Evidence mapPaperPMID 40723787Full record

Observational studyBiomolecules2025

Inflammatory Drug-Resistant Epilepsy Index (IDREI) as a Molecular Compound Biomarker in Focal Epilepsies.

Maria José Aguilar-Castillo, Guillermo Estivill-Torrús, Guillermina García-Martín, Pablo Cabezudo-García, Yolanda López-Moreno, Jesús Ortega-Pinazo, Teresa Ramírez-García, Nicolas Lundahl Ciano-Petersen, Pedro Jesus Serrano-Castro

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Biomolecules, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07716930 (Retina-Based Biomarkers in Epilepsy), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT07716930 enrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Retina-Based Biomarkers in Epilepsy: Structural and Microvascular OCT Changes and Inflammatory Markers (sCD14, sCD163, CCL2, IL-1β) in Relation to Pathophysiology, Phenotype, Prognosis, and Drug-Resistant Epilepsy (DRE)

TypeobservationalSponsorKemal TutkavulRan2026 to 2028Enrolled250ConditionsEpilepsy (Treatment Refractory), Epilepsy
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

9 authors.

Maria José Aguilar-CastilloServicio de Análisis Clínicos, Hospital Regional Universitario de Málaga, 29010 Málaga, Spain.ORCID 0000-0002-4021-6880
Guillermo Estivill-TorrúsInstituto de Investigación Biomédica de Málaga y Plataforma de Nanomedicina-IBIMA Plataforma BIONAND, 29590 Málaga, Spain.ORCID 0000-0002-7124-2678
Guillermina García-MartínInstituto de Investigación Biomédica de Málaga y Plataforma de Nanomedicina-IBIMA Plataforma BIONAND, 29590 Málaga, Spain.ORCID 0000-0003-3894-9716
Pablo Cabezudo-GarcíaInstituto de Investigación Biomédica de Málaga y Plataforma de Nanomedicina-IBIMA Plataforma BIONAND, 29590 Málaga, Spain.ORCID 0000-0002-6421-5348
Yolanda López-MorenoInstituto de Investigación Biomédica de Málaga y Plataforma de Nanomedicina-IBIMA Plataforma BIONAND, 29590 Málaga, Spain.ORCID 0000-0003-2861-5915
Jesús Ortega-PinazoInstituto de Investigación Biomédica de Málaga y Plataforma de Nanomedicina-IBIMA Plataforma BIONAND, 29590 Málaga, Spain.ORCID 0000-0002-2884-9239
Teresa Ramírez-GarcíaInstituto de Investigación Biomédica de Málaga y Plataforma de Nanomedicina-IBIMA Plataforma BIONAND, 29590 Málaga, Spain.ORCID 0009-0000-5207-1159
Nicolas Lundahl Ciano-PetersenInstituto de Investigación Biomédica de Málaga y Plataforma de Nanomedicina-IBIMA Plataforma BIONAND, 29590 Málaga, Spain.ORCID 0000-0001-9555-4847
Pedro Jesus Serrano-CastroInstituto de Investigación Biomédica de Málaga y Plataforma de Nanomedicina-IBIMA Plataforma BIONAND, 29590 Málaga, Spain.ORCID 0000-0002-3414-2707

Funding

Alianza Andalucía-Roche de Neu-rología Médica de Precisión (Andalusia-Roche Alliance for Precision Medical Neurology; P.J.S.-C.) PIP-0123-2022 (P.J.S.-C.) and NEURORECA-0003-2022 (P.C.-G.)the Andalusian Network of Clinical and Translational Research in Neurology (Neuro-RECA) RIC-0111-2019; P.J. S.-C
6 · The paper itself

Abstract

backgroundThere is growing evidence that neuroinflammation is involved in epileptogenesis. Identifying its biomarkers can be important for distinguishing epilepsy patients from healthy individuals and differentiating well-controlled epilepsy from drug-resistant epilepsy (DRE).

methodsAn observational case-control study at Malaga's Regional University Hospital involved epilepsy patients divided into three groups: healthy controls (HC), seizure-free epilepsy (SFE), and DRE. Demographic and clinical data and plasmatic and/or CSF levels of 24 different inflammation-related molecules were collected for each patient and were analyzed through univariate and multivariate analysis.

resultsThe study included 68 patients: 38 in the DRE group, 14 in the SFE group, and 16 in the HC group. A new Inflammatory Drug-Resistant Epilepsy Index (IDREI) was created using key variables with significant or trending significance. This index combined pro-inflammatory mediators (ICAM-1 and NfL) and anti-inflammatory factors (IL-10 and IL-4), showing statistical significance (

conclusionsThe IDREI molecular index shows promise in predicting epilepsy and drug-resistant epilepsy (DRE). Additional prospective studies are required to assess its clinical utility.

Indexed as

BiomarkersDrug Resistant EpilepsyEpilepsies, PartialInflammationAdolescentAdultCase-Control StudiesFemaleHumansMaleMiddle AgedROC CurveYoung AdultBiomarkersbiomarkersdrug-resistant epilepsyepilepsyepileptogenesisneuroinflammation

Identifiers

PMID40723787
PMCPMC12292844

What Socratic holds

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Registered trials

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.