Evidence map›Paper›PMID 40119852›Full record

ArticleEpilepsia2025

Mitochondrial respiration defects in lymphoblast cell lines from patients with Dravet syndrome.

Anna G Figueroa, Ruth E Fulton, Rajeswari Banerji, Kelly G Knupp, Manisha N Patel

Abstract read
In one paragraph

Article in Epilepsia, 2025. 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.

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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

5 authors.

Anna G FigueroaSkaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
Ruth E FultonSkaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
Rajeswari BanerjiSkaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
Kelly G KnuppDepartment of Pediatrics and Neurology, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0002-1967-0827
Manisha N PatelSkaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0003-2943-0920

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS · 1995 to 2026
$32.6M
Mitochondrial Mechanisms of Astrogliosis in EpilesyR37NS039587 · NINDS · UNIVERSITY OF COLORADO DENVER · PI MANISHA N PATEL · 2022 to 2026
$2.8M
Gluconeogenic control of Dravet SyndromeR01HD102071 · NICHD · UNIVERSITY OF COLORADO DENVER · PI BARABAN, SCOTT C, PATEL, MANISHA N · 2020 to 2024
$2.5M
Dravet Syndrome FoundationNational Institute of Child Health and Human Development R01HD102071NCI NIH HHS P30 CA046934NICHD NIH HHS R01 HD102071NIDDK NIH HHS P30 DK048520NINDS NIH HHS R37 NS039587NINDS NIH HHS R37NS039587
6 · The paper itself

Abstract

objectiveDravet syndrome (DS) is a developmental and epileptic encephalopathy with early life intractable seizures and lifelong comorbidities. There is growing evidence linking energy metabolism to DS, from mitochondrial respiration deficits in skeletal muscle and fibroblasts from children with DS to responsiveness to ketogenic diets. Lymphoblast cell lines (LCLs) have revealed metabolic alterations in neurological disorders, suggesting their utility for studying systemic bioenergetics. In this pilot study, we used LCLs from patients with DS to evaluate energy metabolism.

methodsLCLs were established from eight children with DS (DS-LCLs) and sex-/age-matched controls (control-LCLs). Extracellular flux analysis measured glycolytic function, mitochondrial respiration, and fatty acid oxidation (FAO). High-resolution respirometry was used to determine sites of mitochondrial respiration defects. Mitochondrial content and membrane potential were analyzed using high-content screening methods.

resultsDS-LCLs exhibit impaired bioenergetics, characterized by deficiencies in mitochondrial respiration with 25% lower baseline and adenosine triphosphate-linked respiration. Similarly, maximal mitochondrial capacity was 26% lower, leading to a 40% decrease in respiratory reserves. They exhibit a metabolic shift toward FAO, indicated by increased endogenous fatty acid utilization to counter cellular stress. Mitochondrial oxygen flux was impaired, with greatest deficiency in complex I, and reduced complex II activity. Leak respiration, mitochondrial content, membrane potential, and glycolytic function were unaffected. SIGNIFICANCE: LCLs from patients with DS reveal reduced mitochondrial respiratory capacity. These preliminary findings may enhance our understanding of energy metabolism in DS pathogenesis. Beyond helping identify new therapies, this model may noninvasively serve as a surrogate for evaluating metabolic function throughout a patient's life.

Indexed as

Epilepsies, MyoclonicLymphocytesMitochondriaAdolescentCell LineCell RespirationChildChild, PreschoolEnergy MetabolismFatty AcidsFemaleHumansMaleMembrane Potential, MitochondrialOxygen ConsumptionPilot ProjectsFatty Acidsdevelopmental epileptic encephalopathyenergy metabolismfatty acid oxidationlymphoblastmitochondriapatient‐derived cell line

Identifiers

PMID40119852
PMCPMC12301103

What Socratic holds

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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.