Evidence map›Paper›PMID 31486590›Full record

ArticleEMBO molecular medicine2019

Dynorphin-based "release on demand" gene therapy for drug-resistant temporal lobe epilepsy.

Alexandra S Agostinho, Mario Mietzsch, Luca Zangrandi, Iwona Kmiec, Anna Mutti, Larissa Kraus, Pawel Fidzinski, Ulf C Schneider, Martin Holtkamp, Regine Heilbronn and 1 more

Open access · goldAbstract read
In one paragraph

Article in EMBO molecular medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.3field-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

30 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Targeting the trunk of multi-root common epilepsy with gene therapy.Molecular therapy. Methods & clinical development · 2025
    Article
  7. State-of-the-art gene therapy in epilepsy.Current opinion in neurology · 2025
    Review
  8. Neuroendocrine Control of Synaptic Transmission by PHAC-1 inThe Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. A novel AAV9-dual microRNA-vector targetingMolecular therapy. Methods & clinical development · 2024
    Article
  14. Adeno-Associated Viral Vectors in the Treatment of Epilepsy.International journal of molecular sciences · 2024
    Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Evaluation of the SH-SY5Y cell line as anFrontiers in molecular neuroscience · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Alexandra S AgostinhoDepartment of Pharmacology, Medical University of Innsbruck, Innsbruck, Austria.
Mario MietzschInstitute of Virology, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Luca ZangrandiDepartment of Pharmacology, Medical University of Innsbruck, Innsbruck, Austria.
Iwona KmiecDepartment of Pharmacology, Medical University of Innsbruck, Innsbruck, Austria.
Anna MuttiDepartment of Pharmacology, Medical University of Innsbruck, Innsbruck, Austria.
Larissa KrausDepartment of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Epilepsy-Center Berlin-Brandenburg, Berlin, Germany.
Pawel FidzinskiDepartment of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Epilepsy-Center Berlin-Brandenburg, Berlin, Germany.
Ulf C SchneiderDepartment of Neurosurgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Martin HoltkampDepartment of Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Epilepsy-Center Berlin-Brandenburg, Berlin, Germany.
Regine HeilbronnInstitute of Virology, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.ORCID 0000-0001-6412-3278
Christoph SchwarzerDepartment of Pharmacology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0002-6373-3717
Humboldt-Universität zu Berlin · DEInnsbruck Medical University · AT

Funding

Austrian Science Fund FWF P 30592
6 · The paper itself

Abstract

Focal epilepsy represents one of the most common chronic CNS diseases. The high incidence of drug resistance, devastating comorbidities, and insufficient responsiveness to surgery pose unmet medical challenges. In the quest of novel, disease-modifying treatment strategies of neuropeptides represent promising candidates. Here, we provide the "proof of concept" that gene therapy by adeno-associated virus (AAV) vector transduction of preprodynorphin into the epileptogenic focus of well-accepted mouse and rat models for temporal lobe epilepsy leads to suppression of seizures over months. The debilitating long-term decline of spatial learning and memory is prevented. In human hippocampal slices obtained from epilepsy surgery, dynorphins suppressed seizure-like activity, suggestive of a high potential for clinical translation. AAV-delivered preprodynorphin expression is focally and neuronally restricted and release is dependent on high-frequency stimulation, as it occurs at the onset of seizures. The novel format of "release on demand" dynorphin delivery is viewed as a key to prevent habituation and to minimize the risk of adverse effects, leading to long-term suppression of seizures and of their devastating sequel.

Indexed as

Gene ExpressionAnimalsDependovirusDisease Models, AnimalDynorphinsEpilepsy, Temporal LobeGene Expression RegulationGenetic TherapyGenetic VectorsHumansMiceModels, TheoreticalNeurotransmitter AgentsOrgan Culture TechniquesRatsTransduction, GeneticDynorphinsNeurotransmitter Agentsadeno-associated viruslearningmemoryneuropeptideseizure

Identifiers

PMID31486590
PMCPMC6783645
OpenAlexW2971918006

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.