Evidence map›Paper›PMID 42096301›Full record

ReviewEpilepsia2026

WONOEP XVII appraisal: The role of the extracellular matrix in epilepsy.

Eleonora Lugara, Erwin A van Vliet, Alessia Romagnolo, Kevin Staley, Kyle P Lillis, Chris Dulla, David C Henshall, Katja Kobow

Abstract readReview
In one paragraph

Review 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

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. Review
  2. 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

8 authors.

Eleonora LugaraUniversity College London, Institute of Neurology, London, UK.ORCID https://orcid.org/0000-0001-9211-4344
Erwin A van VlietSwammerdam Institute for Life Sciences, Center for Neuroscience, University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0001-5747-3202
Alessia RomagnoloLeiden University Medical Center, Leiden, the Netherlands.ORCID https://orcid.org/0000-0001-5357-0961
Kevin StaleyDepartment of Neurology, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-3072-518X
Kyle P LillisDepartment of Neurology, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-0219-8113
Chris DullaDepartment of Neuroscience, Tufts University School of Medicine, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-6560-6535
David C HenshallDepartment of Physiology and Medical Physics and FutureNeuro Research Ireland Centre, RCSI University of Medicine and Health Sciences, Dublin, Ireland.ORCID https://orcid.org/0000-0001-6237-9632
Katja KobowDepartment of Neuropathology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.ORCID https://orcid.org/0000-0002-0074-2480

Funding

Multiphoton In Vivo Microscopy (Core 2)P01NS127769 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI Kevin J. Staley · 2023 to 2026
$6.5M
EpilepsieNL 20-11NIH HHS P01NS127769NINDS NIH HHS P01 NS127769Taighde Éireann - Research Ireland 21/RC/10294_P2
6 · The paper itself

Abstract

The extracellular matrix (ECM) is composed of proteoglycans and glycoproteins that regulate the external environment surrounding neurons, glia, and the vascular system. The ECM is vital for maintaining the structure and function of the brain and also acts as a reservoir for various signaling molecules and neurotransmitters, modulating synaptic transmission and plasticity. Recent research highlights the important role of ECM proteins in both brain development and various neurological diseases, including epilepsy. Alterations in ECM composition and subsequent remodeling may disrupt physiological network excitability and synaptic connectivity, triggering neuroinflammation with active participation from glial cells, including astrocytes and microglia, and blood-brain barrier function. This influences neuronal function and contributes to the formation of epileptic foci and the development of drug-resistant epilepsy. Understanding the intricate interplay between the ECM and epilepsy may enable the identification of novel biomarkers and development of therapeutic strategies targeting this dynamic microenvironment. In this review, we provide a summary of the discussions held at the XVII Workshop on Neurobiology of Epilepsy (WONOEP), organized in 2023 by the International League Against Epilepsy, on the role of the extracellular space in epilepsy. Specifically, we summarize recent advances in understanding the ECM, its alterations in epilepsy, advanced imaging and omics tools for ECM analysis, and the implications for the development of ECM-based therapeutics and biomarkers for acquired and genetic forms of epilepsy. To complement the material presented at WONOEP, we performed targeted, nonsystematic literature searches in PubMed using topic-specific terms (e.g., "perineuronal nets", "extracellular matrix", "traumatic brain injury", "post-traumatic epilepsy", "chloride") and citation tracking to ensure that key experimental and translational studies relevant to these themes were included.

Indexed as

BrainEpilepsyExtracellular MatrixAnimalsExtracellular Matrix ProteinsHumansExtracellular Matrix Proteinsbiomarkerblood–brain barrierbrain excitabilityepileptogenesisextracellular spaceinflammationseizurestherapy

Identifiers

PMID42096301
PMCPMC13525558

What OpenQuestion holds

Textmetadata
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.