Evidence map›Paper›PMID 23872331›Full record

ReviewFrontiers in neuroendocrinology2013

Modulation of body temperature and LH secretion by hypothalamic KNDy (kisspeptin, neurokinin B and dynorphin) neurons: a novel hypothesis on the mechanism of hot flushes.

Naomi E Rance, Penny A Dacks, Melinda A Mittelman-Smith, Andrej A Romanovsky, Sally J Krajewski-Hall

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Frontiers in neuroendocrinology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07042516 (Safety and Efficacy of Asimadoline), which is not on this map. Cited by 170 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
170citing papers in PubMed, 8 pooled it
13.7field-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.

NCT07042516 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Safety and Efficacy of Asimadoline (TP0052), a Peripherally Restricted Selective Kappa Agonist, for the Treatment of Moderate to Severe Menopausal Symptoms in Midlife Women.

TypeinterventionalSponsorTioga PharmaceuticalsRan2025 to 2027Enrolled120ConditionsVasomotor SymptomsArmsAsimadoline
3 · Its place in the literature

Who cites it

170 citing papers in PubMed, 8 syntheses or guidelines pooled it, 349 citations in OpenAlex.

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  6. Genetic Variation and Hot Flashes: A Systematic Review.The Journal of clinical endocrinology and metabolism · 2020
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  7. Variation in menopausal vasomotor symptoms outcomes in clinical trials: a systematic review.BJOG : an international journal of obstetrics and gynaecology · 2020
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110 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 1 country.

Naomi E RanceDepartment of Pathology and the Evelyn F. McKnight Brain Research Institute, University of Arizona College of Medicine, Tucson, AZ 85724, USA. nrance@email.arizona.edu
Penny A Dacks
Melinda A Mittelman-Smith
Andrej A Romanovsky
Sally J Krajewski-Hall
University of Arizona · USSt. Joseph's Hospital and Medical Center · US

Funding

BLOOD-BRAIN SIGNALING IN INFLAMMATION--ROLE OF ALBUMINR01NS041233 · NINDS · ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER · PI ROMANOVSKY, ANDREJ A · 2000 to 2011
$2.6M
The role of neurokinin B in the generation of menopausal flushesR01AG032315 · NIA · UNIVERSITY OF ARIZONA · PI RANCE, NAOMI E · 2008 to 2012
$1.4M
NIA NIH HHS R01 AG032315NINDS NIH HHS R01 NS041233NINDS NIH HHS R01 NS41233
6 · The paper itself

Abstract

Despite affecting millions of individuals, the etiology of hot flushes remains unknown. Here we review the physiology of hot flushes, CNS pathways regulating heat-dissipation effectors, and effects of estrogen on thermoregulation in animal models. Based on the marked changes in hypothalamic kisspeptin, neurokinin B and dynorphin (KNDy) neurons in postmenopausal women, we hypothesize that KNDy neurons play a role in the mechanism of flushes. In the rat, KNDy neurons project to preoptic thermoregulatory areas that express the neurokinin 3 receptor (NK3R), the primary receptor for NKB. Furthermore, activation of NK₃R in the median preoptic nucleus, part of the heat-defense pathway, reduces body temperature. Finally, ablation of KNDy neurons reduces cutaneous vasodilatation and partially blocks the effects of estrogen on thermoregulation. These data suggest that arcuate KNDy neurons relay estrogen signals to preoptic structures regulating heat-dissipation effectors, supporting the hypothesis that KNDy neurons participate in the generation of flushes.

Indexed as

AnimalsBody Temperature RegulationDynorphinsEstradiolEstrous CycleFemaleHot FlashesHumansHypothalamusKisspeptinsLuteinizing HormoneModels, BiologicalNeurokinin BNeuronsOvariectomyPostmenopauseDynorphinsEstradiolKisspeptinsLuteinizing HormoneNeurokinin BReceptors, Neurokinin-3EstrogenGnRHLHMenopauseReproductionThermoregulation

Identifiers

PMID23872331
PMCPMC3833827
OpenAlexW2061642929

What OpenQuestion holds

Textmetadata
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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.