PIPages
Labs

Jamie Maguire

Tufts University, MA·Neuroscience

People with epilepsy face a risk of sudden unexpected death in epilepsy (SUDEP), a leading cause of epilepsy-related death whose causes remain unclear. The lab found that mice engineered to have overactive stress circuits die of SUDEP more often.

Fields

Neuroscience

Physiology

Topics

epilepsy

stress

HPA axis

Grants
1 known grant, through Nov 2027

What they work on

  1. Test whether activity in the pathway from stress-hormone CRH neurons in the hypothalamus to the brainstem's nucleus of the solitary tract is increased in chronically epileptic mice at risk of SUDEP.
  2. Determine whether chemogenetically activating this CRH stress pathway is sufficient to increase SUDEP incidence in epileptic mice.
  3. Examine whether stress-circuit overactivity raises SUDEP risk by exaggerating cardiac vagal output, the nerve signaling that slows the heart, during challenges to normal body balance.
  4. Test whether chronic stress, an environmental driver of hyperactive stress circuits, impairs cardiac vagal function and increases SUDEP risk in mice.

More about the research

Related hormone abnormalities were seen in patients who died of confirmed or suspected SUDEP. Both stress and SUDEP involve brain circuits that control heart rate and breathing. This project asks whether an overactive stress system pushes these control centers into dangerous patterns.

Why it matters

SUDEP is a devastating outcome for people with epilepsy and their families. Identifying overactive stress circuits and abnormal heart-slowing nerve signals as contributors could reveal risk factors and possible targets for preventing SUDEP. Because chronic stress is part of the hypothesis, the work may also show how environmental stress raises risk. The mechanism may be relevant to other forms of sudden death.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

CRH Dysregulation of Brainstem Autonomic Circuits Increases SUDEP Risk

NIH · Dec 2022 – Nov 2027

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The school

Tufts University: 19 labs on PI Pages, $278M a year on research, 144 research doctorates a year.

More about Tufts University

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