Evidence map›Paper›PMID 15635807›Full record

ReviewThe Journal of membrane biology2004

Interactions of local anesthetics with voltage-gated Na+ channels.

C Nau, G K Wang

Abstract readReview
PubMed Publisher
In one paragraph

Review in The Journal of membrane biology, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
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

73 citing papers in PubMed, 177 citations in OpenAlex.

  1. The identification of potent nonopioid analgesics and their potential for perioperative use.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Molecular Pharmacology of Selective NaACS chemical neuroscience · 2024
    Article
  6. Article
  7. Local Anesthetic Like Inhibition of the Cardiac NaJournal of experimental pharmacology · 2022
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Lacosamide Inhibition of NaFrontiers in pharmacology · 2021
    Article
  15. Neurotoxicity of local anesthetics in dentistry.Journal of dental anesthesia and pain medicine · 2020
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review

13 more citing papers are in PubMed but not listed here.

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

2 authors at 2 institutions in 2 countries.

C NauDepartment of Anesthesiology, Friedrich-Alexander-University Erlangen-Nuremberg, 91054 Erlangen, Germany. Carla.Nau@kfa.imed.uni-erlangen.de
G K Wang
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEHarvard University · US

Funding

THERAPEUTIC NA+ CHANNEL BLOCKERS: RECEPTOR &DRUG DESIGNR01GM048090 · NIGMS · BRIGHAM AND WOMEN'S HOSPITAL · PI WANG, GING K · 1992 to 2007
$2.5M
NIGMS NIH HHS GM48090
6 · The paper itself

Abstract

Voltage-gated Na+ channels are dynamic transmembrane proteins responsible for the rising phase of the action potential in excitable membranes. Local anesthetics (LAs) and structurally related antiarrhythmic and anticonvulsant compounds target specific sites in voltage-gated Na+ channels to block Na+ currents, thus reducing excitability in neuronal, cardiac, or central nervous tissue. A high-affinity LA block is produced by binding to open and inactivated states of Na+ channels rather than to resting states and suggests a binding site that converts from a low- to a high-affinity conformation during gating. Recent findings using site-directed mutagenesis suggest that multiple S6 segments together form an LA binding site within the Na+ channel. While the selectivity filter may form the more extracellular-located part of this binding site, the role of the fast inactivation gate in LA binding has not yet been resolved. The receptor of the neurotoxin batrachotoxin (BTX) is adjacent to or even overlaps with the LA binding site. The close proximity of the LA and BTX binding sites to residues critical for inactivation, together with gating transitions through S6 segments, might explain the strong impact of LAs and BTX on inactivation of voltage-gated Na+ channels and might help elucidate the mechanisms underlying voltage- and frequency-dependent LA block.

Indexed as

Anesthetics, LocalAnimalsAnti-Arrhythmia AgentsAnticonvulsantsBatrachotoxinsBinding SitesHumansIon Channel GatingMembrane PotentialsSodium ChannelsAnesthetics, LocalAnti-Arrhythmia AgentsAnticonvulsantsbatrachotoxin receptorBatrachotoxinsSodium Channels

Identifiers

PMID15635807
OpenAlexW1994011917

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.