Publications by authors named "Forcelli P"

Objective: Area tempestas, a functionally defined region in the anterior piriform cortex, was identified as a crucial ictogenic trigger zone in the rat brain in the 1980s. However, whether the primate piriform cortex can trigger seizures remains unknown. Here, in a nonhuman primate model, we aimed to localize a similar trigger zone in the piriform cortex and, subsequently, evaluated the ability of focal inhibition of the substantia nigra pars reticulata (SNpr) to suppress the evoked seizures.

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  • Unconditioned defense responses to looming threats include freezing and fleeing behaviors observed in rodents, with this study focusing on freezing without an escape route.
  • A modified looming threat task revealed that both male and female rats exhibited specific freezing responses before, during, and after the threat, indicating a prolonged reaction to the stimulus.
  • The research also found that the use of certain GABA-A receptor modulators affected freezing behavior differently based on the sex of the rats, highlighting the need for further exploration of treatments for anxiety that persist beyond immediate threat exposure.
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  • Exposure to common anti-seizure medications (ASMs) during early brain development can lead to neurodevelopmental issues, including cell death and behavioral changes, as shown in both animal studies and clinical research.
  • In a study involving postnatal rats, standard ASMs like valproate were found to significantly increase cell death in various brain regions, while the newer drugs brivaracetam (BRV) and perampanel (PER) showed no such effect.
  • The findings indicate that BRV and PER might have a better safety profile concerning acute neurotoxicity, suggesting they could be safer alternatives for treating seizures in young patients.
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  • The study investigates the role of the dorsal striatum in controlling seizures, addressing a gap in understanding how this brain area contributes to seizure activity, despite previous knowledge of the basal ganglia's anti-seizure effects.
  • Using optogenetic techniques, the research examines activation and inactivation of striatal neurons in rat models of different types of epilepsy, demonstrating that activating the dorsal striatum significantly suppresses seizures while silencing it increases seizure severity in some models.
  • The findings highlight the complex and essential role of the dorsal striatum in seizure modulation, showcasing both continuous and responsive light delivery methods as effective means of influencing seizure characteristics in various experimental scenarios.
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Current therapies for the epilepsies only treat the symptoms, but do not prevent epileptogenesis (the process in which epilepsy develops). Many cellular responses during epileptogenesis are also common hallmarks of , which halts proliferation of damaged cells. Clearing senescent cells (SCs) restores function in several age-associated and neurodegenerative disease models.

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  • - Aging is linked to a higher risk of seizures, which can worsen cognitive decline, and senescent cells may play a role in this vulnerability.
  • - Treatment with senolytic drugs, specifically Dasatinib and Quercetin (D&Q), showed a reduction in seizure severity and mortality in older mice, as well as improved spatial memory prior to a seizure event.
  • - The study suggests that targeting senescent cells in the aging brain could help protect against increased susceptibility to seizures, although memory improvements post-seizure were not observed.
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Background: Padsevonil (PSL) is a rationally designed anti-seizure medication (ASM) which has overlapping mechanisms of action with the two most common ASMs used for neonatal seizures, phenobarbital (PB) and levetiracetam (LEV). Here we evaluated the anti-seizure properties of PSL across the neonatal and adolescent period in rats in the pentlyenetetrazole (PTZ) induced seizures model.

Methods: Postnatal day (P)7, P14 and P21 Sprague-Dawley rat pups were pre-treated with PSL (1-30 mg/kg), and assessed for seizure latency and severity 30 min later following injection of PTZ.

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Serotonin signaling plays critical roles in social and emotional behaviors. Likewise, decades of research demonstrate that the amygdala is a prime modulator of social behavior. Permanent excitotoxic lesions and transient amygdala inactivation consistently increase social behaviors in non-human primates.

