Evidence map›Paper›PMID 40053059›Full record

ArticleEpilepsia open2025

Statins' protective effects on focal epilepsy are independent of LDL-C.

Zhen Sun, Jing Zhang, Yulong Li, Miao Tuo, Limin Yu, Yun Wang, Yanping Sun

Abstract read
In one paragraph

Article in Epilepsia open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

7 authors.

Zhen SunDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.ORCID https://orcid.org/0009-0001-4751-1348
Jing ZhangDepartment of Endocrinology and Metabolism, The Affiliated Hospital of Qingdao University, Qingdao, China.
Yulong LiDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Miao TuoDepartment of Nursing, The Affiliated Hospital of Qingdao University, Qingdao, China.
Limin YuDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Yun WangDepartment of Neurology, Zhucheng Integrated Traditional Chinese and Western Medicine Hospital, Weifang, China.
Yanping SunDepartment of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China.ORCID https://orcid.org/0009-0007-0911-6957

Funding

National Natural Science Foundation of China 82071453
6 · The paper itself

Abstract

objectiveThis study evaluates the potential protective effects of statins against epilepsy, focusing on their differential impacts on focal and generalized epilepsy. It investigates the role of statins through the HMGCR gene and associated low-density lipoprotein (LDL) cholesterol levels.

methodsA two-sample Mendelian randomization (MR) and summary-data-based MR (SMR) approach were employed using genetic instruments from genome-wide association studies (GWASs) and expression quantitative trait loci (eQTLs). Subgroup analyses examined focal and generalized epilepsy, with sensitivity tests, including MR-Egger regression and MR-PRESSO, to assess horizontal pleiotropy and robustness.

resultsSMR analysis found no significant association between HMGCR expression and epilepsy risk across subtypes (p > 0.05). However, inverse-variance-weighted MR (IVW-MR) showed that elevated LDL cholesterol mediated by HMGCR was linked to an increased risk of focal epilepsy (OR = 1.251, 95% CI = 1.135-1.378). No such association was observed for generalized epilepsy. Statins showed promise in reducing post-stroke epilepsy risk, likely through anti-inflammatory and neuroprotective effects. SIGNIFICANCE: The findings suggest that statins' protective effects may be subtype-specific, particularly in post-stroke focal epilepsy. Further research is needed to elucidate underlying mechanisms and optimize their therapeutic potential in epilepsy management. PLAIN LANGUAGE SUMMARY: Statins, drugs typically used to manage cholesterol, may also lower the risk of developing certain types of epilepsy, especially post-stroke focal epilepsy, by reducing inflammation and protecting brain cells. The research found no clear effect of statins on generalized epilepsy or epilepsy caused by other factors. These results could aid in creating better treatments for epilepsy in the future.

Indexed as

Cholesterol, LDLEpilepsies, PartialEpilepsy, GeneralizedHydroxymethylglutaryl-CoA Reductase InhibitorsGenome-Wide Association StudyHumansHydroxymethylglutaryl CoA ReductasesMendelian Randomization AnalysisQuantitative Trait LociCholesterol, LDLHMGCR protein, humanHydroxymethylglutaryl-CoA Reductase InhibitorsHydroxymethylglutaryl CoA ReductasesepilepsyHMGCR geneLDL cholesterolMendelian randomizationpost‐stroke epilepsystatins

Identifiers

PMID40053059
PMCPMC12014916

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.