Evidence map›Paper›PMID 38086378›Full record

ArticleCell reports. Medicine2023

Microcircuit failure in STXBP1 encephalopathy leads to hyperexcitability.

Altair Brito Dos Santos, Silas Dalum Larsen, Liangchen Guo, Paola Barbagallo, Alexia Montalant, Matthijs Verhage, Jakob Balslev Sørensen, Jean-François Perrier

Open access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2023. 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
1.8field-weighted citation impact, top 15% 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, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. [Adeno-associated virus-mediated gene therapy for genetic epilepsy: prospects and challenges].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Review
  4. Cognitive and Motor Dysfunction in STXBP1 R406H Mice.Journal of molecular neuroscience : MN · 2026
    Article
  5. Article
  6. Article
  7. GABAergic/Glycinergic and Glutamatergic Neurons Mediate Distinct Neurodevelopmental Phenotypes ofThe Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  8. 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

8 authors at 2 institutions in 3 countries.

Altair Brito Dos SantosDepartment of Neuroscience, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N, Denmark.
Silas Dalum LarsenDepartment of Neuroscience, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N, Denmark.
Liangchen GuoDepartment of Neuroscience, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N, Denmark.
Paola BarbagalloDepartment of Neuroscience, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N, Denmark.
Alexia MontalantDepartment of Neuroscience, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N, Denmark.
Matthijs VerhageDepartment of Functional Genomics, Center for Neurogenomics and Cognitive Research (CNCR), Vrije Universiteit Amsterdam and Amsterdam University Medical Center, De Boelelaan 1085, 1081 HV Amsterdam, the Netherlands; Department of Human Genetics, Center for Neurogenomics and Cognitive Research (CNCR), Vrije Universiteit Amsterdam and Amsterdam University Medical Center, De Boelelaan 1085, 1081 HV Amsterdam, the Netherlands.
Jakob Balslev SørensenDepartment of Neuroscience, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N, Denmark.
Jean-François PerrierDepartment of Neuroscience, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N, Denmark. Electronic address: perrier@sund.ku.dk.
University of Copenhagen · DKCognitive Research (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

De novo mutations in STXBP1 are among the most prevalent causes of neurodevelopmental disorders and lead to haploinsufficiency, cortical hyperexcitability, epilepsy, and other symptoms in people with mutations. Given that Munc18-1, the protein encoded by STXBP1, is essential for excitatory and inhibitory synaptic transmission, it is currently not understood why mutations cause hyperexcitability. We find that overall inhibition in canonical feedforward microcircuits is defective in a P15-22 mouse model for Stxbp1 haploinsufficiency. Unexpectedly, we find that inhibitory synapses formed by parvalbumin-positive interneurons were largely unaffected. Instead, excitatory synapses fail to recruit inhibitory interneurons. Modeling confirms that defects in the recruitment of inhibitory neurons cause hyperexcitation. CX516, an ampakine that enhances excitatory synapses, restores interneuron recruitment and prevents hyperexcitability. These findings establish deficits in excitatory synapses in microcircuits as a key underlying mechanism for cortical hyperexcitability in a mouse model of Stxbp1 disorder and identify compounds enhancing excitation as a direction for therapy.

Indexed as

Brain DiseasesAnimalsHumansMiceMunc18 ProteinsMutationNeuronsSynapsesSynaptic TransmissionMunc18 ProteinsSTXBP1 protein, humanStxbp1 protein, mousecortexepilepsyfeedforward inhibitionmicrocircuitsneurodevelopmental encephalopathysynaptic transmission

Identifiers

PMID38086378
PMCPMC10772346
OpenAlexW4389555143

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.