Evidence map›Paper›PMID 26813337›Full record

ArticleEpilepsia2016

Effects of selective serotonin and norepinephrine reuptake inhibitors on depressive- and impulsive-like behaviors and on monoamine transmission in experimental temporal lobe epilepsy.

Udaya Kumar, Jesus-Servando Medel-Matus, Hannah M Redwine, Don Shin, Julie G Hensler, Raman Sankar, Andrey Mazarati

Open access · greenAbstract read
In one paragraph

Article in Epilepsia, 2016. 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
3.0field-weighted citation impact, top 9% 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, 44 citations in OpenAlex.

  1. Pooled it
  2. Electroacupuncture-based vagal stimulation attenuates epileptic seizures through a body-brain circuit.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Review
  4. Article
  5. Pharmaceuticals (Basel, Switzerland) · 2022
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Depression and Anxiety in the Epilepsies: from Bench to Bedside.Current neurology and neuroscience reports · 2020
    Review
  13. Jieyu Anshen Granule, a Chinese Herbal Formulation, Exerts Effects on Poststroke Depression in Rats.Evidence-based complementary and alternative medicine : eCAM · 2020
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  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

7 authors at 1 institution in 1 country.

Udaya KumarDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, California, U.S.A.
Jesus-Servando Medel-MatusDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, California, U.S.A.
Hannah M RedwineDepartment of Pharmacology, University of Texas Health Science Center-San Antonio, San Antonio, Texas, U.S.A.
Don ShinDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, California, U.S.A.
Julie G HenslerDepartment of Pharmacology, University of Texas Health Science Center-San Antonio, San Antonio, Texas, U.S.A.
Raman SankarDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, California, U.S.A.
Andrey MazaratiDepartment of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, California, U.S.A.
University of California, Los Angeles · US

Funding

Mechanisms of comorbidity between epilepsy and depressionR01NS065783 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MAZARATI, ANDREY M · 2010 to 2017
$2.9M
South Texas Advanced Research Training: Undergraduate Program (START-UP)R25NS080684 · NINDS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI FRAZER, ALAN, MORILAK, DAVID A · 2012 to 2014
$741k
Optogenetic treatment of epilepsyassociatedR21NS089396 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GOLSHANI, PEYMAN, MAZARATI, ANDREY M · 2014 to 2015
$424k
NINDS NIH HHS R01 NS065783NINDS NIH HHS R01NS065783NINDS NIH HHS R21 NS089396NINDS NIH HHS R21NS089396NINDS NIH HHS R25 NS080684
6 · The paper itself

Abstract

objectiveExamine therapeutic potential of a selective serotonin reuptake inhibitor (SSRI) and a norepinephrine reuptake inhibitor (NERI) in an animal model of comorbidity between epilepsy, depression-like, and impulsive-like impairments.

methodsEpilepsy was induced in male Wistar rats by LiCl and pilocarpine. An SSRI fluoxetine (FLX), and an NERI reboxetine (RBX) were administered either alone or as a combination over 1 week. Depressive-like and impulsive-like behaviors were examined using the forced swim test. Fast scan cyclic voltammetry was used to analyze serotonergic transmission in the raphe nucleus (RN)-prefrontal cortex (PFC) pathway, and noradrenergic transmission in locus coeruleus (LC)-PFC, and LC-RN projections. Monoamine levels in PFC were measured using high-performance liquid chromatography (HPLC). Functional capacities of 5-HT1A receptors and α2A adrenoreceptors in PFC were analyzed by autoradiography.

resultsEpileptic rats showed behavioral signs of depression and hyperimpulsivity, suppressed serotonergic and noradrenergic tones, decreased levels of serotonin (5-HT), and norepinephrine (NE); 5-HT1A receptor and α2A adrenoreceptors functions remained intact. FLX failed to improve behavioral deficits, but effectively raised 5-HT level and marginally improved RN-PFC serotonergic transmission. RBX reversed impulsive-like behavior, normalized content of NE and noradrenergic tone in LC-PFC and LC-RN. FLX-RBX combination fully reversed depressive-like behavior, and normalized RN-PFC serotonergic transmission. None of the treatment modified the function of 5-HT and NE receptors. SIGNIFICANCE: Depressive- and impulsive-like behaviors in the pilocarpine model of epilepsy stem respectively from dysfunctions of serotonergic and noradrenergic ascending pathways. At the same time, epilepsy-associated depression is SSRI resistant. The finding that an SSRI-NERI combination exerts antidepressant effect, along with RBX-induced improvement of LC-RN noradrenergic transmission point toward the involvement of LC-RN noradrenergic input in enabling therapeutic potential of FLX. Medications that improve serotonergic and noradrenergic transmission, such as serotonin-norepinephrine reuptake inhibitors may be effective in treating epilepsy-associated SSRI-resistant depression, as well as concurrent depression and attention-deficit/hyperactivity disorder (ADHD).

Indexed as

Disease Models, AnimalAnimalsDepressionEpilepsy, Temporal LobeImpulsive BehaviorLocus CoeruleusMaleNorepinephrineRatsRats, WistarSerotoninSerotonin and Noradrenaline Reuptake InhibitorsTreatment OutcomeNorepinephrineSerotoninSerotonin and Noradrenaline Reuptake InhibitorsAttention-deficit/hyperactivity disorderDepressionEpilepsyNorepinephrine reuptake inhibitorSelective serotonin reuptake inhibitor

Identifiers

PMID26813337
PMCPMC4783206
OpenAlexW2257616233

What OpenQuestion holds

Textmetadata
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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.