Evidence map›Paper›PMID 23188522›Full record

ArticleJournal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology2013

Simvastatin ameliorates cauda equina compression injury in a rat model of lumbar spinal stenosis.

Anandakumar Shunmugavel, Marcus M Martin, Mushfiquddin Khan, Anne G Copay, Brian R Subach, Thomas C Schuler, Inderjit Singh

Open access · greenAbstract read
In one paragraph

Article in Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
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  8. Wheelchair use and lipophilic statin medications may influence bone loss in chronic spinal cord injury: findings from the FRASCI-bone loss study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
    Article
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  14. Hyperlipidemia and statins affect neurological outcome in lumbar spine injury.International journal of environmental research and public health · 2015
    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

7 authors at 2 institutions in 1 country.

Anandakumar ShunmugavelDepartment of Pediatrics, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA.
Marcus M Martin
Mushfiquddin Khan
Anne G Copay
Brian R Subach
Thomas C Schuler
Inderjit Singh
Virginia Spine Institute · USMedical University of South Carolina · US

Funding

SPEECH UNDERSTANDING IN REALISTIC ENVIRONMENTSP50DC000422 · NIDCD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DUBNO, JUDY R · 1989 to 2025
$45.3M
CYTOKINES IN GLIAL CELLS AND EAE BRAINR01NS037766 · NINDS · UNIVERSITY OF NEVADA RENO · PI SINGH, INDERJIT · 1998 to 2019
$5.9M
Fatty Acid Oxidation in X-Linked AdrenoleukodystrophyR37NS022576 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI SINGH, INDERJIT · 2003 to 2009
$3.3M
EXTRAMURAL RESEARCH FACILITIES CONSTRUCTIONC06RR018823 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI RAYMOND, JOHN R · 2003 to 2003
$2.9M
PEROXISOMAL OXIDATION IN X-LINKED ADRENOLEUKODYSTROPHYR01NS022576 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI SINGH, INDERJIT · 1985 to 2014
$2.5M
MUSC FACIL EXPANSION &RENOV: SLE C06RR015455 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI RAYMOND, JOHN R · 2002 to 2002
$2.0M
Nitrosylation Mechanisms for Protection Against Neurovascular Inflammatory InjuryR01NS072511 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI SINGH, AVTAR K · 2011 to 2015
$1.6M
PATHOPHYSIOLOGY OF PRESBYACUSISP01DC000422 · NIDCD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MILLS, JOHN H · 1991 to 1996
–
NCI NIH HHS CO6 RR0015455NCI NIH HHS CO6 RR018823NCRR NIH HHS C06 RR015455NCRR NIH HHS C06 RR018823NIDCD NIH HHS DC00422NIDCD NIH HHS P50 DC000422NINDS NIH HHS NS-22576NINDS NIH HHS NS-37766NINDS NIH HHS NS-72511NINDS NIH HHS R01 NS022576NINDS NIH HHS R01 NS037766NINDS NIH HHS R01 NS072511NINDS NIH HHS R37 NS022576
6 · The paper itself

Abstract

Lumbar spinal stenosis (LSS) is the leading cause of morbidity and mortality worldwide. LSS pathology is associated with secondary injury caused by inflammation, oxidative damage and cell death. Apart from laminectomy, pharmacological therapy targeting secondary injury is limited. Statins are FDA-approved cholesterol-lowering drug. They also show pleiotropic anti-inflammatory, antioxidant and neuroprotective effects. To investigate the therapeutic efficacy of simvastatin in restoring normal locomotor function after cauda equina compression (CEC) in a rat model of LSS, CEC injury was induced in rats by implanting silicone gels into the epidural spaces of L4 and L6. Experimental group was treated with simvastatin (5 mg/kg body weight), while the injured (vehicle) and sham operated (sham) groups received vehicle solution. Locomotor function in terms of latency on rotarod was measured for 49 days and the threshold of pain was determined for 14 days. Rats were sacrificed on day 3 and 14 and the spinal cord and cauda equina fibers were extracted and studied by histology, immunofluorescence, electron microscopy (EM) and TUNEL assay. Simvastatin aided locomotor functional recovery and enhanced the threshold of pain after the CEC. Cellular Infiltration and demyelination decreased in the spinal cord from the simvastatin group. EM revealed enhanced myelination of cauda equina in the simvastatin group. TUNEL assay showed significantly decreased number of apoptotic neurons in spinal cord from the simvastatin group compared to the vehicle group. Simvastatin hastens the locomotor functional recovery and reduces pain after CEC. These outcomes are mediated through the neuroprotective and anti-inflammatory properties of simvastatin. The data indicate that simvastatin may be a promising drug candidate for LSS treatment in humans.

Indexed as

AnalgesicsAnimalsAnti-Inflammatory AgentsCauda EquinaFemaleHydroxymethylglutaryl-CoA Reductase InhibitorsHyperalgesiaImage Processing, Computer-AssistedImmunohistochemistryIn Situ Nick-End LabelingLocomotionMagnetic Resonance ImagingMicroscopy, Electron, TransmissionNeuroprotective AgentsPain MeasurementPhysical StimulationAnalgesicsAnti-Inflammatory AgentsHydroxymethylglutaryl-CoA Reductase InhibitorsNeuroprotective AgentsSimvastatin

Identifiers

PMID23188522
PMCPMC3587651
OpenAlexW2057010177

What OpenQuestion holds

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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.