Evidence map›Paper›PMID 22581285›Full record

ArticleNature medicine2012

Methylglyoxal modification of Nav1.8 facilitates nociceptive neuron firing and causes hyperalgesia in diabetic neuropathy.

Angelika Bierhaus, Thomas Fleming, Stoyan Stoyanov, Andreas Leffler, Alexandru Babes, Cristian Neacsu, Susanne K Sauer, Mirjam Eberhardt, Martina Schnölzer, Felix Lasitschka and 24 more

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 245 papers.

0numbers the graph read from it
0cells of the map it votes in
245citing papers in PubMed
24.6field-weighted citation impact, top 1% 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

245 citing papers in PubMed, 489 citations in OpenAlex.

  1. Trial
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  7. Review
  8. Review
  9. Article
  10. Article
  11. The Excelsatoxin A-Receptor TMEM233 Modulates Nav1.8.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Glyoxalase 1 is a proadipogenic gene.The Journal of biological chemistry · 2025
    Article
  18. Article
  19. A Chemical Mechanistic Path Leads the Way to Cellular Argpyrimidine.Journal of the American Chemical Society · 2025
    Article
  20. [Diabetes mellitus-a risk factor for pain].Schmerz (Berlin, Germany) · 2025
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors at 14 institutions in 6 countries.

Angelika BierhausDepartment of Medicine I and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.
Thomas Fleming
Stoyan Stoyanov
Andreas Leffler
Alexandru Babes
Cristian Neacsu
Susanne K Sauer
Mirjam Eberhardt
Martina Schnölzer
Felix Lasitschka
Felix Lasischka
Winfried L Neuhuber
Tatjana I Kichko
Ilze Konrade
Ralf Elvert
Walter Mier
Valdis Pirags
Ivan K Lukic
Michael Morcos
Thomas Dehmer
Naila Rabbani
Paul J Thornalley
Diane Edelstein
Carla Nau
Josephine Forbes
Per M Humpert
Markus Schwaninger
Dan Ziegler
David M Stern
Mark E Cooper
Uwe Haberkorn
Michael Brownlee
Peter W Reeh
Peter P Nawroth
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEHeidelberg University · DEUniversity Hospital Heidelberg · DEAlbert Einstein College of Medicine · USBaker Heart and Diabetes Institute · AUUniversity of Warwick · GBDeutsches Diabetes-Zentrum e.V. · DEPauls Stradiņš Clinical University Hospital · LVRiga East University Hospital · LVSanofi (Germany) · DEUniversity of Bucharest · ROUniversity of Lübeck · DEUniversity of Tennessee Health Science Center · USZentrum für Psychiatrie Südwürttemberg · DE

Funding

Intracellular Glycation and Diabetic ComplicationsR56DK033861 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI BROWNLEE, MICHAEL A · 2006 to 2007
$398k
NIDDK NIH HHS 2R56DK33861-21
6 · The paper itself

Abstract

This study establishes a mechanism for metabolic hyperalgesia based on the glycolytic metabolite methylglyoxal. We found that concentrations of plasma methylglyoxal above 600 nM discriminate between diabetes-affected individuals with pain and those without pain. Methylglyoxal depolarizes sensory neurons and induces post-translational modifications of the voltage-gated sodium channel Na(v)1.8, which are associated with increased electrical excitability and facilitated firing of nociceptive neurons, whereas it promotes the slow inactivation of Na(v)1.7. In mice, treatment with methylglyoxal reduces nerve conduction velocity, facilitates neurosecretion of calcitonin gene-related peptide, increases cyclooxygenase-2 (COX-2) expression and evokes thermal and mechanical hyperalgesia. This hyperalgesia is reflected by increased blood flow in brain regions that are involved in pain processing. We also found similar changes in streptozotocin-induced and genetic mouse models of diabetes but not in Na(v)1.8 knockout (Scn10(-/-)) mice. Several strategies that include a methylglyoxal scavenger are effective in reducing methylglyoxal- and diabetes-induced hyperalgesia. This previously undescribed concept of metabolically driven hyperalgesia provides a new basis for the design of therapeutic interventions for painful diabetic neuropathy.

Indexed as

AnimalsCerebrovascular CirculationDiabetes Mellitus, ExperimentalDiabetic NeuropathiesHumansHyperalgesiaMiceMice, Inbred C57BLNAV1.8 Voltage-Gated Sodium ChannelNeural ConductionNociceptorsPyruvaldehydeSodium ChannelsStreptozocinTetrodotoxinNAV1.8 Voltage-Gated Sodium ChannelPyruvaldehydeSCN10A protein, humanScn10a protein, mouseSodium ChannelsStreptozocinTetrodotoxin

Identifiers

PMID22581285
OpenAlexW2043406394

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.