Evidence map›Paper›PMID 19845787›Full record

ReviewHeadache2010

Capillary endothelial Na(+), K(+), ATPase transporter homeostasis and a new theory for migraine pathophysiology.

Michael G Harrington, Alfred N Fonteh, Xianghong Arakaki, Robert P Cowan, Laurel E Ecke, Hailey Foster, Andreas F Hühmer, Roger G Biringer

Open access · greenAbstract readReview
In one paragraph

Review in Headache, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

17 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
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  11. Sodium 3D COncentration MApping (COMA 3D) using (23)Na and proton MRI.Journal of magnetic resonance (San Diego, Calif. : 1997) · 2014
    Article
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  17. Cerebrospinal fluid sodium rhythms.Cerebrospinal fluid research · 2010
    Article
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

8 authors at 2 institutions in 1 country.

Michael G HarringtonHuntington Medical Research Institutes - Molecular Neurology, Pasadena, CA 91101, USA.
Alfred N Fonteh
Xianghong Arakaki
Robert P Cowan
Laurel E Ecke
Hailey Foster
Andreas F Hühmer
Roger G Biringer
Huntington Medical Research Institutes · USThermo Fisher Scientific (United States) · US

Funding

Clinical and molecular pathophysiology of headacheR01NS043295 · NINDS · HUNTINGTON MEDICAL RESEARCH INSTITUTES · PI HARRINGTON, MICHAEL GORDON · 2003 to 2006
$1.4M
NINDS NIH HHS R01 NS043295
6 · The paper itself

Abstract

backgroundCerebrospinal fluid sodium concentration ([Na(+)](csf)) increases during migraine, but the cause of the increase is not known.

objectiveAnalyze biochemical pathways that influence [Na(+)](csf) to identify mechanisms that are consistent with migraine.

methodWe reviewed sodium physiology and biochemistry publications for links to migraine and pain.

resultsIncreased capillary endothelial cell (CEC) Na(+), K(+), -ATPase transporter (NKAT) activity is probably the primary cause of increased [Na(+)](csf). Physiological fluctuations of all NKAT regulators in blood, many known to be involved in migraine, are monitored by receptors on the luminal wall of brain CECs; signals are then transduced to their abluminal NKATs that alter brain extracellular sodium ([Na(+)](e)) and potassium ([K(+)](e)).

conclusionsWe propose a theoretical mechanism for aura and migraine when NKAT activity shifts outside normal limits: (1) CEC NKAT activity below a lower limit increases [K(+)](e), facilitates cortical spreading depression, and causes aura; (2) CEC NKAT activity above an upper limit elevates [Na(+)](e), increases neuronal excitability, and causes migraine; (3) migraine-without-aura may arise from CEC NKAT over-activity without requiring a prior decrease in activity and its consequent spreading depression; (4) migraine triggers disturb, and treatments improve, CEC NKAT homeostasis; (5) CEC NKAT-induced regulation of neural and vasomotor excitability coordinates vascular and neuronal activities, and includes occasional pathology from CEC NKAT-induced apoptosis or cerebral infarction.

Indexed as

AnimalsBrainCerebral ArteriesCerebrospinal FluidCortical Spreading DepressionEndothelial CellsHumansMigraine DisordersPotassiumSodiumSodium-Potassium-Exchanging ATPasePotassiumSodiumSodium-Potassium-Exchanging ATPase

Identifiers

PMID19845787
PMCPMC8020446
OpenAlexW2094766767

What OpenQuestion holds

Textmetadata
LicenceTDM
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.