017

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.