Evidence map›Paper›PMID 39636294›Full record

ArticleEpilepsia2025

Piriform cortex is an ictogenic trigger zone in the primate brain.

Karen Gale, David Dybdal, Evan Wicker, Carolina Campos-Rodriguez, Rafael S Maior, Catherine Elorette, Ludise Malkova, Patrick A Forcelli

Abstract read
In one paragraph

Article in Epilepsia, 2025. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Antiseizure Networks.Epilepsy currents · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Identification of plasma SEMA3E as the diagnostic biomarker for human epilepsy based on integrated bioinformatics analysis.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  8. Optogenetic stimulation of the dorsal striatum bidirectionally controls seizures.Proceedings of the National Academy of Sciences of the United States of America · 2025
    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.

Karen GaleDepartment of Pharmacology and Physiology, Georgetown University, Washington, District of Columbia, USA.
David DybdalDepartment of Pharmacology and Physiology, Georgetown University, Washington, District of Columbia, USA.
Evan WickerDepartment of Pharmacology and Physiology, Georgetown University, Washington, District of Columbia, USA.
Carolina Campos-RodriguezDepartment of Pharmacology and Physiology, Georgetown University, Washington, District of Columbia, USA.
Rafael S MaiorDepartment of Pharmacology and Physiology, Georgetown University, Washington, District of Columbia, USA.
Catherine EloretteDepartment of Pharmacology and Physiology, Georgetown University, Washington, District of Columbia, USA.
Ludise MalkovaDepartment of Pharmacology and Physiology, Georgetown University, Washington, District of Columbia, USA.
Patrick A ForcelliDepartment of Pharmacology and Physiology, Georgetown University, Washington, District of Columbia, USA.ORCID https://orcid.org/0000-0003-1763-060X

Funding

Neurobehavioral Evaluation CoreP50HD105328 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI WILLIAM Davis GAILLARD · 2021 to 2026
$9.3M
Predoctoral Training in Intergrative NeuroscienceT32NS041231 · NINDS · GEORGETOWN UNIVERSITY · PI Ludise Malkova, Ashley S VanMeter · 2001 to 2026
$6.8M
Optogenetic control of seizures via the basal gangliaR01NS097762 · NINDS · GEORGETOWN UNIVERSITY · PI Patrick Alexander Forcelli · 2016 to 2026
$4.1M
Limbic-midbrain interactions in defense and emotional arousalR01MH120638 · NIMH · GEORGETOWN UNIVERSITY · PI FORCELLI, PATRICK ALEXANDER, MALKOVA, LUDISE · 2020 to 2024
$3.2M
Limbic-Basal Ganglia Circuitry in PTSDR01MH099505 · NIMH · GEORGETOWN UNIVERSITY · PI MALKOVA, LUDISE · 2013 to 2017
$2.3M
Socioemotional Behavior and Amygdala-Based Circuitry in PrimatesR01MH084069 · NIMH · GEORGETOWN UNIVERSITY · PI MALKOVA, LUDISE · 2008 to 2012
$1.9M
GABA-MEDIATED ANTICONVULSANT ACTIONS AND BASAL GANGLIAR01NS020576 · NINDS · GEORGETOWN UNIVERSITY · PI GALE, KAREN N · 1985 to 2005
$1.5M
SUBTHALAMIC CONTROL OF SUBSTANTIA NIGRAL ACTIVITYF31MH010812 · NIMH · GEORGETOWN UNIVERSITY · PI DYBDAL, DAVID J · 1994 to 1996
–
GLUTAMATE TRANSMISSION IN RHINAL CORTEX AND MEMORYR01AG014580 · NIA · GEORGETOWN UNIVERSITY · PI GALE, KAREN N · 1996 to 1999
–
MORPHOLOGY COREP01NS028130 · NINDS · GEORGETOWN UNIVERSITY · PI WRATHALL, JEAN REW · 1990 to 1997
–
Conselho Nacional de Desenvolvimento Científico e Tecnológico 308291/2020-4NIA NIH HHS R01AG014580NICHD NIH HHS P50 HD105328NIMH NIH HHS F31 MH010812NIMH NIH HHS F31MH010812NIMH NIH HHS R01 MH084069NIMH NIH HHS R01MH084069NIMH NIH HHS R01 MH099505NIMH NIH HHS R01MH099505NIMH NIH HHS R01 MH120638NIMH NIH HHS R01MH120638NINDS NIH HHS P01NS028130NINDS NIH HHS R01 NS020576NINDS NIH HHS R01NS020576NINDS NIH HHS R01 NS097762NINDS NIH HHS R01NS097762NINDS NIH HHS T32 NS041231NINDS NIH HHS T32NS041231
6 · The paper itself

Abstract

objectiveArea tempestas, a functionally defined region in the anterior piriform cortex, was identified as a crucial ictogenic trigger zone in the rat brain in the 1980s. However, whether the primate piriform cortex can trigger seizures remains unknown. Here, in a nonhuman primate model, we aimed to localize a similar trigger zone in the piriform cortex and, subsequently, evaluated the ability of focal inhibition of the substantia nigra pars reticulata (SNpr) to suppress the evoked seizures.

methodsFocal microinjection of the γ-aminobutyric acid type A (GABA

resultsWe documented a well-defined region highly susceptible to bicuculline-induced seizures in the piriform cortex, just posterior to the junction of the frontal and temporal lobes, indicating that a functional homolog to the rodent area tempestas is present in the primate brain. Focal infusion of glutamate receptor antagonists into the area tempestas revealed that α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor-mediated, but not N-methyl-D-aspartate-mediated, neurotransmission was necessary for the expression of seizures. Pharmacological inhibition of the SNpr robustly suppressed area tempestas-evoked seizures. SIGNIFICANCE: Together, these data point to the area tempestas as a potent ictogenic zone in the primate brain and underscore the antiseizure effects of inhibition of the SNpr. Building on decades of studies in rodents, our present findings emphasize the relevance of these targets to the primate brain and provide further rationale for exploring these targets for clinical use.

Indexed as

Piriform CortexSeizuresAnimalsBicucullineExcitatory Amino Acid AntagonistsGABA-A Receptor AgonistsGABA-A Receptor AntagonistsMaleMicroinjectionsMuscimolSubstantia NigraBicucullinebicuculline methiodideExcitatory Amino Acid AntagonistsGABA-A Receptor AgonistsGABA-A Receptor AntagonistsMuscimolmacaquenonhuman primatepiriformseizuretemporal lobe epilepsy

Identifiers

PMID39636294
PMCPMC11929115

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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.