Evidence map›Paper›PMID 22406413›Full record

ArticleNeuroscience2012

Strategies to defeat ketamine-induced neonatal brain injury.

C P Turner, S Gutierrez, C Liu, L Miller, J Chou, B Finucane, A Carnes, J Kim, E Shing, T Haddad and 1 more

Abstract read
In one paragraph

Article in Neuroscience, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Sex-dependent changes in ketamine-induced locomotor activity and ketamine pharmacokinetics in preweanling, adolescent, and adult rats.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2019
    Article
  14. Article
  15. Article
  16. Ketamine use in current clinical practice.Acta pharmacologica Sinica · 2016
    Review
  17. Review
  18. Article
  19. Review
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

11 authors at 1 institution in 1 country.

C P TurnerNeurobiology & Anatomy, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1010, USA. cpturner@wfubmc.edu
S Gutierrez
C Liu
L Miller
J Chou
B Finucane
A Carnes
J Kim
E Shing
T Haddad
A Phillips
Wake Forest University · US

Funding

Calcium Homeostasis and Neonatal Brain InjuryR01NS051632 · NINDS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI TURNER, CHRISTOPHER P · 2006 to 2009
$1.1M
NINDS NIH HHS R01 NS051632
6 · The paper itself

Abstract

Studies using animal models have shown that general anesthetics such as ketamine trigger widespread and robust apoptosis in the infant rodent brain. Recent clinical evidence suggests that the use of general anesthetics on young children (at ages equivalent to those used in rodent studies) can promote learning deficits as they mature. Thus, there is a growing need to develop strategies to prevent this injury. In this study, we describe a number of independent approaches to address therapeutic intervention. Postnatal day 7 (P7) rats were injected with vehicle (sterile PBS) or the NMDAR antagonist ketamine (20 mg/kg). After 8 h, we prepared brains for immunohistochemical detection of the pro-apoptotic enzyme activated caspase-3 (AC3). Focusing on the somatosensory cortex, AC3-positive cells were then counted in a non-biased stereological manner. We found AC3 levels were markedly increased in ketamine-treated animals. In one study, microarray analysis of the somatosensory cortex from ketamine-treated P7 pups revealed that expression of activity dependent neuroprotective protein (ADNP) was enhanced. Thus, we injected P7 animals with the ADNP peptide fragment NAPVSIPQ (NAP) 15 min before ketamine administration and found we could dose-dependently reverse the injury. In separate studies, pretreatment of P6 animals with 20 mg/kg vitamin D(3) or a nontoxic dose of ketamine (5 mg/kg) also prevented ketamine-induced apoptosis at P7. In contrast, pretreatment of P7 animals with aspirin (30 mg/kg) 15 min before ketamine administration actually increased AC3 counts in some regions. These data show that a number of unique approaches can be taken to address anesthesia-induced neurotoxicity in the infant brain, thus providing MDs with a variety of alternative strategies that enhance therapeutic flexibility.

Indexed as

Anesthetics, DissociativeAnimalsAnimals, NewbornApoptosisBrain InjuriesDisease Models, AnimalFemaleGene ExpressionImmunohistochemistryKetamineMaleMicroarray AnalysisNeurotoxicity SyndromesRatsRats, Sprague-DawleySomatosensory CortexAnesthetics, DissociativeKetamine

Identifiers

PMID22406413
PMCPMC3358446
OpenAlexW2035055240

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.