Evidence map›Paper›PMID 36346130›Full record

ArticleBrain : a journal of neurology2023

Glycolysis regulates neuronal excitability via lactate receptor, HCA1R.

Daria Skwarzynska, Huayu Sun, John Williamson, Izabela Kasprzak, Jaideep Kapur

Open access · greenAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

28 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
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  5. Tanycyte-derived lactate activates astrocytic HCAR1 to modulate glutamatergic signaling and POMC neuron excitability.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  7. Article
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  9. Article
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  15. Review
  16. Hyperpolarized [1-Brain communications · 2025
    Article
  17. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Daria SkwarzynskaNeuroscience Graduate Program, University of Virginia, Charlottesville, VA 22908, USA.
Huayu SunDepartment of Neurology, University of Virginia, Charlottesville, VA 22908, USA.
John WilliamsonDepartment of Neurology, University of Virginia, Charlottesville, VA 22908, USA.
Izabela KasprzakDepartment of Neurology, University of Virginia, Charlottesville, VA 22908, USA.
Jaideep KapurDepartment of Neurology, University of Virginia, Charlottesville, VA 22908, USA.
University of Virginia · US

Funding

TREATMENT OF STATUS EPILEPTICUSR01NS040337 · NINDS · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI KAPUR, JAIDEEP · 2000 to 2021
$5.0M
Secondarily generalized tonic clonic seizure; a functional anatomyR37NS119012 · NINDS · UNIVERSITY OF VIRGINIA · PI Jaideep Kapur · 2021 to 2026
$3.4M
Motor cortex plasticity in temporal lobe epilepsyR01NS120945 · NINDS · UNIVERSITY OF VIRGINIA · PI KAPUR, JAIDEEP · 2021 to 2025
$2.5M
NINDS NIH HHS R01 NS040337NINDS NIH HHS R01 NS120945NINDS NIH HHS R37 NS119012
6 · The paper itself

Abstract

Repetitively firing neurons during seizures accelerate glycolysis to meet energy demand, which leads to the accumulation of extracellular glycolytic by-product lactate. Here, we demonstrate that lactate rapidly modulates neuronal excitability in times of metabolic stress via the hydroxycarboxylic acid receptor type 1 (HCA1R) to modify seizure activity. The extracellular lactate concentration, measured by a biosensor, rose quickly during brief and prolonged seizures. In two epilepsy models, mice lacking HCA1R (lactate receptor) were more susceptible to developing seizures. Moreover, HCA1R deficient (knockout) mice developed longer and more severe seizures than wild-type littermates. Lactate perfusion decreased tonic and phasic activity of CA1 pyramidal neurons in genetically encoded calcium indicator 7 imaging experiments. HCA1R agonist 3-chloro-5-hydroxybenzoic acid (3CL-HBA) reduced the activity of CA1 neurons in HCA1R WT but not in knockout mice. In patch-clamp recordings, both lactate and 3CL-HBA hyperpolarized CA1 pyramidal neurons. HCA1R activation reduced the spontaneous excitatory postsynaptic current frequency and altered the paired-pulse ratio of evoked excitatory postsynaptic currents in HCA1R wild-type but not in knockout mice, suggesting it diminished presynaptic release of excitatory neurotransmitters. Overall, our studies demonstrate that excessive neuronal activity accelerates glycolysis to generate lactate, which translocates to the extracellular space to slow neuronal firing and inhibit excitatory transmission via HCA1R. These studies may identify novel anticonvulsant target and seizure termination mechanisms.

Indexed as

Lactic AcidNeuronsAnimalsHippocampusMiceMice, KnockoutPyramidal CellsSeizuresLactic Acidepileptic seizuresHCA1Rlactatelactate receptorneuronal excitability

Identifiers

PMID36346130
PMCPMC10411940
OpenAlexW4308549736

What OpenQuestion holds

Textmetadata
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.