Evidence map›Paper›PMID 30912766›Full record

ArticleJCI insight2019

Pro-inflammatory, IL-17 pathways dominate the architecture of the immunome in pediatric refractory epilepsy.

Pavanish Kumar, Derrick Chan Wei Shih, Amanda Lim, Bhairav Paleja, Simon Ling, Lai Li Yun, Su Li Poh, Adeline Ngoh, Thaschawee Arkachaisri, Joo Guan Yeo and 1 more

Abstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

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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

11 authors.

Pavanish KumarTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore.
Derrick Chan Wei ShihPaediatrics Academic Clinical Programme, KK Women's and Children's Hospital, Singapore, Singapore.
Amanda LimTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore.
Bhairav PalejaTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore.
Simon LingPaediatrics Academic Clinical Programme, KK Women's and Children's Hospital, Singapore, Singapore.
Lai Li YunTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore.
Su Li PohTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore.
Adeline NgohPaediatrics Academic Clinical Programme, KK Women's and Children's Hospital, Singapore, Singapore.
Thaschawee ArkachaisriDuke-NUS Medical School and Rheumatology and Immunology Service, KK Women's and Children's Hospital, Singapore, Singapore.
Joo Guan YeoTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore.
Salvatore AlbaniTranslational Immunology Institute, Singhealth/Duke-NUS Academic Medical Centre, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug refractory epilepsy (RE) is a chronic neurological disease with varied etiology that represents a group of patients whose seizures do not respond to anti-epileptic drugs. The immune system may have a role in seizure and epilepsy development, but the specific mechanisms of inflammation that lead to epileptogenesis and contribute to RE are unknown. Here, we used mass cytometry to comprehensively study the immune system of pediatric patients with RE and compared their immune profile and function with patients with age-matched autoimmune encephalitis (AIE) and healthy controls. Patients with RE and AIE displayed similar immune profiles overall, with changes in CD4+ and CD8+ T-cell subsets and an unbalance toward pro-inflammatory IL-17 production. In addition, patients with RE uniquely showed an altered balance in natural killer cell subsets. A systems level intercellular network analysis identified rewiring of the immune system leading to loss of inhibitory/regulatory intercellular connections and emergence of pro-inflammatory pathogenic functions in neuro-inflammatory immune-cell networks in patients with AIE and RE. These data underscore the contribution of systemic inflammation to the pathogenesis of seizures and epileptogenesis and have direct translational implications in advancing diagnostics and therapeutics design.

Indexed as

CD4-Positive T-LymphocytesCD8-Positive T-LymphocytesChild, PreschoolDrug Resistant EpilepsyEncephalitisHashimoto DiseaseHumansImmunity, CellularInflammationInterleukin-17Killer Cells, NaturalSeizuresT-Lymphocyte SubsetsInterleukin-17Cellular immune responseEpilepsyImmunologyNeuroscienceT cells

Identifiers

PMID30912766
PMCPMC6538358

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Registered trials

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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.