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  • GABA modulators like phenobarbital and sodium channel blockers like phenytoin are traditional treatments for seizures but have limited effectiveness and potential neurotoxicity in neonatal cases.
  • Cenobamate, a newer medication, has unique properties that suggest it could be more effective and safer for treating neonatal seizures compared to the older drugs.
  • Research on immature rats indicates that cenobamate can successfully reduce seizures without causing cell death, highlighting its promise as a safer alternative for neonatal seizure treatment.
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Phenobarbital (PB) and levetiracetam (LEV) are the first-line therapies for neonates with diagnosed seizures, however, a growing body of evidence shows that these drugs given during critical developmental windows trigger lasting molecular changes in the brain. While the targets and mechanism of action of these drugs are well understood-what is not known is how these drugs alter the transcriptomic landscape, and therefore molecular profile/gene expression during these critical windows of neurodevelopment. PB is associated with a range of neurotoxic effects in developing animals, from cell death to altered synaptic development to lasting behavioral impairment.

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The nucleus accumbens (NAc) is a central component of the brain circuitry that mediates motivated behavior, including reward processing. Since the rewarding properties of social stimuli have a vital role in guiding behavior (both in humans and nonhuman animals), the NAc is likely to contribute to the brain circuitry controlling social behavior. In rodents, prior studies have found that focal pharmacological inhibition of NAc and/or elevation of dopamine in NAc increases social interactions.

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  • Research highlights the crucial role of the hippocampus in spatial memory, particularly in navigating through spaces, as evidenced by deficits observed in various species including rodents and humans when the hippocampus is damaged.
  • The study specifically examines the Hamilton Search Task (HST), revealing that male rhesus macaques with hippocampal lesions performed poorly compared to control animals, indicating that the hippocampus is essential for this non-navigational spatial memory task.
  • The findings suggest that the HST is a valuable tool for assessing hippocampal function in non-human primates, and they address inconsistencies in previous research that found minimal effects of hippocampal damage on spatial memory.
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  • Many anti-seizure medications (ASMs) like phenobarbital cause neuronal cell death in young rodents, while levetiracetam does not, but the effects in animals with existing brain injury and across different sexes are less understood.
  • In a study, rat pups were treated with either phenobarbital or levetiracetam after being exposed to normal oxygen levels or low oxygen conditions, and their brains were analyzed for cell death markers.
  • Results showed that phenobarbital increased cell death across various brain regions, and females exhibited higher levels of cell death compared to males, regardless of treatment or hypoxia, indicating the need to consider sex differences in ASM studies.
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  • Age-related changes in neurotransmitter systems, particularly involving norepinephrine (NE), are linked to cognitive decline, highlighting the potential for therapies that enhance neurotransmission.
  • In aged Fischer 344 rats, there was a significant decrease in glutamate-stimulated NE release in areas of the brain like the hippocampus and cerebral cortex, which is mediated by NMDA receptors.
  • The psychostimulant drug amphetamine (AMPH) not only restores NE release but also improves memory function and dendritic spine maturation, suggesting that repurposing such drugs could help address cognitive deficits associated with aging.
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  • - Neonatal hypoxia often leads to seizures that can affect brain development, with past research focusing either on hypoxia or drug treatments like phenobarbital (PB), rather than their combined effects, which are more relevant clinically.
  • - A study involving rat pups exposed to hypoxia and treated with PB revealed that female rats showed delayed impairment in hippocampal long-term potentiation (LTP) compared to males, with the timing of these effects varying based on sex and age.
  • - PB treatment after hypoxia did not worsen LTP but actually helped restore LTP to normal levels in males under certain conditions, indicating that PB may not harm brain development when given after hypoxic seizures.
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  • Extinction of conditioned fear is critical for recovery from PTSD and anxiety disorders, with REM sleep playing a significant role in this process.
  • The study investigated the effects of suvorexant, an orexin receptor antagonist, on extinction memory and sleep in mice but found no significant improvements in extinction recall or alterations in sleep patterns.
  • Results indicated that higher percentages of REM sleep after extinction training were linked to poorer memory recall and heightened fear responses, suggesting that increased REM sleep may not aid in fear extinction when the fear is not fully extinguished.
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For decades, there has been increasing concern about the potential developmental neurotoxicity (DNT) associated with chemicals. Regulatory agencies have historically utilized standardized in vivo testing to evaluate DNT. Owing to considerations including higher-throughput screening for DNT, reduction in animal use, and potential cost efficiencies, the development of alternative new approach methods (NAMs) occurred; specifically, the advent of the DNT in vitro test battery (DNT IVB).

