Evidence map›Paper›PMID 41420543›Full record

SynthesisEpilepsia open2026

Clock gene dysregulation in epilepsy: A systematic review.

Guilherme Fernandes-Campos, Arjune Sen, Francesca Panin, Krithika Sundararaman

Abstract readSystematic ReviewReview
In one paragraph

Synthesis in Epilepsia open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. 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

4 authors.

Guilherme Fernandes-CamposSchool of Life Sciences, Faculty of Science and Engineering, Anglia Ruskin University, Cambridge, UK.ORCID 0009-0007-2532-5281
Arjune SenOxford Epilepsy Research Group, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, Oxford, UK.ORCID 0000-0002-8948-4763
Francesca PaninSchool of Life Sciences, Faculty of Science and Engineering, Anglia Ruskin University, Cambridge, UK.ORCID 0000-0002-1949-4333
Krithika SundararamanSchool of Life Sciences, Faculty of Science and Engineering, Anglia Ruskin University, Cambridge, UK.ORCID 0000-0002-1287-435X

Funding

Research England Quality-Related (QR) Research funding, Faculty of Science and Engineering, Anglia Ruskin University
6 · The paper itself

Abstract

objectiveEpileptic seizures show a rhythmic pattern, being more frequent at particular times of the day (e.g., only occurring during sleep), suggesting a role of the circadian rhythm. Clock genes regulate the circadian rhythm and might be involved in the pathophysiology of epilepsy. This systematic review sought to answer the research question: what is the relationship between clock genes and the pathophysiology of epilepsy?

methodsFor this, we used Scopus, Embase, Medline, CINHAL, and Web of Sciences to summarize the up-to-date literature on this topic and included 26 articles out of the 6364 articles identified.

resultsWe describe three distinct approaches to this research: (a) the effect of clock genes knockout on the severity of epilepsy, (b) the expression of clock genes in different types of epilepsy (humans and/or animal models) and (c) the variants of clock genes in different types of epilepsy (humans). Our results show a paucity of studies with very heterogeneous methodology and outcomes, with conflicting results. Most studies suggest a protective role of clock genes in epilepsy, particularly of Clock and Bmal1, showing lowered clock gene expression in different animal models of epilepsy, in line with the increased severity of epilepsy after knockout of clock genes. There are, though, other studies with conflicting results, making this interpretation relatively weak. A few clock gene variants were also identified in epilepsy cases (humans). SIGNIFICANCE: This suggests the need to further clarify the implications of the dysregulation of the clock genes and of the genes encoding interacting proteins, as this might offer new insights into the circadian patterning of certain epilepsies.

Indexed as

Circadian RhythmCLOCK ProteinsEpilepsyAnimalsHumansCLOCK Proteinscircadian rhythmclock genesgene expressiongenetic mutations

Identifiers

PMID41420543
PMCPMC12903823

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.