Evidence map›Paper›PMID 23427324›Full record

ArticleNeurology2013

Bumetanide prevents transient decreases in muscle force in murine hypokalemic periodic paralysis.

Fenfen Wu, Wentao Mi, Stephen C Cannon

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02582476 (A Randomised, Double-blind, Placebo-controlled, Phase II Clinical Trial With a Cross-over Design Assessing Efficacy of a Single Dose of Bumetanide in Reducing Focal Attack Severity in Hypokalaemic Periodic Paralysis Assessed Using the McManis Protocol), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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.

NCT02582476 phase2terminatednot on this mapstarted 2015, after this paper: background citation

A Randomised, Double-blind, Placebo-controlled, Phase II Clinical Trial With a Cross-over Design Assessing Efficacy of a Single Dose of Bumetanide in Reducing Focal Attack Severity in Hypokalaemic Periodic Paralysis Assessed Using the McManis Protocol

TypeinterventionalSponsorUniversity College, LondonRan2015 to 2017Enrolled12ConditionsHypokalemic Periodic ParalysisArmsBumetanide, Placebo
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Efficacy of a KMuscle & nerve · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Periodic paralysis.Handbook of clinical neurology · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Treatment Updates for Neuromuscular Channelopathies.Current treatment options in neurology · 2020
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Sodium Channelopathies of Skeletal Muscle.Handbook of experimental pharmacology · 2018
    Review
  18. Genetic neurological channelopathies: molecular genetics and clinical phenotypes.Journal of neurology, neurosurgery, and psychiatry · 2016
    Review
  19. Channelopathies of skeletal muscle excitability.Comprehensive Physiology · 2015
    Review
  20. 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

3 authors at 1 institution in 1 country.

Fenfen WuDepartment of Neurology and Neurotherapeutics, UT Southwestern Medical Center, Dallas, TX, USA.
Wentao Mi
Stephen C Cannon
Southwestern Medical Center · US

Funding

Molecular Physiology of Myotonia and Periodic ParalysisR37AR042703 · NIAMS · UT SOUTHWESTERN MEDICAL CENTER · PI CANNON, STEPHEN C. · 2008 to 2018
$4.2M
MOLECULAR PHYSIOLOGY OF NEUROMUSCULAR DISEASESR01AR042703 · NIAMS · UT SOUTHWESTERN MEDICAL CENTER · PI CANNON, STEPHEN C. · 1994 to 2007
$2.4M
CSR NIH HHS RG 135835NIAMS NIH HHS AR 42703NIAMS NIH HHS R37 AR042703
6 · The paper itself

Abstract

objectiveTo test the hypothesis that inhibition of the Na-K-2Cl transporter with bumetanide will reduce the susceptibility to decreases in muscle force in a mouse model of hypokalemic periodic paralysis (HypoPP).

methodsIn vitro contraction tests were performed on soleus muscle isolated from mice with knock-in missense mutations that result in HypoPP (sodium channel NaV1.4-R669H) or hyperkalemic periodic paralysis (HyperPP; sodium channel NaV1.4-M1592V).

resultsBumetanide prevented the development of weakness in 2 mM K(+) and also restored force during an established attack of HypoPP. Stimulation of the Na-K-2Cl transporter via induction of hyperosmolality exacerbated the weakness seen in low K(+) and was also prevented by bumetanide. Bumetanide was more efficacious than acetazolamide for preventing weakness in low K(+) conditions. Decreases in force in HyperPP muscle exposed to 10 mM K(+) were not prevented by treatment with bumetanide.

conclusionsThe Na-K-2Cl inhibitor bumetanide was highly effective in preventing attacks of weakness in the NaV1.4-R669H mouse model of HypoPP and should be considered for management of patients with HypoPP due to sodium channel mutations. Dehydration may aggravate HypoPP by stimulating the Na-K-2Cl transporter.

Indexed as

AnimalsBumetanideFemaleGene Knock-In TechniquesHypokalemic Periodic ParalysisMaleMiceMice, TransgenicMuscle ContractionMuscle, SkeletalMutation, MissenseOrgan Culture TechniquesBumetanide

Identifiers

PMID23427324
PMCPMC3662304
OpenAlexW2169894910

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.