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  • Nearly one-third of patients with epilepsy experience seizures that do not respond to standard anti-seizure medications, prompting research into alternative treatments.
  • This study focused on the deep and intermediate layers of the superior colliculus (DLSC) in adult WAG/Rij rats to investigate how modulating DLSC activity impacts seizure occurrence, utilizing both continuous and closed-loop optogenetic stimulation methods.
  • Results showed that while continuous DLSC stimulation reduced seizures in male rats, closed-loop neuromodulation proved effective for both males and females, indicating differing responses to stimulation based on sex.
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Sensorimotor gating is the ability to suppress motor responses to irrelevant sensory inputs. This response is disrupted in a range of neuropsychiatric disorders. Prepulse inhibition (PPI) of the acoustic startle response (ASR) is a form of sensorimotor gating in which a low-intensity prepulse immediately precedes a startling stimulus, resulting in an attenuation of the startle response.

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The bed nucleus of the stria terminalis (BNST) has been implicated in a variety of social behaviors, including aggression, maternal care, mating behavior, and social interaction. Limited evidence from rodent studies suggests that activation of the BNST results in a decrease in social interaction between unfamiliar animals. The role of the BNST in social interaction in primates remains wholly unexamined.

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Growing concerns over rigor and reproducibility of preclinical studies, including consistency across laboratories and translation to clinical populations, have triggered efforts to harmonize methodologies. This includes the first set of preclinical common data elements (CDEs) for epilepsy research studies, as well as Case Report Forms (CRFs) for widespread use in epilepsy research. The General Pharmacology Working Group of the ILAE/AES Task Force (TASK3-WG1A) has continued in this effort by adapting and refining CDEs/CRFs to address specific study design areas as they relate to preclinical drug screening: general pharmacology, pharmacokinetics (PK) and pharmacodynamics (PD), and tolerability.

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Objective: Decades of studies have indicated that activation of the deep and intermediate layers of the superior colliculus can suppress seizures in a wide range of experimental models of epilepsy. However, prior studies have not examined efficacy against spontaneous limbic seizures. The present study aimed to address this gap through chronic optogenetic activation of the superior colliculus in the pilocarpine model of temporal lobe epilepsy.

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The fundamental commonality across pharmacotherapies for the epilepsies is the modulation of neuronal excitability. This poses a clear challenge-patterned neuronal excitation is essential to normal function, thus disrupting this activity leads to side effects. Moreover, the efficacy of current pharmacotherapy remains incomplete despite decades of drug development.

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Background: The treatment of epilepsy during early life poses unique challenges-first-line therapies leave many individuals with poorly controlled seizures. In response to the pharmaco-resistance of current first-line anti-seizure drugs (ASDs) during early life, new therapies have emerged. One such therapy is cannabidiol (CBD).

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  • Cannabidiol (CBD) shows potential as an effective treatment for epilepsy, particularly in genetically predisposed rats that exhibit two types of seizures: generalized tonic-clonic and limbic seizures.
  • In the study, CBD was tested at various doses (1, 10, 50, and 100 mg/kg) and was found to significantly reduce the severity and duration of generalized tonic-clonic seizures, especially at higher doses.
  • Additionally, CBD at a lower dose of 10 mg/kg was able to lessen the severity of limbic seizures in a majority of the tested rats, indicating its promise as a pharmacological option for treating different seizure types.
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