Evidence map›Paper›PMID 30665946›Full record

ArticleThe Journal of neuroscience : the official journal of the Society for Neuroscience2019

Repetitive Diffuse Mild Traumatic Brain Injury Causes an Atypical Astrocyte Response and Spontaneous Recurrent Seizures.

Oleksii Shandra, Alexander R Winemiller, Benjamin P Heithoff, Carmen Munoz-Ballester, Kijana K George, Michael J Benko, Ivan A Zuidhoek, Michelle N Besser, Dallece E Curley, G Franklin Edwards and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of neuroscience : the official journal of the Society for Neuroscience, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed
8.0field-weighted citation impact, top 2% 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

69 citing papers in PubMed, 126 citations in OpenAlex.

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  17. Role of astrocytes connexins - pannexins in acute brain injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
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9 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

14 authors at 2 institutions in 1 country.

Oleksii ShandraFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia.ORCID 0000-0003-4447-3312
Alexander R WinemillerFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia.
Benjamin P HeithoffFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia.
Carmen Munoz-BallesterFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia.
Kijana K GeorgeFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia.ORCID 0000-0002-2459-9500
Michael J BenkoFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia.ORCID 0000-0002-0741-0788
Ivan A ZuidhoekFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia.
Michelle N BesserFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia.
Dallece E CurleyFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia.ORCID 0000-0002-1562-7979
G Franklin EdwardsFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia.ORCID 0000-0002-5071-5288
Anroux MeyFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia.
Alexys N HarringtonFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia.
Jeremy P KitchenFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia.
Stefanie RobelFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke 24016, Virginia, srobel@vt.edu.ORCID 0000-0001-6716-3670
Biomedical Research Institute · USCarilion Roanoke Memorial Hospital · US

Funding

Evaluating astrocyte loss after traumatic brain injury in initiation of post-traumatic epilepsyR01NS105807 · NINDS · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI ROBEL, STEFANIE · 2018 to 2022
$1.9M
Targeting Connexin43 in post-traumatic epilepsyR21NS107941 · NINDS · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI LAMOUILLE, SAMY, ROBEL, STEFANIE · 2018 to 2019
$443k
NINDS NIH HHS R01 NS105807NINDS NIH HHS R21 NS107941
6 · The paper itself

Abstract

Focal traumatic brain injury (TBI) induces astrogliosis, a process essential to protecting uninjured brain areas from secondary damage. However, astrogliosis can cause loss of astrocyte homeostatic functions and possibly contributes to comorbidities such as posttraumatic epilepsy (PTE). Scar-forming astrocytes seal focal injuries off from healthy brain tissue. It is these glial scars that are associated with epilepsy originating in the cerebral cortex and hippocampus. However, the vast majority of human TBIs also present with diffuse brain injury caused by acceleration-deceleration forces leading to tissue shearing. The resulting diffuse tissue damage may be intrinsically different from focal lesions that would trigger glial scar formation. Here, we used mice of both sexes in a model of repetitive mild/concussive closed-head TBI, which only induced diffuse injury, to test the hypothesis that astrocytes respond uniquely to diffuse TBI and that diffuse TBI is sufficient to cause PTE. Astrocytes did not form scars and classic astrogliosis characterized by upregulation of glial fibrillary acidic protein was limited. Surprisingly, an unrelated population of atypical reactive astrocytes was characterized by the lack of glial fibrillary acidic protein expression, rapid and sustained downregulation of homeostatic proteins and impaired astrocyte coupling. After a latency period, a subset of mice developed spontaneous recurrent seizures reminiscent of PTE in human TBI patients. Seizing mice had larger areas of atypical astrocytes compared with nonseizing mice, suggesting that these atypical astrocytes might contribute to epileptogenesis after diffuse TBI.

Indexed as

AnimalsAstrocytesBrainBrain ConcussionEpilepsy, Post-TraumaticFemaleGliosisMaleMice, Inbred C57BLSeizuresastrogliosisconcussiondiffuse TBIgap junctionsneuroinflammationposttraumatic epilepsy

Identifiers

PMID30665946
PMCPMC6407295
OpenAlexW2912920302

What OpenQuestion holds

Textmetadata
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.