Evidence map›Paper›PMID 24253784›Full record

ArticleSpine2014

Increased interleukin-1α and prostaglandin E2 expression in the spinal cord at 1 day after painful facet joint injury: evidence of early spinal inflammation.

Jeffrey V Kras, Ling Dong, Beth A Winkelstein

Open access · greenAbstract read
In one paragraph

Article in Spine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.1field-weighted citation impact, top 13% 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, 36 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Unraveling quad fever: Severe hyperthermia after traumatic cervical spinal cord injury.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Quad Fever: Treatment through Lowering of Ambient Temperature.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2018
    Article
  11. Article
  12. Article
  13. Management of lumbar zygapophysial (facet) joint pain.World journal of orthopedics · 2016
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

3 authors at 2 institutions in 2 countries.

Jeffrey V KrasDepartments of *Bioengineering and †Neurosurgery, University of Pennsylvania, Philadelphia, PA.
Ling Dong
Beth A Winkelstein
Bioengineering Center · RUUniversity of the Sciences · US

Funding

Nociceptive Mechanisms In Whiplash InjuryR01AR056288 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI WINKELSTEIN, BETH A · 2009 to 2013
$1.6M
NIAMS NIH HHS AR056288NIAMS NIH HHS R01 AR056288
6 · The paper itself

Abstract

STUDY

designThis study used immunohistochemistry and an enzyme immunoassay to quantify interleukin-1α (IL-1α) and prostaglandin E2 (PGE2) levels in the spinal cord of rats at 1 day after painful cervical facet joint injury.

objectiveThe objective of this study was to determine to what extent spinal inflammation is initiated early after a painful loading-induced injury of the C6-C7 facet joint in a rat model. SUMMARY OF BACKGROUND DATA: A common source of neck pain, the cervical facet joint is susceptible to loading-induced injury, which can lead to persistent pain. IL-1α and PGE2 are associated with joint inflammation and pain, both locally in the joint and centrally in the spinal cord. Joint inflammation has been shown to contribute to pain after facet joint injury. Although spinal neuronal hyperactivity is evident within 1 day of painful facet injury, it is unknown if inflammatory mediators, such as IL-1α and PGE2, are also induced early after painful injury.

methodsRats underwent either a painful C6-C7 facet joint distraction or sham procedure. Mechanical sensitivity was assessed, and immunohistochemical and enzyme immunoassay techniques were used to quantify IL-1α and PGE2 expression in the spinal cord at day 1.

resultsBoth IL-1α and PGE2 were significantly elevated (P≤ 0.04) at day 1 after painful injury. Moreover, although both spinal IL-1α and PGE2 levels were correlated with the withdrawal threshold in response to mechanical stimulation of the forepaw, this correlation was only significant (P = 0.01) for PGE2.

conclusionThe increased expression of 2 inflammatory markers in the spinal cord at 1 day after painful joint injury suggests that spinal inflammation may contribute to the initiation of pain after cervical facet joint injury. Further studies will help identify functional roles of both spinal IL-1α and PGE2 in loading-induced joint pain. LEVEL OF EVIDENCE: N/A.

Indexed as

AnimalsCervical VertebraeDinoprostoneGene Expression RegulationInterleukin-1alphaMaleMyelitisPainRatsRats, Sprague-DawleyReceptors, Prostaglandin ESpinal CordTime FactorsZygapophyseal JointDinoprostoneInterleukin-1alphaReceptors, Prostaglandin E

Identifiers

PMID24253784
PMCPMC3946680
OpenAlexW2312892246

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.