Evidence map›Paper›PMID 31562378›Full record

ArticleScientific reports2019

Intestinal inflammation increases convulsant activity and reduces antiepileptic drug efficacy in a mouse model of epilepsy.

Carmen De Caro, Antonio Leo, Valentina Nesci, Carla Ghelardini, Lorenzo di Cesare Mannelli, Pasquale Striano, Carmen Avagliano, Antonio Calignano, Paolo Mainardi, Andrew Constanti and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
12.8field-weighted citation impact, top 1% 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

51 citing papers in PubMed, 85 citations in OpenAlex.

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  6. Holistic management of epilepsy in adults with intellectual development disorders.Epileptic disorders : international epilepsy journal with videotape · 2026
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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

13 authors at 5 institutions in 2 countries.

Carmen De CaroChair of Pharmacology, Department of Health Sciences, School of Medicine, University of Catanzaro, Catanzaro, Italy.
Antonio LeoChair of Pharmacology, Department of Health Sciences, School of Medicine, University of Catanzaro, Catanzaro, Italy.
Valentina NesciChair of Pharmacology, Department of Health Sciences, School of Medicine, University of Catanzaro, Catanzaro, Italy.
Carla GhelardiniDepartment of Neuroscience, Psychology, Drug Research and Child Health-Neurofarba-Pharmacology and Toxicology Section, University of Florence, Florence, Italy.
Lorenzo di Cesare MannelliDepartment of Neuroscience, Psychology, Drug Research and Child Health-Neurofarba-Pharmacology and Toxicology Section, University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0001-8374-4432
Pasquale StrianoPediatric Neurology and Muscular Diseases Unit, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, "G. Gaslini" Institute, Genoa, Italy.ORCID http://orcid.org/0000-0002-6065-1476
Carmen AvaglianoDepartment of Pharmacy, University of Naples Federico II, Naples, Italy.
Antonio CalignanoDepartment of Pharmacy, University of Naples Federico II, Naples, Italy.
Paolo MainardiMedical Science Liason (MSL) Kolfarma Srl, Genoa, Italy.
Andrew ConstantiDepartment of Pharmacology, UCL School of Pharmacy, 29/39 Brunswick Square, London, United Kingdom.
Rita CitraroChair of Pharmacology, Department of Health Sciences, School of Medicine, University of Catanzaro, Catanzaro, Italy.
Giovambattista De SarroChair of Pharmacology, Department of Health Sciences, School of Medicine, University of Catanzaro, Catanzaro, Italy.
Emilio RussoChair of Pharmacology, Department of Health Sciences, School of Medicine, University of Catanzaro, Catanzaro, Italy. erusso@unicz.it.ORCID http://orcid.org/0000-0002-1279-8123
University of Florence · ITUniversity of Naples Federico II · ITMagna Graecia University · ITUniversity College London · GBUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We studied the effects of intestinal inflammation on pentylenetetrazole (PTZ)-induced seizures in mice and the effects thereon of some antiepileptic and anti-inflammatory treatments to establish if a link may exist. The agents tested were: alpha-lactoalbumin (ALAC), a whey protein rich in tryptophan, effective in some animal models of epilepsy and on colon/intestine inflammation, valproic acid (VPA), an effective antiepileptic drug in this seizure model, mesalazine (MSZ) an effective aminosalicylate anti-inflammatory treatment against ulcerative colitis and sodium butyrate (NaB), a short chain fatty acid (SCFA) normally produced in the intestine by gut microbiota, important in maintaining gut health and reducing gut inflammation and oxidative stress. Intestinal inflammation was induced by dextran sulfate sodium (DSS) administration for 6 days. Drug treatment was started on day 3 and lasted 11 days, when seizure susceptibility to PTZ was measured along with intestinal inflammatory markers (i.e. NF-κB, Iκ-Bα, COX-2, iNOS), histological damage, disease activity index (DAI) and SCFA concentration in stools. DSS-induced colitis increased seizure susceptibility and while all treatments were able to reduce intestinal inflammation, only ALAC and NaB exhibited significant antiepileptic properties in mice with induced colitis, while they were ineffective as antiepileptics at the same doses in control mice without colitis. Interestingly, in DSS-treated mice, VPA lost part of its antiepileptic efficacy in comparison to preventing seizures in non-DSS-treated mice while MSZ remained ineffective in both groups. Our study demonstrates that reducing intestinal inflammation through ALAC or NaB administration has specific anticonvulsant effects in PTZ-treated mice. Furthermore, it appears that intestinal inflammation may reduce the antiepileptic effects of VPA, although we confirm that it decreases seizure threshold in this group. Therefore, we suggest that intestinal inflammation may represent a valid antiepileptic target which should also be considered as a participating factor to seizure incidence in susceptible patients and also could be relevant in reducing standard antiepileptic drug efficacy.

Indexed as

ConvulsantsPentylenetetrazoleAnimalsAnticonvulsantsAnti-Inflammatory Agents, Non-SteroidalColitisDextran SulfateDisease Models, AnimalEpilepsyMaleMesalamineMiceValproic AcidAnticonvulsantsAnti-Inflammatory Agents, Non-SteroidalConvulsantsDextran SulfateMesalaminePentylenetetrazoleValproic Acid

Identifiers

PMID31562378
PMCPMC6764994
OpenAlexW2976745379

What OpenQuestion holds

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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.