Evidence map›Paper›PMID 20854944›Full record

ArticleBone2011

Sustained blockade of neurotrophin receptors TrkA, TrkB and TrkC reduces non-malignant skeletal pain but not the maintenance of sensory and sympathetic nerve fibers.

Joseph R Ghilardi, Katie T Freeman, Juan M Jimenez-Andrade, William G Mantyh, Aaron P Bloom, Karyn S Bouhana, David Trollinger, James Winkler, Patrice Lee, Steven W Andrews and 2 more

Abstract read
In one paragraph

Article in Bone, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

37 citing papers in PubMed, 67 citations in OpenAlex.

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  17. ISSLS PRIZE IN BASIC SCIENCE 2017: Intervertebral disc/bone marrow cross-talk with Modic changes.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2017
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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

12 authors at 3 institutions in 1 country.

Joseph R GhilardiResearch Service, VA Medical Center, Minneapolis, MN 55417, USA.
Katie T Freeman
Juan M Jimenez-Andrade
William G Mantyh
Aaron P Bloom
Karyn S Bouhana
David Trollinger
James Winkler
Patrice Lee
Steven W Andrews
Michael A Kuskowski
Patrick W Mantyh
Array BioPharma (United States) · USUniversity of Arizona · USMinneapolis VA Medical Center · US

Funding

Peripheral Nociceptors in Persistent PainR01NS023970 · NINDS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MANTYH, PATRICK WILLIAM · 1987 to 2019
$3.7M
PERIPHERAL NOCICEPTORS IN PERSISTENT PAINR37NS023970 · NINDS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MANTYH, PATRICK WILLIAM · 2001 to 2007
$2.9M
Cancer Pain and Breast Tumor Metastasis to BoneR01NS048021 · NINDS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MANTYH, PATRICK WILLIAM · 2004 to 2007
$1.2M
NINDS NIH HHS NS048021NINDS NIH HHS NS23970NINDS NIH HHS R01 NS023970NINDS NIH HHS R01 NS048021NINDS NIH HHS R37 NS023970
6 · The paper itself

Abstract

Current therapies for treating skeletal pain have significant limitations as available drugs (non-steroidal anti-inflammatory drugs and opiates) have significant unwanted side effects. Targeting nerve growth factor (NGF) or its cognate receptor tropomysin receptor kinase A (TrkA) has recently become an attractive target for inhibition of adult skeletal pain. Here we explore whether sustained administration of a selective small molecule Trk inhibitor that blocks TrkA, TrkB and TrkC kinase activity with nanomolar affinity reduces skeletal pain while allowing the maintenance of sensory and sympathetic neurons in the adult mouse. Twice-daily administration of a Trk inhibitor was begun 1 day post fracture and within 8 h of acute administration fracture pain-related behaviors were reduced by 50% without significant sedation, weight gain or inhibition of fracture healing. Following administration of the Trk inhibitor for 7 weeks, there was no significant decline in the density of unmyelinated or myelinated sensory nerve fibers, sympathetic nerve fibers, measures of acute thermal pain, acute mechanical pain, or general neuromuscular function. The present results suggest that sustained administration of a peripherally selective TrkA, B and C inhibitor significantly reduces skeletal pain without having any obvious detrimental effects on adult sensory and sympathetic nerve fibers or early fracture healing. As with any potential therapeutic advance, understanding whether the benefits of Trk blockade are associated with any risks or unexpected effects will be required to fully appreciate the patient populations that may benefit from this therapeutic approach.

Indexed as

AnimalsEnzyme InhibitorsFractures, BoneMaleMicePainReceptor, trkAReceptor, trkBReceptor, trkCSensory Receptor CellsSympathetic Nervous SystemEnzyme InhibitorsReceptor, trkAReceptor, trkBReceptor, trkC

Identifiers

PMID20854944
PMCPMC3020250
OpenAlexW2122338810

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.