Evidence map›Paper›PMID 40002787›Full record

ArticleBiomedicines2025

Hypoxia-Regulated CD44 and xCT Expression Contributes to Late Postoperative Epilepsy in Glioblastoma.

Kosuke Kusakabe, Akihiro Inoue, Takanori Ohnishi, Yawara Nakamura, Yoshihiro Ohtsuka, Masahiro Nishikawa, Hajime Yano, Mohammed E Choudhury, Motoki Murata, Shirabe Matsumoto and 5 more

Abstract read
In one paragraph

Article in Biomedicines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Kosuke KusakabeDepartment of Neurosurgery, Ehime University School of Medicine, 454 Shitsukawa, Toon 791-0295, Ehime, Japan.ORCID 0000-0002-6853-7838
Akihiro InoueDepartment of Neurosurgery, Ehime University School of Medicine, 454 Shitsukawa, Toon 791-0295, Ehime, Japan.ORCID 0000-0002-7438-2369
Takanori OhnishiDepartment of Neurosurgery, Washoukai Sadamoto Hospital, 1-6-1 Takehara, Matsuyama 790-0052, Ehime, Japan.ORCID 0000-0001-8777-6458
Yawara NakamuraDepartment of Neurosurgery, Ehime University School of Medicine, 454 Shitsukawa, Toon 791-0295, Ehime, Japan.
Yoshihiro OhtsukaDepartment of Neurosurgery, Ehime University School of Medicine, 454 Shitsukawa, Toon 791-0295, Ehime, Japan.
Masahiro NishikawaDepartment of Neurosurgery, Ehime University School of Medicine, 454 Shitsukawa, Toon 791-0295, Ehime, Japan.
Hajime YanoDepartment of Molecular and Cellular Physiology, Ehime University School of Medicine, 454 Shitsukawa, Toon 791-0295, Ehime, Japan.
Mohammed E ChoudhuryDepartment of Molecular and Cellular Physiology, Ehime University School of Medicine, 454 Shitsukawa, Toon 791-0295, Ehime, Japan.
Motoki MurataDivision of Genetic Research, ADRES, Ehime University, 3-5-7 Tarumi, Matsuyama 790-8566, Ehime, Japan.
Shirabe MatsumotoDepartment of Neurosurgery, Ehime University School of Medicine, 454 Shitsukawa, Toon 791-0295, Ehime, Japan.
Satoshi SuehiroDepartment of Neurosurgery, Ehime University School of Medicine, 454 Shitsukawa, Toon 791-0295, Ehime, Japan.
Daisuke YamashitaDepartment of Neurosurgery, Ehime University School of Medicine, 454 Shitsukawa, Toon 791-0295, Ehime, Japan.
Seiji ShigekawaDepartment of Neurosurgery, Ehime University School of Medicine, 454 Shitsukawa, Toon 791-0295, Ehime, Japan.
Hideaki WatanabeDepartment of Neurosurgery, Ehime University School of Medicine, 454 Shitsukawa, Toon 791-0295, Ehime, Japan.
Takeharu KuniedaDepartment of Neurosurgery, Ehime University School of Medicine, 454 Shitsukawa, Toon 791-0295, Ehime, Japan.

Funding

Japan Society for the Promotion of Science (JSPS) KAKENHI JP 22K09208
6 · The paper itself

Abstract

BACKGROUND/

objectivesLate epilepsy occurring in the late stage after glioblastoma (GBM) resection is suggested to be caused by increased extracellular glutamate (Glu). To elucidate the mechanism underlying postoperative late epilepsy, the present study aimed to investigate the expressions and relations of molecules related to Glu metabolism in tumor tissues from GBM patients and cultured glioma stem-like cells (GSCs).

methodsExpressions of CD44, xCT and excitatory amino acid transporter (EAAT) 2 and extracellular Glu concentration in GBM patients with and without epilepsy were examined and their relationships were analyzed. For the study using GSCs, expressions and relationships of the same molecules were analyzed and the effects of CD44 knock-down on xCT, EAAT2, and Glu were investigated. In addition, the effects of hypoxia on the expressions of these molecules were investigated.

resultsTumor tissues highly expressed CD44 and xCT in the periphery of GBM with epilepsy, whereas no significant difference in EAAT2 expression was seen between groups with and without epilepsy. Extracellular Glu concentration was higher in patients with epilepsy than those without epilepsy. GSCs displayed reciprocal expressions of CD44 and xCT. Concentrations of extracellular Glu coincided with the degree of xCT expression, and CD44 knock-down elevated xCT expression and extracellular Glu concentrations. Hypoxia of 1% O

conclusionsLate epilepsy after GBM resection was related to extracellular Glu concentrations that were regulated by reciprocal expression of CD44 and xCT, which were stimulated by differential hypoxia for each molecule.

Indexed as

brain tumor-related epilepsyCD44glioblastomaglioma stem cellsglutamatehypoxiaxCT

Identifiers

PMID40002787
PMCPMC11853413

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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.