Evidence map›Paper›PMID 32945555›Full record

ArticleEpilepsia2020

Verbal memory dysfunction is associated with alterations in brain transcriptome in dominant temporal lobe epilepsy.

Robyn M Busch, Lamis Yehia, Peter Bazeley, Marilyn Seyfi, Ingmar Blümcke, Bruce P Hermann, Imad M Najm, Charis Eng

Open access · greenAbstract read
In one paragraph

Article in Epilepsia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
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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

8 authors at 3 institutions in 2 countries.

Robyn M BuschEpilepsy Center and Department of Neurology, Neurological Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-5442-4912
Lamis YehiaGenomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-6389-3059
Peter BazeleyDepartment of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.
Marilyn SeyfiGenomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0003-2588-1900
Ingmar BlümckeEpilepsy Center and Department of Neurology, Neurological Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0001-8676-0788
Bruce P HermannDepartment of Neurology, University of Wisconsin, Madison, Wisconsin.ORCID 0000-0003-0133-4427
Imad M NajmEpilepsy Center and Department of Neurology, Neurological Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0001-5192-2089
Charis EngGenomic Medicine Institute, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-3693-5145
Cleveland Clinic · USCleveland Clinic Lerner College of Medicine · USUniversity of Wisconsin–Madison · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Clinical and Translational Science Collaborative of ClevelandKL2TR000440 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$11.1M
Cleveland Clinic Epilepsy CenterLerner Research Institute Center of Excellence for Epilepsy and its Co-morbidities ResearchNCATS NIH HHS KL2 TR000440NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1 TR002548
6 · The paper itself

Abstract

objectiveMemory dysfunction is prevalent in many neurological disorders and can have a significant negative impact on quality of life. The genetic contributions to memory impairment in epilepsy, particularly temporal lobe epilepsy (TLE), remain poorly understood. Here, we compare the brain transcriptome between TLE patients with and without verbal memory impairments to identify genes and signaling networks important for episodic memory.

methodsBrain tissues were resected from 23 adults who underwent dominant temporal lobectomy for treatment of pharmacoresistant epilepsy. To control for potential effects of APOE on memory, only those homozygous for the APOE ε3 allele were included. A battery of memory tests was performed, and patients were stratified into two groups based on preoperative memory performance. The groups were well matched on demographic and disease-related variables. Total RNA-Seq and small RNA-Seq were performed on RNA extracted from the brain tissues. Pathway and integrative analyses were subsequently performed.

resultsWe identified 1092 differentially expressed transcripts (DETs), with the majority (71%) being underexpressed in brain tissues from patients with impaired memory compared to those from patients with intact memory. Enrichment analysis revealed overrepresentation of genes in pathways pertaining to brain-related neurological dysfunction, including a subset associated with neurodegenerative diseases, memory, and cognition (APP, MAPT, PINK1). Despite including patients with identical APOE genotypes, we identify APOE as a differentially expressed gene associated with memory status. Small RNA-Seq identified four differentially expressed microRNAs (miRNAs) that were predicted to target a subset (22%) of all DETs. Integrative analysis showed that these miRNA-predicted DET targets impact brain-related pathways and biological processes also pertinent to memory and cognition. SIGNIFICANCE: TLE-associated memory status may be influenced by differences in gene expression profiles within the temporal lobe. Upstream processes influencing differential expression signatures, such as miRNAs, could serve as biomarkers and potential treatment targets for memory impairment in TLE.

Indexed as

AdultAgedApolipoprotein E3BrainEpilepsy, Temporal LobeFemaleHumansMaleMemory DisordersMiddle AgedRetrospective StudiesSequence Analysis, RNATranscriptomeVerbal LearningYoung AdultApolipoprotein E3epilepsy surgerymemoryRNA-Seqtemporal lobe epilepsytranscriptome

Identifiers

PMID32945555
PMCPMC8525612
OpenAlexW3087672272

What OpenQuestion holds

Textmetadata
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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.