Evidence map›Paper›PMID 33863288›Full record

ArticleJournal of neurodevelopmental disorders2021

mTOR inhibitor improves autistic-like behaviors related to Tsc2 haploinsufficiency but not following developmental status epilepticus.

Tomas Petrasek, Iveta Vojtechova, Ondrej Klovrza, Klara Tuckova, Cestmir Vejmola, Jakub Rak, Anna Sulakova, Daniel Kaping, Nadine Bernhardt, Petrus J de Vries and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of neurodevelopmental disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 29 citations in OpenAlex.

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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

12 authors at 7 institutions in 4 countries.

Tomas PetrasekNational Institute of Mental Health, Topolova 748, 250 67, Klecany, Czech Republic. tomas.petrasek@nudz.cz.
Iveta VojtechovaNational Institute of Mental Health, Topolova 748, 250 67, Klecany, Czech Republic.
Ondrej KlovrzaNational Institute of Mental Health, Topolova 748, 250 67, Klecany, Czech Republic.
Klara TuckovaNational Institute of Mental Health, Topolova 748, 250 67, Klecany, Czech Republic.
Cestmir VejmolaNational Institute of Mental Health, Topolova 748, 250 67, Klecany, Czech Republic.
Jakub RakNational Institute of Mental Health, Topolova 748, 250 67, Klecany, Czech Republic.
Anna SulakovaNational Institute of Mental Health, Topolova 748, 250 67, Klecany, Czech Republic.
Daniel KapingNational Institute of Mental Health, Topolova 748, 250 67, Klecany, Czech Republic.
Nadine BernhardtDepartment of Psychiatry, University Hospital and Medical Faculty Carl Gustav Carus, Technical University of Dresden, Dresden, Germany.
Petrus J de VriesDivision of Child & Adolescent Psychiatry, University of Cape Town, Cape Town, South Africa.
Jakub OtahalDepartment of Developmental Epileptology, Institute of Physiology CAS, Prague, Czech Republic.
Robert WaltereitDepartment of Child and Adolescent Psychiatry, University Hospital and Medical Faculty Carl Gustav Carus, Technical University of Dresden, Dresden, Germany. robert.waltereit@med.uni-goettingen.de.ORCID 0000-0002-5338-2765
National Institute of Mental Health · CZCharles University · CZCzech Academy of Sciences, Institute of Physiology · CZNational Institute of Mental Health · JPUniversitätsmedizin Göttingen · DEUniversity Hospital Carl Gustav Carus · DEUniversity of Cape Town · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberous sclerosis complex (TSC), a multi-system genetic disorder often associated with autism spectrum disorder (ASD), is caused by mutations of TSC1 or TSC2, which lead to constitutive overactivation of mammalian target of rapamycin (mTOR). In several Tsc1+/- and Tsc2+/- animal models, cognitive and social behavior deficits were reversed by mTOR inhibitors. However, phase II studies have not shown amelioration of ASD and cognitive deficits in individuals with TSC during mTOR inhibitor therapy. We asked here if developmental epilepsy, common in the majority of individuals with TSC but absent in most animal models, could explain the discrepancy.

methodsAt postnatal day P12, developmental status epilepticus (DSE) was induced in male Tsc2+/- (Eker) and wild-type rats, establishing four experimental groups including controls. In adult animals (n = 36), the behavior was assessed in the paradigms of social interaction test, elevated plus-maze, light-dark test, Y-maze, and novel object recognition. The testing was carried out before medication (T1), during a 2-week treatment with the mTOR inhibitor everolimus (T2) and after an 8-week washing-out (T3). Electroencephalographic (EEG) activity was recorded in a separate set of animals (n = 18).

resultsBoth Tsc2+/- mutation and DSE caused social behavior deficits and epileptiform EEG abnormalities (T1). Everolimus led to a persistent improvement of the social deficit induced by Tsc2+/-, while deficits related to DSE did not respond to everolimus (T2, T3).

conclusionsThese findings may contribute to an explanation why ASD symptoms in individuals with TSC, where comorbid early-onset epilepsy is common, were not reliably ameliorated by mTOR inhibitors in clinical studies.

Indexed as

Autistic DisorderStatus EpilepticusAnimalsHaploinsufficiencyMaleRatsTOR Serine-Threonine KinasesTuberous Sclerosis Complex 2 ProteinmTOR protein, ratTOR Serine-Threonine KinasesTsc2 protein, ratTuberous Sclerosis Complex 2 ProteinAutism spectrum disordersDevelopmental status epilepticusEverolimusmTORTSCTuberous sclerosis complex

Identifiers

PMID33863288
PMCPMC8052752
OpenAlexW3130850167

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.