Evidence map›Paper›PMID 42557520›Full record

ArticleMolecular neurobiology2026

Zafirlukast Exacerbates Behavioral Seizure Activity and Blood-Brain Barrier Disruption Despite Modestly Reducing Neuronal Injury Markers in a PTZ-Induced Early Epileptogenesis Mouse Model.

Volkan Gorgulu, Cansin Sirin Tomruk, Pelin Ergun, Berrin Ozdil, Ebru Sanci, Aylin Buhur, Eser Y Sozmen, Timur Kose, Nefise Ulku Karabay Yavasoglu, Altug Yavasoglu

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Article in Molecular neurobiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Volkan GorguluAssisted Reproductive Treatment Center, Cam and Sakura City Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-4026-2972
Cansin Sirin TomrukDepartment of Histology and Embryology, Faculty of Medicine, Ege University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-4530-701X
Pelin ErgunDepartment of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, USA.ORCID http://orcid.org/0000-0002-3155-0633
Berrin OzdilDepartment of Histology and Embryology, Faculty of Medicine, Ege University, Izmir, Turkey.ORCID http://orcid.org/0000-0001-6081-2308
Ebru SanciCenter for Drug Research & Development and Pharmacokinetics Applications, Ege University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-0525-9690
Aylin BuhurDepartment of Histology and Embryology, Faculty of Medicine, Ege University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-3759-6616
Eser Y SozmenDepartment of Medical Biochemistry, Faculty of Medicine, Tınaztepe University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-6383-6724
Timur KoseDepartment of Biostatistics, Faculty of Medicine, Ege University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-5238-9738
Nefise Ulku Karabay YavasogluDepartment of Biology, Faculty of Science, Ege University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-7483-0184
Altug YavasogluDepartment of Histology and Embryology, Faculty of Medicine, Ege University, Izmir, Turkey. altug.yavasoglu@ege.edu.tr.ORCID http://orcid.org/0000-0003-4227-1637

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epilepsy is one of the most prevalent neurological disorders worldwide, and approximately 25% of patients remain refractory to pharmacological treatment. Blood-brain barrier (BBB) disruption and reactive gliosis are key mechanisms implicated in early epileptogenesis. This study investigated the effects of zafirlukast, a leukotriene receptor antagonist, on BBB permeability, reactive gliosis, and behavioral seizure activity in a pentylenetetrazol (PTZ)-induced early epileptogenesis model in C57BL/6 mice. Zafirlukast was administered twice daily at a dose of 10 mg/kg. Seizure activity was evaluated by behavioral observation in terms of seizure severity, latency, duration, and frequency. BBB permeability was assessed using the Evans Blue assay, and brain tissues were analyzed by biochemical and immunohistochemical methods. The PTZ + ZAFIR group exhibited more severe seizures, characterized by increased seizure frequency and duration, shorter latency, and a higher kindling rate (80% vs. 27%). BBB permeability was also increased, whereas MMP-9 levels remained, suggesting disruption may be linked to direct mechanical effects of recurrent seizures rather than inflammation. Clues suggest that zafirlukast may exert paradoxical effects on two prominent cell types involved in reactive gliosis. While increased GFAP and TGF-β1 expression may reflect enhanced astrocyte activation, changes in IL-1β and Iba1 expression suggest suppression of microglial activation. Notably, pro-inflammatory and oxidative stress markers remained unchanged despite the increase in seizure severity. The observed reduction in neurodegeneration may be attributable to the suppressive effects of zafirlukast on microglial activation and the subsequent reduction in pro-inflammatory cytokine release. These findings indicate a complex role for leukotriene signaling during early epileptogenesis. Further studies using different doses, vehicles, and experimental models are warranted to clarify the effects of zafirlukast on the mechanisms underlying early epileptogenesis.

Indexed as

Behavior, AnimalBlood-Brain BarrierEpilepsyNeuronsSeizuresTosyl CompoundsAnimalsBiomarkersDisease Models, AnimalIndolesMaleMiceMice, Inbred C57BLPentylenetetrazolePhenylcarbamatesSulfonamidesBiomarkersIndolesPentylenetetrazolePhenylcarbamatesSulfonamidesTosyl CompoundszafirlukastAstrocytesBlood–brain barrierEpilepsyGliosisSeizuresZafirlukast

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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.