Lawrence N. Eisenman, MD, PhD
The Eisenman lab’s primary research interest in the role of GABA receptors both in the normal physiology of the brain and in pathological states, particularly epilepsy. GABA is the major inhibitory neurotransmitter in the central nervous system, and dysfunction in the GABA system is a major component of the pathology of epilepsy. I am currently working in the laboratories of Drs. Steven Mennerick and Charles Zorumski on two main projects.
The first project is to explore the properties of the endogenous neurosteroid pregnenolone sulfate. Neurosteroids are steroid compounds produced de-novo within the brain. Many neurosteroids act directly on GABA receptors to augment inhibition while others such as pregnenolone sulfate have the opposite effect. Current data would suggest that pregnenolone sulfate is not present in high enough concentrations to have any relevant physiological effect. However, our recent work has demonstrated that pregenolone sulfate is activation dependent, which may allow lower concentrations than previously appreciated to have significant effects on GABA receptors. My current work is aimed at further characterizing the properties of pregnenolone sulfate to better understand its potential physiological significance.
The second project involves the study of tonic GABA currents. We recently have come to appreciate that there are two separate classes of GABA receptors that regulate neuronal behavior in different ways. The first class is the well-known synaptic or “phasic” receptors underlying inhibitory synaptic transmission. The second, more recently appreciated class is the population of extra-synaptic GABA receptors that provide a “tonic” inhibitory input to neurons. The tonic current is thought to provide a mechanism to regulate neuronal excitability and also represents a promising new target for pharmacological treatment of diseases including epilepsy. We have recently demonstrated that there is a tonic GABA current present in single neuron hippocampal microisland cultures and my current work is aimed at further characterization of this tonic GABA current.
In addition, I am interested in clinical research aimed at improving outcomes and quality of life in patients with epilepsy. In particular, I have been exploring the utility of flumazenil (a GABA receptor ligand) PET imaging in the pre-surgical evaluation of patients with both temporal lobe and extra-temporal epilepsy. I, also, participate in pharmaceutical trials designed to better delineate the optimal use of our current treatment options and to test promising new agents.
Lawrence Eisenman, MD, PhD
Professor of Neurology
Adult Epilepsy Center
- Phone: 314-362-7845
- Localizing focal brain injury via EEG spectral varianceKhanmohammadi, S., Laurido-Soto, O., Eisenman, L. N., Kummer, T. T. & Ching, S. N., Jul 2021, In: Biomedical Signal Processing and Control. 68, 102746.Research output: Contribution to journal › Article › peer-review
- The role of SPECT and PET in epilepsyPonisio, M. R., Zempel, J. M., Day, B. K., Eisenman, L. N., Miller-Thomas, M. M., Smyth, M. D. & Hogan, R. E., Mar 2021, In: American Journal of Roentgenology. 216, 3, p. 759-768 10 p.Research output: Contribution to journal › Review article › peer-review
- Voltage-based automated detection of postictal generalized electroencephalographic suppression: Algorithm development and validationVoltage-based automated detection of postictal generalized electroencephalographic suppression: Algorithm development and validationBrian Hickman, L., Edward Hogan, R., Labonte, A. K., Kafashan, M. M., Chan, C. W., Huels, E. R., Ching, S. N., Lenze, E. J., Maccotta, L., Eisenman, L. N., Keith Day, B., Farber, N. B., Avidan, M. S. & Palanca, B. J. A., Dec 2020, In: Clinical Neurophysiology. 131, 12, p. 2817-2825 9 p.Research output: Contribution to journal › Article › peer-review
- Intrinsic network reactivity differentiates levels of consciousness in comatose patientsKhanmohammadi, S., Laurido-Soto, O., Eisenman, L. N., Kummer, T. T. & Ching, S. N., Nov 2018, In: Clinical Neurophysiology. 129, 11, p. 2296-2305 10 p.Research output: Contribution to journal › Article › peer-review
- EEG dynamical correlates of focal and diffuse causes of comaKafashan, M. M., Ryu, S., Hargis, M. J., Laurido-Soto, O., Roberts, D. E., Thontakudi, A., Eisenman, L., Kummer, T. T. & Ching, S. N., Nov 15 2017, In: BMC Neurology. 17, 1, 197.Research output: Contribution to journal › Article › peer-review