Evidence map›Paper›PMID 31525273›Full record

ArticleAnnals of neurology2019

Regression of Epileptogenesis by Inhibiting Tropomyosin Kinase B Signaling following a Seizure.

Kamesh Krishnamurthy, Yang Zhong Huang, Stephen C Harward, Keshov K Sharma, Dylan L Tamayo, James O McNamara

Abstract read
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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 42% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Selected Molecular Targets for Antiepileptogenesis.International journal of molecular sciences · 2021
    Review
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

6 authors at 1 institution in 1 country.

Kamesh KrishnamurthyDepartment of Neurobiology, Duke University, Durham, NC.ORCID 0000-0002-2740-1248
Yang Zhong HuangDepartment of Neurobiology, Duke University, Durham, NC.
Stephen C HarwardDepartment of Neurosurgery, Duke University, Durham, NC.
Keshov K SharmaDepartment of Neurobiology, Duke University, Durham, NC.
Dylan L TamayoDepartment of Neurobiology, Duke University, Durham, NC.
James O McNamaraDepartment of Neurobiology, Duke University, Durham, NC.
Duke University · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007171 · NIGMS · DUKE UNIVERSITY · PI KONTOS, CHRISTOPHER D · 1985 to 2021
$31.2M
Neurotrophins and EpileptogenesisR01NS056217 · NINDS · DUKE UNIVERSITY · PI MCNAMARA, JAMES O. · 2006 to 2023
$6.7M
Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
Cellular and Circuit Mechanisms of Temporal Lobe EpilepsyR01NS097717 · NINDS · DUKE UNIVERSITY · PI MCNAMARA, JAMES O. · 2017 to 2021
$2.2M
TrkB receptor activationF31NS078847 · NINDS · DUKE UNIVERSITY · PI HARWARD, STEPHEN CANNADA · 2012 to 2014
$95k
American Epilepsy SocietyCURE Taking Flight AwardNIGMS NIH HHS T32 GM007171NIGMS NIH HHS T32 GM145449NINDS NIH HHS F31 NS078847NINDS NIH HHS F31NS078847NINDS NIH HHS R01 NS056217NINDS NIH HHS R01 NS097717Wakeman Endowment
6 · The paper itself

Abstract

objectiveTemporal lobe epilepsy (TLE) is a devastating disease in which seizures persist in 35% of patients despite optimal use of antiseizure drugs. Clinical and preclinical evidence implicates seizures themselves as one factor promoting epilepsy progression. What is the molecular consequence of a seizure that promotes progression? Evidence from preclinical studies led us to hypothesize that activation of tropomyosin kinase B (TrkB)-phospholipase-C-gamma-1 (PLCγ1) signaling induced by a seizure promotes epileptogenesis.

methodsTo examine the effects of inhibiting TrkB signaling on epileptogenesis following an isolated seizure, we implemented a modified kindling model in which we induced a seizure through amygdala stimulation and then used either a chemical-genetic strategy or pharmacologic methods to disrupt signaling for 2 days following the seizure. The severity of a subsequent seizure was assessed by behavioral and electrographic measures.

resultsTransient inhibition of TrkB-PLCγ1 signaling initiated after an isolated seizure limited progression of epileptogenesis, evidenced by the reduced severity and duration of subsequent seizures. Unexpectedly, transient inhibition of TrkB-PLCγ1 signaling initiated following a seizure also reverted a subset of animals to an earlier state of epileptogenesis. Remarkably, inhibition of TrkB-PLCγ1 signaling in the absence of a recent seizure did not reduce severity of subsequent seizures.

interpretationThese results suggest a novel strategy for limiting progression or potentially ameliorating severity of TLE whereby transient inhibition of TrkB-PLCγ1 signaling is initiated following a seizure. ANN NEUROL 2019;86:939-950.

Indexed as

AnimalsElectroencephalographyFemaleKindling, NeurologicMaleMiceMice, Inbred C57BLMice, TransgenicProtein Kinase InhibitorsProtein KinasesSeizuresSignal TransductionProtein Kinase InhibitorsProtein Kinasestropomyosin kinase

Identifiers

PMID31525273
PMCPMC7531259
OpenAlexW2973490751

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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.