Evidence map›Paper›PMID 31393618›Full record

ArticleAnnals of neurology2019

Paradoxical effects of optogenetic stimulation in mesial temporal lobe epilepsy.

Maxime Lévesque, Li-Yuan Chen, Guillaume Etter, Zahra Shiri, Siyan Wang, Sylvain Williams, Massimo Avoli

Abstract read
PubMed Publisher
In one paragraph

Article in Annals of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. GABAFrontiers in neural circuits · 2022
    Pooled it
  2. Article
  3. Hippocampal Chandelier Cells Modulate Seizure Susceptibility and Severity.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  4. Review
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  8. Modulation ofCurrent neuropharmacology · 2025
    Article
  9. Article
  10. Article
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  13. Article
  14. Article
  15. Article
  16. GABACurrent neuropharmacology · 2022
    Review
  17. Review
  18. Article
  19. Article
  20. Disrupting Epileptiform Activity by Preventing Parvalbumin Interneuron Depolarization Block.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Maxime LévesqueMontreal Neurological Institute and Department of Neurology and Neurosurgery, and Department of Physiology, McGill University, Montreal, Quebec, Canada.ORCID 0000-0002-1593-7037
Li-Yuan ChenMontreal Neurological Institute and Department of Neurology and Neurosurgery, and Department of Physiology, McGill University, Montreal, Quebec, Canada.
Guillaume EtterDouglas Mental Health University Institute, McGill University, Montreal, Quebec, Canada.
Zahra ShiriMontreal Neurological Institute and Department of Neurology and Neurosurgery, and Department of Physiology, McGill University, Montreal, Quebec, Canada.
Siyan WangMontreal Neurological Institute and Department of Neurology and Neurosurgery, and Department of Physiology, McGill University, Montreal, Quebec, Canada.
Sylvain WilliamsDouglas Mental Health University Institute, McGill University, Montreal, Quebec, Canada.
Massimo AvoliMontreal Neurological Institute and Department of Neurology and Neurosurgery, and Department of Physiology, McGill University, Montreal, Quebec, Canada.
Montreal Neurological Institute and Hospital · CADouglas Mental Health University Institute · CA

Funding

CIHR MOP119340CIHR MOP130328CIHR PJT153310Savoy Foundation
6 · The paper itself

Abstract

objectiveTo establish the effects induced by long-term, unilateral stimulation of parvalbumin (PV)-positive interneurons on seizures, interictal spikes, and high-frequency oscillations (80-500Hz) occurring after pilocarpine-induced status epilepticus (SE)-a proven model of mesial temporal lobe epilepsy (MTLE)-in transgenic mice expressing or not expressing ChR2.

methodsPV-ChR2 (n = 6) and PV-Cre (n = 6) mice were treated with pilocarpine to induce SE. Three hours after SE onset, unilateral optogenetic stimulation (450nm, 25mW, 20-millisecond pulses delivered at 8Hz for 30 seconds every 2 minutes) of CA3 PV-positive interneurons was implemented for 14 continuous days in both groups.

resultsRates of seizures (p < 0.01), interictal spikes (p < 0.001), and interictal spikes with fast ripples (250-500Hz) (p < 0.001) were lower in PV-ChR2 than in PV-Cre mice. Ripples (80-200Hz) occurring outside of interictal spikes had higher rates in the PV-ChR2 group (p < 0.01), whereas isolated fast ripples had lower rates (p < 0.01). However, seizure probability was higher during optogenetic stimulation in PV-ChR2 compared to PV-Cre animals (p < 0.05).

interpretationOur findings show that the unilateral activation of CA3 PV-positive interneurons exerts anti-ictogenic effects associated with decreased rates of interictal spikes and fast ripples in this MTLE model. However, PV-positive interneuron stimulation can paradoxically trigger seizures in epileptic animals, supporting the notion that γ-aminobutyric acid type A signaling can also initiate ictogenesis. ANN NEUROL 2019;86:714-728.

Indexed as

OptogeneticsAnimalsCA3 Region, HippocampalConvulsantsEpilepsy, Temporal LobeInterneuronsMaleMiceMice, TransgenicPilocarpineSeizuresConvulsantsPilocarpine

Identifiers

PMID31393618
OpenAlexW2968466306

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.