Evidence map›Paper›PMID 41182510›Full record

ArticleEpilepsia2026

Restoring failed inhibition in the substantia nigra pars reticulata suppresses absence seizures in rats.

Devin Palmer, Patrick A Forcelli

Abstract read
In one paragraph

Article in Epilepsia, 2026. 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

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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. Review
  2. Antiseizure Networks.Epilepsy currents · 2026
    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

2 authors.

Devin PalmerDepartment of Pharmacology & Physiology, Georgetown University, Washington, DC, USA.
Patrick A ForcelliDepartment of Pharmacology & Physiology, Georgetown University, Washington, DC, USA.ORCID https://orcid.org/0000-0003-1763-060X

Funding

Optogenetic control of seizures via the basal gangliaR01NS097762 · NINDS · GEORGETOWN UNIVERSITY · PI Patrick Alexander Forcelli · 2016 to 2026
$4.1M
Training in Neural Injury &PlasticityT32NS041218 · NINDS · GEORGETOWN UNIVERSITY · PI MARK P BURNS, Kathleen Anne Maguire-Zeiss · 2001 to 2026
$3.5M
NINDS NIH HHS R01 NS097762NINDS NIH HHS R01NS097762NINDS NIH HHS T32NS041218
6 · The paper itself

Abstract

objectiveFor over four decades, the substantia nigra pars reticulata (SNr) has been recognized as a critical structure in the modulation of seizure activity. Pharmacological and optogenetic inhibition of the SNr produces robust seizure suppression in a range of seizure models. These findings have given rise to a longstanding, yet unresolved question: do seizures involve a failure of inhibition within the SNr?

methodsWe recorded single-unit activity in the SNr during spike-and-wave discharges (SWDs) in male and female WAG/Rij rats, a model of genetic absence epilepsy. We monitored extracellular γ-aminobutyric acid (GABA) levels using intensity-based GABA sensing fluorescence reporter (iGABASnFR). To emphasize the multi-modal efficacy of SNr inhibition on seizure suppression, we optogenetically inhibited the SNr.

resultsFifty percent of recorded neurons exhibited a marked increase in firing at SWD onset, with activity returning to baseline at SWD termination. Extracellular GABA levels revealed a decrease in fluorescence during SWDs, consistent with reduced GABAergic transmission. Optogenetic inhibition of SNr neurons using continuous (open-loop) inhibition, but not closed-loop (responsive) inhibition, significantly reduced SWD incidence. SIGNIFICANCE: These data suggest that a loss of GABAergic input to the SNr is associated with increased neuronal activity. Optogenetically restoring inhibition effectively reduced seizure burden. Together, these findings address a long-standing gap in the literature and provide compelling evidence that impaired inhibition within the SNr contributes to seizure expression.

Indexed as

Epilepsy, AbsenceNeural InhibitionPars ReticulataAction PotentialsAnimalsDisease Models, AnimalElectroencephalographyFemalegamma-Aminobutyric AcidMaleNeuronsOptogeneticsRatsgamma-Aminobutyric Acidabsence epilepsydeep brain stimulationoptogeneticsspike‐and‐wave discharge

Identifiers

PMID41182510
PMCPMC12927675

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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.