Evidence map›Paper›PMID 34038402›Full record

ArticlePLoS biology2021

RHEB/mTOR hyperactivity causes cortical malformations and epileptic seizures through increased axonal connectivity.

Martina Proietti Onori, Linda M C Koene, Carmen B Schäfer, Mark Nellist, Marcel de Brito van Velze, Zhenyu Gao, Ype Elgersma, Geeske M van Woerden

Open access · goldAbstract read
In one paragraph

Article in PLoS biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
6.8field-weighted citation impact, top 3% of its field
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

32 citing papers in PubMed, 52 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Ablation of dysmorphic neurons is a safe and effective treatment for focal cortical dysplasia II.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Anti-seizure gene therapy for focal cortical dysplasia.Brain : a journal of neurology · 2024
    Article
  15. The mTOR pathway genesbioRxiv : the preprint server for biology · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. PathogenicNeurology · 2023
    Article
  20. 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 at 1 institution in 1 country.

Martina Proietti OnoriDepartment of Neuroscience, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID 0000-0003-0360-2894
Linda M C KoeneDepartment of Neuroscience, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID 0000-0001-6482-9473
Carmen B SchäferDepartment of Neuroscience, Erasmus Medical Center, Rotterdam, the Netherlands.
Mark NellistDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, Zuid Holland, the Netherlands.
Marcel de Brito van VelzeDepartment of Neuroscience, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID 0000-0003-1185-2076
Zhenyu GaoDepartment of Neuroscience, Erasmus Medical Center, Rotterdam, the Netherlands.
Ype ElgersmaDepartment of Neuroscience, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-3758-1297
Geeske M van WoerdenDepartment of Neuroscience, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID 0000-0003-2492-9239
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hyperactivation of the mammalian target of rapamycin (mTOR) pathway can cause malformation of cortical development (MCD) with associated epilepsy and intellectual disability (ID) through a yet unknown mechanism. Here, we made use of the recently identified dominant-active mutation in Ras Homolog Enriched in Brain 1 (RHEB), RHEBp.P37L, to gain insight in the mechanism underlying the epilepsy caused by hyperactivation of the mTOR pathway. Focal expression of RHEBp.P37L in mouse somatosensory cortex (SScx) results in an MCD-like phenotype, with increased mTOR signaling, ectopic localization of neurons, and reliable generalized seizures. We show that in this model, the mTOR-dependent seizures are caused by enhanced axonal connectivity, causing hyperexcitability of distally connected neurons. Indeed, blocking axonal vesicle release from the RHEBp.P37L neurons alone completely stopped the seizures and normalized the hyperexcitability of the distally connected neurons. These results provide new evidence of the extent of anatomical and physiological abnormalities caused by mTOR hyperactivity, beyond local malformations, which can lead to generalized epilepsy.

Indexed as

AnimalsAxonsBrainDisease Models, AnimalEpilepsyMiceMice, Inbred C57BLNeuronsRas Homolog Enriched in Brain ProteinSeizuresSignal TransductionSomatosensory CortexTOR Serine-Threonine KinasesmTOR protein, mouseRas Homolog Enriched in Brain ProteinRheb protein, mouseTOR Serine-Threonine Kinases

Identifiers

PMID34038402
PMCPMC8186814
OpenAlexW3164943604

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.