Evidence map›Paper›PMID 35716052›Full record

ReviewEpilepsia2022

Precision medicine for genetic epilepsy on the horizon: Recent advances, present challenges, and suggestions for continued progress.

Juliet K Knowles, Ingo Helbig, Cameron S Metcalf, Laura S Lubbers, Lori L Isom, Scott Demarest, Ethan M Goldberg, Alfred L George, Holger Lerche, Sarah Weckhuysen and 3 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Epilepsia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
23.0field-weighted citation impact, top 1% 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

60 citing papers in PubMed, 132 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

13 authors at 12 institutions in 4 countries.

Juliet K KnowlesDepartment of Neurology, Division of Child Neurology, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-9214-2991
Ingo HelbigDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-8486-0558
Cameron S MetcalfDepartment of Pharmacology and Toxicology, College of Pharmacy, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0002-1510-0405
Laura S LubbersCitizens United for Research in Epilepsy, Chicago, Illinois, USA.ORCID 0000-0002-1645-9356
Lori L IsomDepartment of Pharmacology, University of Michigan Medical School, Ann Arbor, Michigan, USA.ORCID 0000-0002-9479-6729
Scott DemarestDepartment of Pediatrics and Neurology, University of Colorado, School of Medicine, Aurora, Colorado, USA.ORCID 0000-0002-4544-3724
Ethan M GoldbergDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-7404-735X
Alfred L GeorgeDepartment of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-3993-966X
Holger LercheDepartment of Neurology and Epileptology, Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.ORCID 0000-0002-1783-8710
Sarah WeckhuysenDivision of Neurology, University Hospital Antwerp, Antwerp, Belgium.ORCID 0000-0003-2878-1147
Vicky WhittemoreDivision of Neuroscience, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Rockville, Maryland, USA.
Samuel F BerkovicEpilepsy Research Centre, Department of Medicine, Austin Health, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-4580-841X
Daniel H LowensteinDepartment of Neurology, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-9546-2085
Children's Hospital of Philadelphia · USArc of the United States · USHertie Institute for Clinical Brain Research · DENational Institutes of Health · USNorthwestern University · USStanford Medicine · USThe University of Melbourne · AUUniversity of Antwerp · BEUniversity of California, San Francisco · USUniversity of Colorado Denver · USUniversity of Michigan · USUniversity of Utah · US

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Child Neurologist Career Development Program (CNCDP)K12NS098482 · NINDS · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI SCHLAGGAR, BRADLEY L · 2016 to 2025
$26.2M
Project 3 - Development and investigation of murine models of channelopathy-associated epilepsyU54NS108874 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KISKINIS, EVANGELOS · 2018 to 2022
$12.1M
The Intellectual and Developmental Disabilities Research Center at CHOP/PennU54HD086984 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI ABEL, EDWIN TED G. · 2016 to 2020
$6.3M
Role of SCN1B in Inherited EpilepsyR37NS076752 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ISOM, LORI L. · 2017 to 2023
$4.8M
Multi-Site Validation of Biomarkers and Core Clinical Outcome Measures for Clinical Trials Readiness in CDKL5 Deficiency DisorderU01NS114312 · NINDS · UNIVERSITY OF COLORADO DENVER · PI BENKE, TIMOTHY A, DOWNS, JENNY · 2021 to 2025
$4.7M
ClinGen Expert Curation Panel for the EpilepsiesU24NS120854 · NINDS · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Ingo Helbig, HEATHER C. MEFFORD · 2021 to 2026
$2.0M
Maladaptive Myelination in Pediatric EpilepsyK08NS119800 · NINDS · STANFORD UNIVERSITY · PI KNOWLES, JULIET KLASING · 2021 to 2025
$1.1M
Joint analysis of genomic and electronic medical record data to assess outcomes and drug response in pediatric epilepsiesK02NS112600 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI HELBIG, INGO · 2020 to 2024
$963k
Dynamic two-photon calcium imaging and optogenetic manipulation of epileptic brain circuits in an experimental model of temporal lobe epilepsyK08NS097633 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI GOLDBERG, ETHAN M · 2016 to 2020
$921k
NCATS NIH HHS UL1 TR001878NICHD NIH HHS U54 HD086984NIDA NIH HHS HHSN271201600048CNINDS NIH HHS K02 NS112600NINDS NIH HHS K08 NS097633NINDS NIH HHS K08 NS119800NINDS NIH HHS K12 NS098482NINDS NIH HHS R37 NS076752NINDS NIH HHS U01 NS114312NINDS NIH HHS U24 NS120854NINDS NIH HHS U54 NS108874
6 · The paper itself

Abstract

The genetic basis of many epilepsies is increasingly understood, giving rise to the possibility of precision treatments tailored to specific genetic etiologies. Despite this, current medical therapy for most epilepsies remains imprecise, aimed primarily at empirical seizure reduction rather than targeting specific disease processes. Intellectual and technological leaps in diagnosis over the past 10 years have not yet translated to routine changes in clinical practice. However, the epilepsy community is poised to make impressive gains in precision therapy, with continued innovation in gene discovery, diagnostic ability, and bioinformatics; increased access to genetic testing and counseling; fuller understanding of natural histories; agility and rigor in preclinical research, including strategic use of emerging model systems; and engagement of an evolving group of stakeholders (including patient advocates, governmental resources, and clinicians and scientists in academia and industry). In each of these areas, we highlight notable examples of recent progress, new or persistent challenges, and future directions. The future of precision medicine for genetic epilepsy looks bright if key opportunities on the horizon can be pursued with strategic and coordinated effort.

Indexed as

EpilepsyPrecision MedicineGenetic TestingHumansSeizuresSuggestionepilepsyexome sequencinggenomic medicinepersonalized medicineprecision medicine

Identifiers

PMID35716052
PMCPMC9561034
OpenAlexW4283075077

What OpenQuestion holds

Textmetadata
LicenceTDM
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.