Evidence map›Paper›PMID 34247456›Full record

ReviewAnnals of clinical and translational neurology2021

Metabolism-based therapies for epilepsy: new directions for future cures.

Mackenzie Cervenka, Juan M Pascual, Jong M Rho, Elizabeth Thiele, Gary Yellen, Vicky Whittemore, Adam L Hartman

Open access · goldAbstract readReview
In one paragraph

Review in Annals of clinical and translational neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 8 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

7 authors at 5 institutions in 1 country.

Mackenzie CervenkaDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Juan M PascualDepartment of Neurology, University of Texas Southwestern, Dallas, Texas, USA.
Jong M RhoDepartments of Neurosciences and Pediatrics, University of California, San Diego, California, USA.ORCID 0000-0001-9886-9924
Elizabeth ThieleDepartment of Neurology, Harvard Medical School, Boston, Massachusetts, USA.
Gary YellenDepartment of Neurobiology, Harvard Medical School, Boston, Massachusetts, USA.
Vicky WhittemoreNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Rockville, Maryland, USA.
Adam L HartmanNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Rockville, Maryland, USA.ORCID 0000-0001-5672-3409
Harvard University · USNational Institutes of Health · USHealth First · USJohns Hopkins University · USUniversity of California San Diego · US

Funding

Dietary treatment of Glut1 deficiency (G1D) - Revision - 1R01NS094257 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI PASCUAL, JUAN M. · 2016 to 2021
$4.0M
High-throughput optimization of genetically-encoded fluorescent biosensorsR01GM124038 · NIGMS · HARVARD MEDICAL SCHOOL · PI YELLEN, GARY I · 2017 to 2025
$2.5M
Mechanisms of seizure resistance in a mouse genetic model with altered metabolismR01NS102586 · NINDS · HARVARD MEDICAL SCHOOL · PI YELLEN, GARY I · 2018 to 2022
$1.9M
Pyruvate dehydrogenase encephalopathy: mechanisms and therapyR01NS102588 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI PASCUAL, JUAN M. · 2017 to 2021
$1.8M
Mechanisms of Seizure Resistance in a Mouse Genetic Model with Altered MetabolismR37NS102586 · NINDS · HARVARD MEDICAL SCHOOL · PI GARY I YELLEN · 2023 to 2026
$1.7M
Metabolic role of the neuronal Na+-dependent citrate transporter implicated in epilepsyR21NS104513 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI METALLO, CHRISTIAN MICHAEL, RHO, JONG MIN · 2018 to 2019
$426k
NIGMS NIH HHS R01 GM124038NINDS NIH HHS R01 NS094257NINDS NIH HHS R01 NS102586NINDS NIH HHS R01 NS102588NINDS NIH HHS R21 NS104513NINDS NIH HHS R37 NS102586
6 · The paper itself

Abstract

objectiveThousands of years after dietary therapy was proposed to treat seizures, how alterations in metabolism relates to epilepsy remains unclear, and metabolism-based therapies are not always effective.

methodsWe consider the state of the science in metabolism-based therapies for epilepsy across the research lifecycle from basic to translational to clinical studies.

resultsThis analysis creates a conceptual framework for creative, rigorous, and transparent research to benefit people with epilepsy through the understanding and modification of metabolism.

interpretationDespite intensive past efforts to evaluate metabolism-based therapies for epilepsy, distinct ways of framing a problem offer the chance to engage different mindsets and new (or newly applied) technologies. A comprehensive, creative, and inclusive problem-directed research agenda is needed, with a renewed and stringent adherence to rigor and transparency across all levels of investigation.

Indexed as

EpilepsyHumans

Identifiers

PMID34247456
PMCPMC8351378
OpenAlexW3183046359

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.