Evidence map›Paper›PMID 40072465›Full record

ReviewEpilepsia2025

Immunity and neuroinflammation in early stages of life and epilepsy.

Angelica Vega García, María Leonor López-Meraz, Marco I González, Luisa Rocha, Jose Eduardo Peixoto-Santos, Esper Abrão Cavalheiro

Abstract readReview
In one paragraph

Review in Epilepsia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

6 authors.

Angelica Vega GarcíaNeurological Diseases Medical Research Unit, Specialty Hospital, "Dr. Bernardo Sepúlveda", National Medical Center "XXI, Century", Mexican Social Security Institute (IMSS), Mexico City, Mexico.
María Leonor López-MerazLaboratorio de Epilepsia Experimental, Instituto de Investigaciones Cerebrales, Universidad Veracruzana, Veracruz, Mexico.ORCID https://orcid.org/0000-0003-0179-989X
Marco I GonzálezDepartment of Neurology, University of California Davis School of Medicine, Sacramento, California, USA.ORCID https://orcid.org/0009-0009-1488-1615
Luisa RochaPharmacobiology Department, Center for Research and Advanced Studies (Cinvestav), Mexico City, Mexico.ORCID https://orcid.org/0000-0003-4495-9427
Jose Eduardo Peixoto-SantosDepartamento de Neurologia e Neurocirurgia, Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil.ORCID https://orcid.org/0000-0001-7461-1902
Esper Abrão CavalheiroDepartamento de Neurologia e Neurocirurgia, Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil.ORCID https://orcid.org/0000-0002-0854-3582

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 465346/2014-6Fundação de Amparo à Pesquisa do Estado de São Paulo 21/01098-0
6 · The paper itself

Abstract

The immune system is crucial for the correct brain development, and recent findings also point toward central control of immune response. As the immune system is not fully developed at birth, the early years become an important window for infections and for the development of epilepsy. Both central and even peripheral inflammation may impact brain function, promoting opening of the blood-brain/blood and cerebrospinal barriers and allowing entry of immune cells and cytokines, which in turn may affect neuron function and connections. The resident brain immune cells, microglia, besides providing protection, also affect neurons, myelination, and astrocyte function. They may, via the complement system, remove synapses, both physiologically and pathologically. After seizures during development, activated microglia releases proinflammatory molecules, which are detrimental for neurons, and inhibition of microglial activation shows promising antiepileptogenic effects. In addition to cytokines, seizures and excessive excitability stimulate calpain 2 expression, which can promote neuron loss and contribute to amplification of inflammatory responses via stimulation of proinflammatory cytokines. In summary, the immature immune system during postnatal early life may be an important target for the development of long-desired antiepileptogenic drugs.

Indexed as

BrainEpilepsyNeuroinflammatory DiseasesAnimalsCytokinesHumansInflammationMicrogliaCytokinesbrain developmentepilepsyimmune systeminflammation

Identifiers

PMID40072465
PMCPMC12291034

What OpenQuestion holds

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LicenceCC BY
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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.