Evidence map›Paper›PMID 34324277›Full record

ArticleEpilepsia open2021

Human herpesvirus 6 and epilepsy.

William H Theodore, Emily Leibovitch, Bridgette J Billioux, Sara K Inati, Kareem Zaghloul, John Heiss, William D Gaillard, Steven Jacobson

Open access · goldAbstract read
In one paragraph

Article in Epilepsia open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

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  8. Human herpesvirus 6 and epilepsy.Epilepsia open · 2021
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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 2 institutions in 1 country.

William H TheodoreDivision of Intramural Research, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.ORCID 0000-0002-4669-5747
Emily LeibovitchDivision of Intramural Research, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.
Bridgette J BilliouxDivision of Intramural Research, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.
Sara K InatiDivision of Intramural Research, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.ORCID 0000-0002-7587-5085
Kareem ZaghloulDivision of Intramural Research, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.ORCID 0000-0001-8575-3578
John HeissDivision of Intramural Research, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.
William D GaillardDepartment of Neurology, Children's National Medical Center, Washington, DC, USA.ORCID 0000-0001-5709-0033
Steven JacobsonDivision of Intramural Research, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.
National Institute of Neurological Disorders and Stroke · USChildren's National · US

Funding

Investigating the neural mechanisms of human cognitive function through intracranial recordingsZIANS003144 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI ZAGHLOUL, KAREEM · 2014 to 2025
$36.1M
Involvement Of Human Viruses Associated With Chronic Neurologic DiseaseZIANS002817 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI JACOBSON, STEVEN · 2009 to 2025
$26.5M
Physiologic And Pharmacologic Studies In EpilepsyZIANS002236 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI THEODORE, WILLIAM · 2009 to 2020
$14.2M
Translational studies of human viruses and chronic neurologic diseaseZIANS003040 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI JACOBSON, STEVEN · 2009 to 2025
$10.1M
Central Nervous System Drug Delivery TechniquesZIANS003051 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI HEISS, JOHN · 2009 to 2025
$9.8M
Intramural NIH HHS ZIA NS002236
6 · The paper itself

Abstract

We investigated the association between human herpesvirus 6 (HHV-6) and mesial temporal sclerosis (MTS) in 87 patients who had surgery for drug-resistant epilepsy. Fifty-four had MTS, 22 focal cortical dysplasia (FCD), four tumors, three vascular malformations, and three a history of encephalitis. We extracted DNA from fresh brain tissue immediately after surgery and performed viral detection with quantitative real-time polymerase chain reaction (PCR) or digital droplet PCR specific for HHV-6A and HHV-6B. Tissue was studied with standard clinical techniques, including hematoxylin and eosin, glial fibrillary acidic protein, and NeuN stains. Twenty-nine of 54 patients with MTS, six of 23 with focal cortical dysplasia (FCD), and one of three with a history of encephalitis were positive for HHV-6 (P < .02). Febrile seizure history was not associated with HHV-6 detection. Patients with MTS had significantly lower seizure onset age than those with other pathologies. Thirteen patients had positron emission tomography with [11C]PBR28, a marker for reactive astrocytes and activated microglia; there was a trend for HHV-6-positive patients to have higher binding in their seizure foci, suggesting inflammation. Our study supports a potential role for HHV-6 in the etiology of MTS.

Indexed as

EpilepsyHerpesvirus 6, HumanDNA, ViralHumansReal-Time Polymerase Chain ReactionTomography, X-Ray ComputedDNA, Viralfocal epilepsyHHV-6mesial temporal sclerosis

Identifiers

PMID34324277
PMCPMC8633468
OpenAlexW3186527407

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.