Evidence map›Paper›PMID 40103938›Full record

ArticleFrontiers in neurology2025

Gene mutations linked to drug-resistant epilepsy in astrocytoma.

Kanitpong Phabphal, Anukoon Kaewborisutsakul, Kittinun Leetanaporn, Pongsakorn Choochuen, Thara Tunthanathip, Raphatphorn Navakanitworakul, Surasak Sangkhathat

Abstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Prognosis of subarachnoid hemorrhage determined by intracranial pressure thresholds.Journal of cerebrovascular and endovascular neurosurgery · 2025
    Article
  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

7 authors.

Kanitpong Phabphal *Unit of Neurology, Department of Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Anukoon Kaewborisutsakul *Unit of Neurological Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Kittinun LeetanapornDepartment of Biomedical Sciences and Biomedical Engineering, Prince of Songkla University, Songkhla, Thailand.
Pongsakorn ChoochuenDepartment of Biomedical Sciences and Biomedical Engineering, Prince of Songkla University, Songkhla, Thailand.
Thara TunthanathipUnit of Neurological Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Raphatphorn NavakanitworakulDepartment of Biomedical Sciences and Biomedical Engineering, Prince of Songkla University, Songkhla, Thailand.
Surasak SangkhathatDepartment of Surgery, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Epilepsy is common in gliomas, particularly astrocytomas, even in patients who have undergone total tumor resection. Resistance to antiseizure drugs presents a significant challenge in managing epilepsy. Seizure outcomes after brain surgery for drug-resistant epilepsy (DRE) are heterogeneous and difficult to predict using models that evaluate current clinical, imaging, and electrophysiological variables. This study aimed to investigate possible correlations between genetic mutations and antiseizure resistance using whole-exome sequencing. Methods: Tumor samples from a medical biobank were subjected to whole-exome sequencing, and the contribution of 64 genes from a previous report was analyzed. Results: Fifteen patients had DRE. Compared to the patients who showed drug responsiveness, patients in the DRE group exhibited mutations in glutamate receptor genes ( Discussion: These findings suggest that somatic gene mutations are closely linked to DRE. Identifying the molecular basis of antiseizure drug resistance is crucial for improving the management of DRE.

Indexed as

astrocytomadrug resistancedrug-resistant epilepsyexome sequencingreceptors

Identifiers

PMID40103938
PMCPMC11913685

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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.