Evidence map›Paper›PMID 42645695›Full record

ArticlePharmacological reports : PR2026

Effects of lovastatin on cortical excitability, E/I balance, and antioxidant markers in a case series of patients with drug-resistant epilepsy: a proof-of-concept study.

Sulaiman I Abuhaiba, Isabel Catarina Duarte, Francisco Sales, Miguel Castelo-Branco

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Article in Pharmacological reports : PR, 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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1 · What the graph read from it

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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.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Sulaiman I AbuhaibaCoimbra Institute for Biomedical Imaging and Translational Research (CIBIT), ICNAS, Institute for Physiology, Faculty of Medicine, University of Coimbra, ICNAS Polo 3, Coimbra, 3000-548 PT, Portugal.ORCID http://orcid.org/0000-0003-0140-2549
Isabel Catarina DuarteCoimbra Institute for Biomedical Imaging and Translational Research (CIBIT), ICNAS, Institute for Physiology, Faculty of Medicine, University of Coimbra, ICNAS Polo 3, Coimbra, 3000-548 PT, Portugal.ORCID http://orcid.org/0000-0002-5620-2424
Francisco SalesEpilepsy Unit (UMES), ULS Coimbra, Coimbra, Portugal.ORCID http://orcid.org/0000-0003-0834-066X
Miguel Castelo-BrancoCoimbra Institute for Biomedical Imaging and Translational Research (CIBIT), ICNAS, Institute for Physiology, Faculty of Medicine, University of Coimbra, ICNAS Polo 3, Coimbra, 3000-548 PT, Portugal. mcbranco@fmed.uc.pt.ORCID http://orcid.org/0000-0003-4364-6373

Funding

Fundação Luso-Americana para o Desenvolvimento Life SciencesFundação para a Ciência e a Tecnologia FCT/UID/4950/2025
6 · The paper itself

Abstract

backgroundDrug-resistant epilepsy (DRE) remains a major clinical challenge, with neuroinflammation and excitatory/inhibitory (E/I) imbalance being implicated in its pathophysiology. This proof-of-concept case series aimed to investigate the neurochemical and neurophysiological effects of a short course of lovastatin in individuals with DRE.

methodsFive participants with drug-resistant temporal lobe epilepsy completed a double-blind, placebo-controlled, crossover protocol involving oral administration of lovastatin (60 mg/day) and placebo for three consecutive days. Post-intervention assessments included: (1) magnetic resonance spectroscopy (MRS) in the visual cortex to quantify gamma-aminobutyric acid (GABA+), Glutamate (Glx), and Glutathione (GSH); (2) resting-state electroencephalogram (EEG) to measure the frequency of interictal epileptiform discharges (IEDs); and (3) event-related potentials (ERPs) during a facial recognition task.

resultsCompared to placebo, lovastatin administration was associated with a statistically significant reduction in the GABA+/Glx ratio (p = 0.041) and IED frequency (p = 0.04), alongside a statistically significant increase in GSH concentration (p = 0.039). Lovastatin also modulated visual processing ERPs, statistically significantly delaying the P100 latency (p = 0.04) and reducing the absolute N170 peak amplitude (p = 0.04).

conclusionThis study demonstrates that a short course of lovastatin can modulate key in vivo biomarkers of E/I balance, redox state, and cortical excitability in patients with DRE. These preliminary findings provide a mechanistic rationale for further, larger studies to explore the potential of statins as a novel strategy for modifying pathological brain activity.

Indexed as

ExcitotoxicityGABAGlutamateGlutathioneLovastatinOccipital cortex

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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.