Evidence map›Paper›PMID 21885671›Full record

ArticleJournal of the American Society of Nephrology : JASN2011

Astrocytes are an early target in osmotic demyelination syndrome.

Fabrice Gankam Kengne, Charles Nicaise, Alain Soupart, Alain Boom, Johan Schiettecatte, Roland Pochet, Jean Pierre Brion, Guy Decaux

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

45 citing papers in PubMed, 99 citations in OpenAlex.

  1. Review
  2. Overcorrection of Hyponatremia: A Complicated Story.Electrolyte & blood pressure : E & BP · 2026
    Review
  3. Article
  4. Syndrome of Inappropriate Antidiuresis.Journal of the American Society of Nephrology : JASN · 2025
    Review
  5. The biology of water homeostasis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Fructose: A New Variable to Consider in SIADH and the Hyponatremia Associated With Long-Distance Running?American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023
    Article
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  12. Article
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  15. Review
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  18. Article
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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

8 authors at 2 institutions in 1 country.

Fabrice Gankam KengneErasme University Hospital, Department of General Internal Medicine, Research Unit on Hydromineral Metabolism, Faculty of Medicine, Université Libre de Bruxelles, Brussels, Belgium. fgankamk@ulb.ac.be
Charles Nicaise
Alain Soupart
Alain Boom
Johan Schiettecatte
Roland Pochet
Jean Pierre Brion
Guy Decaux
Université Libre de Bruxelles · BEVrije Universiteit Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Abrupt osmotic changes during rapid correction of chronic hyponatremia result in demyelinative brain lesions, but the sequence of events linking rapid osmotic changes to myelin loss is not yet understood. Here, in a rat model of osmotic demyelination syndrome, we found that massive astrocyte death occurred after rapid correction of hyponatremia, delineating the regions of future myelin loss. Astrocyte death caused a disruption of the astrocyte-oligodendrocyte network, rapidly upregulated inflammatory cytokines genes, and increased serum S100B, which predicted clinical manifestations and outcome of osmotic demyelination. These results support a model for the pathophysiology of osmotic brain injury in which rapid correction of hyponatremia triggers apoptosis in astrocytes followed by a loss of trophic communication between astrocytes and oligodendrocytes, secondary inflammation, microglial activation, and finally demyelination.

Indexed as

AnimalsAstrocytesBlood-Brain BarrierCell DeathConnexinsDemyelinating DiseasesDisease Models, AnimalDown-RegulationGene Expression RegulationHypertrophyHyponatremiaLymphocytesMaleMicrogliaMyelin SheathNerve Growth FactorsConnexinsNerve Growth FactorsS100b protein, ratS100 Calcium Binding Protein beta SubunitS100 ProteinsSaline Solution, HypertonicSodium

Identifiers

PMID21885671
PMCPMC3365278
OpenAlexW2149342011

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.