Evidence map›Paper›PMID 40743388›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2025

Actions of the antiseizure drug carbamazepine in the thalamic reticular nucleus: Potential mechanism of aggravating absence seizures.

Sung-Soo Jang, Nicole Agranonik, John R Huguenard

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 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. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Sung-Soo JangDepartment of Neurology and Neurological Science, Stanford University, Stanford, CA 94305.ORCID 0000-0002-1938-9752
Nicole AgranonikDepartment of Neurology and Neurological Science, Stanford University, Stanford, CA 94305.
John R HuguenardDepartment of Neurology and Neurological Science, Stanford University, Stanford, CA 94305.ORCID 0000-0002-6950-1191

Funding

Inhibitory Controls of Thalamic NeuronsR01NS034774 · NINDS · STANFORD UNIVERSITY · PI HUGUENARD, JOHN R · 1996 to 2021
$5.5M
Inhibitory Controls in the Thalamic Reticular NucleusR37NS034774 · NINDS · STANFORD UNIVERSITY · PI HUGUENARD, JOHN R · 2004 to 2010
$2.5M
Tracking pre-seizure dynamics to predict and control seizuresR01NS117150 · NINDS · STANFORD UNIVERSITY · PI GANGULI, SURYA, HUGUENARD, JOHN R · 2020 to 2024
$2.1M
HHS | NIH | National Institute of Neurological Disorders and Stroke (NINDS) NS117150HHS | NIH | National Institute of Neurological Disorders and Stroke (NINDS) NS34774NINDS NIH HHS R01 NS034774NINDS NIH HHS R01 NS117150NINDS NIH HHS R37 NS034774
6 · The paper itself

Abstract

Carbamazepine (CBZ) is a widely used antiepileptic drug effective in managing partial and generalized tonic-clonic seizures. Despite its established therapeutic efficacy, CBZ has been reported to worsen seizures in another form of epilepsy, generalized absence seizures, in both clinical and experimental settings. In this study, we focused on thalamic reticular (RT) neurons, which regulate thalamocortical network activity in absence seizures, to investigate whether CBZ alters their excitability, thereby contributing to the exacerbation of seizures. Using ex vivo whole-cell patch-clamp electrophysiology, we found that CBZ selectively inhibits the tonic firing of RT neurons in a dose-dependent manner without affecting burst firing. At the RT-thalamocortical synapse, CBZ significantly increases the failure rate of GABAergic synaptic transmission, with greater effects on somatostatin-than parvalbumin-expressing RT neurons. In vivo EEG recordings and open-field behavior in Scn8a

Indexed as

AnticonvulsantsCarbamazepineEpilepsy, AbsenceThalamic NucleiAction PotentialsAnimalsDisease Models, AnimalElectroencephalographyMaleMiceMice, Inbred C57BLNeuronsSeizuresSynaptic TransmissionAnticonvulsantsCarbamazepineabsence seizurecarbamazepineNaV channelsthalamic reticular nucleus

Identifiers

PMID40743388
PMCPMC12337321

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.