Evidence map›Paper›PMID 38137462›Full record

ReviewBiomedicines2023

The Evolving Landscape of Therapeutics for Epilepsy in Tuberous Sclerosis Complex.

Giovanni Vitale, Gaetano Terrone, Samuel Vitale, Francesca Vitulli, Salvatore Aiello, Carmela Bravaccio, Simone Pisano, Ilaria Bove, Francesca Rizzo, Panduranga Seetahal-Maraj and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Biomedicines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. 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

11 authors at 4 institutions in 3 countries.

Giovanni VitaleNeuroscience and Rare Diseases, Discovery and Translational Area, Roche Pharma Research and Early Development (pRED), F. Hoffmann-La Roche, 4070 Basel, Switzerland.
Gaetano TerroneDepartment of Translational Medical Sciences, Child and Adolescent Neuropsychiatry, University of Naples Federico II, 80138 Naples, Italy.
Samuel VitaleSchool of Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy.
Francesca VitulliDepartment of Neurosciences and Reproductive and Dental Sciences, Division of Neurosurgery, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0002-8778-1553
Salvatore AielloDepartment of Translational Medical Sciences, Child and Adolescent Neuropsychiatry, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0002-9764-3058
Carmela BravaccioDepartment of Translational Medical Sciences, Child and Adolescent Neuropsychiatry, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0002-6025-2870
Simone PisanoDepartment of Translational Medical Sciences, Child and Adolescent Neuropsychiatry, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0001-5704-4483
Ilaria BoveDepartment of Neurosciences and Reproductive and Dental Sciences, Division of Neurosurgery, University of Naples Federico II, 80138 Naples, Italy.
Francesca RizzoDepartment of Neuroscience "Rita Levi Montalcini", University of Turin, 10126 Turin, Italy.
Panduranga Seetahal-MarajDepartment of Neurosurgery, King's College Hospital NHS Foundation Trust, London SE5 9RS, UK.
Thomas WieseNeuroscience and Rare Diseases, Discovery and Translational Area, Roche Pharma Research and Early Development (pRED), F. Hoffmann-La Roche, 4070 Basel, Switzerland.
University of Naples Federico II · ITRoche (Switzerland) · CHKing's College Hospital NHS Foundation Trust · GBUniversity of Turin · IT

Funding

Roche (Switzerland) 0000
6 · The paper itself

Abstract

Tuberous sclerosis complex (TSC) is a rare multisystem genetic disorder characterized by benign tumor growth in multiple organs, including the brain, kidneys, heart, eyes, lungs, and skin. Pathogenesis stems from mutations in either the TSC1 or TSC2 gene, which encode the proteins hamartin and tuberin, respectively. These proteins form a complex that inhibits the mTOR pathway, a critical regulator of cell growth and proliferation. Disruption of the tuberin-hamartin complex leads to overactivation of mTOR signaling and uncontrolled cell growth, resulting in hamartoma formation. Neurological manifestations are common in TSC, with epilepsy developing in up to 90% of patients. Seizures tend to be refractory to medical treatment with anti-seizure medications. Infantile spasms and focal seizures are the predominant seizure types, often arising in early childhood. Drug-resistant epilepsy contributes significantly to morbidity and mortality. This review provides a comprehensive overview of the current state of knowledge regarding the pathogenesis, clinical manifestations, and treatment approaches for epilepsy and other neurological features of TSC. While narrative reviews on TSC exist, this review uniquely synthesizes key advancements across the areas of TSC neuropathology, conventional and emerging pharmacological therapies, and targeted treatments. The review is narrative in nature, without any date restrictions, and summarizes the most relevant literature on the neurological aspects and management of TSC. By consolidating the current understanding of TSC neurobiology and evidence-based treatment strategies, this review provides an invaluable reference that highlights progress made while also emphasizing areas requiring further research to optimize care and outcomes for TSC patients.

Indexed as

anti-seizure medicationscannabidiolepilepsy in TSCepilepsy managementepilepsy medicationseverolimusmTOR inhibitorsneuropsychiatric symptoms in TSCseizure controlTANDsTSC treatment optionstuberous sclerosis complex

Identifiers

PMID38137462
PMCPMC10741146
OpenAlexW4389437584

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.