Evidence map›Paper›PMID 40517292›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2025

AAV-mediated gene therapy for focal epilepsy by expressing neuropeptide Y and Y2 receptor in rodent and non-human primate hippocampus.

Barbara Terzic, Esbjörn Melin, Pernilla Fagergren, David Dobry, Stefano Cattaneo, Iris Giupponi, Barbara Bettegazzi, Michele Simonato, Karin Agerman, Merab Kokaia and 2 more

Abstract read
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 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. Article
  2. [Adeno-associated virus-mediated gene therapy for genetic epilepsy: prospects and challenges].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Review
  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

12 authors.

Barbara TerzicSpark Therapeutics, Inc., Philadelphia, PA 19104, USA.
Esbjörn MelinCombiGene AB, 114 34 Stockholm, Sweden. Electronic address: esbjornmelin@hotmail.com.
Pernilla FagergrenCombiGene AB, 114 34 Stockholm, Sweden.
David DobrySpark Therapeutics, Inc., Philadelphia, PA 19104, USA.
Stefano CattaneoIRCCS Neuromed, 86077 Pozzilli IS, Italy.
Iris GiupponiDivision of Neuroscience, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Barbara BettegazziDivision of Neuroscience, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy; Vita-Salute San Raffaele University, 20132 Milan, Italy.
Michele SimonatoDivision of Neuroscience, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy; Department of Neuroscience and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.
Karin AgermanCombiGene AB, 114 34 Stockholm, Sweden.
Merab KokaiaCombiGene AB, 114 34 Stockholm, Sweden; Epilepsy Center, Department of Clinical Sciences, Lund University, 221 00 Lund, Sweden.
Lawrence MoonSpark Therapeutics, Inc., Philadelphia, PA 19104, USA.
Elizabeth RamsburgSpark Therapeutics, Inc., Philadelphia, PA 19104, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epilepsy affects approximately 50 million people worldwide, and over 30% of patients are considered treatment resistant to currently available anti-seizure drugs. Neuropeptide Y (NPY) has been shown to inhibit excitatory synaptic transmission in hippocampal slices from human epilepsy patients via Y2 receptors (Y2Rs), and overexpression of NPY and/or Y2R in the hippocampus reduces seizures in rodent models of epilepsy. In this study, we demonstrate that AAV-mediated delivery of NPY and Y2R using a novel vector (SPK100.NPY-Y2R) inhibits seizures in rodents. SPK100.NPY-Y2R reduced spontaneous neuronal activity in primary rat cortical cultures and attenuated evoked neuronal activity in ex vivo slices of mouse hippocampus. Furthermore, intrahippocampal administration of SPK100.NPY-Y2R reduced the progression and duration of seizures in a rat model of rapid kindling. Parallel experiments confirmed that hippocampal overexpression of NPY and Y2R is also sufficient to reduce spontaneous seizures in a genetic mouse model of epilepsy (synapsin triple knockout). We also demonstrated successful magnetic resonance-guided convection enhanced delivery of SPK100.NPY-Y2R to the hippocampus of Papio hamadryas (baboon). This approach achieved favorable vector biodistribution and transduction in the hippocampus, with no observed adverse events. These findings support the development of an intrahippocampal AAV.NPY-Y2R therapy for treating seizures in patients with temporal lobe epilepsy.

Indexed as

DependovirusGenetic TherapyGenetic VectorsHippocampusNeuropeptide YReceptors, Neuropeptide YAnimalsDisease Models, AnimalGene ExpressionHumansMaleMiceMice, KnockoutNeuronsRatsNeuropeptide Yneuropeptide Y2 receptorReceptors, Neuropeptide Yadeno-associated virusbabooncalcium imagingepilepsygene therapymicroelectrode arrayneuropeptide YNPYseizuresY2 receptor

Identifiers

PMID40517292
PMCPMC12432862

What OpenQuestion holds

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Registered trials

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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.