Evidence map›Paper›PMID 34545200›Full record

ArticleCommunications biology2021

Multimodal electrophysiological analyses reveal that reduced synaptic excitatory neurotransmission underlies seizures in a model of NMDAR antibody-mediated encephalitis.

Sukhvir K Wright, Richard E Rosch, Max A Wilson, Manoj A Upadhya, Divya R Dhangar, Charlie Clarke-Bland, Tamara T Wahid, Sumanta Barman, Norbert Goebels, Jakob Kreye and 6 more

Open access · goldAbstract read
In one paragraph

Article in Communications biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.2field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 44 citations in OpenAlex.

  1. Entropy of the resting state cortex in epilepsy.Biomedical physics & engineering express · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Systemic Complications of Status Epilepticus.Current neurology and neuroscience reports · 2025
    Review
  8. Autoantibodies and Inflammation in Schizophrenia.Psychiatry and clinical neurosciences · 2025
    Review
  9. Article
  10. Mitochondrial Glutamine Metabolism Drives Epileptogenesis in Primary Hippocampal Neurons.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
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  20. Article
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

16 authors at 6 institutions in 3 countries.

Sukhvir K WrightInstitute of Health and Neurodevelopment, College of Health and Life Sciences, Aston University, Birmingham, UK. s.wright5@aston.ac.uk.ORCID 0000-0002-5464-3779
Richard E RoschMRC Centre for Neurodevelopmental Disorders, King's College London, London, UK. richard.rosch@kcl.ac.uk.ORCID 0000-0002-0316-5818
Max A WilsonInstitute of Health and Neurodevelopment, College of Health and Life Sciences, Aston University, Birmingham, UK.ORCID 0000-0003-3317-9433
Manoj A UpadhyaInstitute of Health and Neurodevelopment, College of Health and Life Sciences, Aston University, Birmingham, UK.
Divya R DhangarInstitute of Health and Neurodevelopment, College of Health and Life Sciences, Aston University, Birmingham, UK.ORCID 0000-0002-0363-627X
Charlie Clarke-BlandInstitute of Health and Neurodevelopment, College of Health and Life Sciences, Aston University, Birmingham, UK.
Tamara T WahidInstitute of Health and Neurodevelopment, College of Health and Life Sciences, Aston University, Birmingham, UK.
Sumanta BarmanDepartment of Neurology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Norbert GoebelsDepartment of Neurology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Jakob KreyeGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Berlin, Germany.
Harald PrüssGerman Center for Neurodegenerative Diseases (DZNE) Berlin, Berlin, Germany.ORCID 0000-0002-8283-7976
Leslie JacobsonNuffield Department of Clinical Neurosciences, Oxford University, Oxford, UK.
Danielle S BassettDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-6183-4493
Angela VincentNuffield Department of Clinical Neurosciences, Oxford University, Oxford, UK.
Stuart D GreenhillInstitute of Health and Neurodevelopment, College of Health and Life Sciences, Aston University, Birmingham, UK.ORCID 0000-0002-5038-5258
Gavin L WoodhallInstitute of Health and Neurodevelopment, College of Health and Life Sciences, Aston University, Birmingham, UK. g.l.woodhall@aston.ac.uk.ORCID 0000-0003-1281-9008
Aston University · GBGerman Center for Neurodegenerative Diseases · DEHeinrich Heine University Düsseldorf · DEUniversity of Oxford · GBKing's College London · GBSanta Fe Institute · US

Funding

Wellcome Trust 208938/Z/17/ZWellcome Trust 209164/Z/17/ZWellcome Trust 216613/Z/19/Z
6 · The paper itself

Abstract

Seizures are a prominent feature in N-Methyl-D-Aspartate receptor antibody (NMDAR antibody) encephalitis, a distinct neuro-immunological disorder in which specific human autoantibodies bind and crosslink the surface of NMDAR proteins thereby causing internalization and a state of NMDAR hypofunction. To further understand ictogenesis in this disorder, and to test a potential treatment compound, we developed an NMDAR antibody mediated rat seizure model that displays spontaneous epileptiform activity in vivo and in vitro. Using a combination of electrophysiological and dynamic causal modelling techniques we show that, contrary to expectation, reduction of synaptic excitatory, but not inhibitory, neurotransmission underlies the ictal events through alterations in the dynamical behaviour of microcircuits in brain tissue. Moreover, in vitro application of a neurosteroid, pregnenolone sulphate, that upregulates NMDARs, reduced established ictal activity. This proof-of-concept study highlights the complexity of circuit disturbances that may lead to seizures and the potential use of receptor-specific treatments in antibody-mediated seizures and epilepsy.

Indexed as

Synaptic TransmissionAnimalsAnti-N-Methyl-D-Aspartate Receptor EncephalitisAutoantibodiesDisease Models, AnimalMaleRatsRats, Wistaranti-NMDA receptor autoantibodyAutoantibodies

Identifiers

PMID34545200
PMCPMC8452639
OpenAlexW3199008537

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.