Evidence map›Paper›PMID 41535456›Full record

ArticleScientific reports2026

Putative long range mossy fiber sprouting and regional cytochrome c oxidase alteration in the hippocampus of patients with mesial temporal lobe epilepsy.

Tian Tu, Lily Wan, Qi-Lei Zhang, Chen Yang, Hong-Shu Zhou, Zhong-Ping Sun, Hong-Yu Long, Bei-Sha Tang, Aihua Pan, Ewen Tu and 4 more

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
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

14 authors.

Tian TuDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China. tutian1991@163.com.
Lily WanDepartment of Anatomy and Neurobiology, Central South University, Xiangya Basic Medical School, Changsha, 410013, Hunan, China.
Qi-Lei ZhangDepartment of Anatomy and Neurobiology, Central South University, Xiangya Basic Medical School, Changsha, 410013, Hunan, China.
Chen YangDepartment of Anatomy and Neurobiology, Central South University, Xiangya Basic Medical School, Changsha, 410013, Hunan, China.
Hong-Shu ZhouDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Zhong-Ping SunDepartment of Anatomy and Neurobiology, Central South University, Xiangya Basic Medical School, Changsha, 410013, Hunan, China.
Hong-Yu LongDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Bei-Sha TangDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Aihua PanDepartment of Anatomy and Neurobiology, Central South University, Xiangya Basic Medical School, Changsha, 410013, Hunan, China.
Ewen TuDepartment of Neurology, The Second People's Hospital of Hunan Province, Changsha, 410007, Hunan, China.
Jian WangThe Reproductive and Stem Cell Engineering Institute, Central South University Xiangya Basic Medical School, Changsha, 410013, Hunan, China.
Zhi-Quan YangDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Zhen-Yan LiDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China. lizhenyan@csu.edu.cn.
Xiao-Xin YanDepartment of Anatomy and Neurobiology, Central South University, Xiangya Basic Medical School, Changsha, 410013, Hunan, China. yanxiaoxin@csu.edu.cn.

Funding

Ministry of Science and Technology of the People's Republic of China #2021ZD0201103National Natural Science Foundation of China #82071223National Natural Science Foundation of China #82201595Science and Technology Program of Hunan Province #2020SK2122Science and Technology Program of Hunan Province #2023JJ30908
6 · The paper itself

Abstract

Mesial temporal lobe epilepsy (MTLE) is known as a distributed network disorder, and regional neuroanatomical changes may significantly contribute to aberrant network formation. The major pathologies of MTLE include neuronal loss in the dentate hilus, CA3 and CA1 regions, and mossy fiber (MF) sprouting into the inner molecular layer (iML). The latter forms aberrant excitatory circuities that are considered to facilitate recurrent seizures. The subiculum is relatively preserved during hippocampal sclerosis but has been thought to play a critical role in the synchronization and propagation of epileptic activity especially to extrahippocampal brain regions. We recently identified a distinct expression of alpha-smooth muscle actin (αSMA) at the MF terminals in human hippocampus. This prompted us to explore MF sprouting in resected hippocampi (n = 20) from patients with MTLE relative to postmortem control (n = 20) using αSMA along with reference markers for pathological cross-validation. Immunolabeling of neuron-specific nuclear antigen and sortilin showed neuronal loss in the hilus/CA3 and CA1 and granule cell dispersion in all resected hippocampi relative to control. Immunolabeling of αSMA, zinc transporter 3 and β-secretase 1 displayed a widening of the iML with enhanced staining intensity and a fibrous band extending from CA2, CA1 towards subiculum in the resected hippocampi. Cytochrome c oxidase immunolabeling was increased in the iML and subiculum in the MTLE group. Taking together, the current findings suggest the possibility of long-range MF sprouting and regionally occurred hypermetabolic state in the hippocampal formation of patients with drug resistant MTLE.

Indexed as

Electron Transport Complex IVEpilepsy, Temporal LobeHippocampusMossy Fibers, HippocampalActinsAdultFemaleHippocampal SclerosisHumansMaleMiddle AgedNeuronsYoung AdultActinsElectron Transport Complex IVAberrant neuroplasticityActin isoformsEpilepsyHippocampal sclerosisNeuronal deathTri-synaptic circuit

Identifiers

PMID41535456
PMCPMC12881434

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.