Evidence map›Paper›PMID 36460083›Full record

ArticleNeuropharmacology2023

Preclinical development of an EP2 antagonist for post-seizure cognitive deficits.

Nicholas H Varvel, Radhika Amaradhi, Claudia Espinosa-Garcia, Steven Duddy, Ronald Franklin, Avijit Banik, Carlos Alemán-Ruiz, Lisa Blackmer-Raynolds, Wenyi Wang, Tage Honore and 2 more

Open access · greenAbstract read
In one paragraph

Article in Neuropharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Neuroinflammation and Disease: Pathways and Opportunities.Annual review of pharmacology and toxicology · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
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  10. Article
  11. Neuroinflammatory mediators in acquired epilepsy: an update.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Review
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

12 authors at 1 institution in 1 country.

Nicholas H VarvelDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, 30322, Georgia.
Radhika AmaradhiDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, 30322, Georgia.
Claudia Espinosa-GarciaDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, 30322, Georgia.
Steven DuddyDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, 30322, Georgia.
Ronald FranklinDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, 30322, Georgia.
Avijit BanikDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, 30322, Georgia.
Carlos Alemán-RuizDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, 30322, Georgia.
Lisa Blackmer-RaynoldsDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, 30322, Georgia.
Wenyi WangDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, 30322, Georgia.
Tage HonoreDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, 30322, Georgia.
Thota GaneshDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, 30322, Georgia. Electronic address: tganesh@emory.edu.
Raymond DingledineDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Atlanta, GA, 30322, Georgia. Electronic address: rdingle@emory.edu.
Emory University · US

Funding

Development of EP2 Receptor Antagonist to Treat Alzheimer's DiseaseU01AG088113 · NIA · EMORY UNIVERSITY · PI Thota Ganesh, Tage Honore · 2024 to 2026
$5.0M
Development of EP2 receptor antagonists for suppression of Alzheimer's neuropathologyU01AG052460 · NIA · EMORY UNIVERSITY · PI GANESH, THOTA · 2016 to 2020
$3.9M
Exploiting EP2 receptor biology to target seizure-related neuroinflammation selectivelyR01NS112308 · NINDS · EMORY UNIVERSITY · PI VARVEL, NICHOLAS · 2020 to 2024
$2.6M
Brain-invading monocytes promote the deleterious consequences of status epilepticusR01NS112350 · NINDS · EMORY UNIVERSITY · PI VARVEL, NICHOLAS · 2020 to 2025
$1.7M
EP2 Antagonist Development for Post-seizure Cognitive DeficitsUG3NS113879 · NINDS · EMORY UNIVERSITY · PI DINGLEDINE, RAYMOND J, GANESH, THOTA · 2020 to 2020
$475k
NIA NIH HHS U01 AG052460NIA NIH HHS U01 AG088113NINDS NIH HHS R01 NS112308NINDS NIH HHS R01 NS112350NINDS NIH HHS UG3 NS113879
6 · The paper itself

Abstract

Cognitive comorbidities can substantially reduce quality of life in people with epilepsy. Inflammation is a component of all chronic diseases including epilepsy, as well as acute events like status epilepticus (SE). Neuroinflammation is the consequence of several broad signaling cascades including cyclooxygenase-2 (COX-2)-associated pathways. Activation of the EP2 receptor for prostaglandin E2 appears responsible for blood-brain barrier leakage and much of the inflammatory reaction, neuronal injury and cognitive deficit that follows seizure-provoked COX-2 induction in brain. Here we show that brief exposure of mice to TG11-77, a potent, selective, orally available and brain permeant EP2 antagonist, eliminates the profound cognitive deficit in Y-maze performance after SE and reduces delayed mortality and microgliosis, with a minimum effective i.p. dose (as free base) of 8.8 mg/kg. All in vitro studies required to submit an investigational new drug (IND) application for TG11-77 have been completed, and non-GLP dose range-finding toxicology in the rat identified no overt, organ or histopathology signs of toxicity after 7 days of oral administration at 1000 mg/kg/day. Plasma exposure in the rat was dose-linear between 15 and 1000 mg/kg dosing. TG11-77 thus appears poised to continue development towards the initial clinical test of the hypothesis that EP2 receptor modulation after SE can provide the first preventive treatment for one of the chief comorbidities of epilepsy.

Indexed as

EpilepsyStatus EpilepticusAnimalsCognitionCyclooxygenase 2InflammationMiceQuality of LifeRatsReceptors, Prostaglandin E, EP2 SubtypeSeizuresCyclooxygenase 2Receptors, Prostaglandin E, EP2 Subtype

Identifiers

PMID36460083
PMCPMC9894535
OpenAlexW4310857284

What OpenQuestion holds

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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.