Evidence map›Paper›PMID 24567229›Full record

ReviewMetabolic brain disease2014

Brain edema in acute liver failure: mechanisms and concepts.

Kakulavarapu V Rama Rao, Arumugam R Jayakumar, Michael D Norenberg

Abstract readReview
PubMed Publisher
In one paragraph

Review in Metabolic brain disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

28 citing papers in PubMed, 55 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Aquaporins in sepsis- an update.Frontiers in immunology · 2024
    Review
  7. Acute liver failure following paracetamol overdose.Journal of the Intensive Care Society · 2022
    Article
  8. Review
  9. Article
  10. Amelioration of Hepatic Encephalopathy UsingBioMed research international · 2021
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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 1 institution in 1 country.

Kakulavarapu V Rama RaoDepartment of Pathology, University of Miami Miller School of Medicine, PO Box 016960, Miami, FL, 33101, USA, vkakulavarapu@med.miami.edu.
Arumugam R Jayakumar
Michael D Norenberg
University of Miami · US

Funding

NIDDK NIH HHS DK06331
6 · The paper itself

Abstract

Brain edema and associated increase in intracranial pressure continue to be lethal complications of acute liver failure (ALF). Abundant evidence suggests that the edema in ALF is largely cytotoxic brought about by swelling of astrocytes. Elevated blood and brain ammonia levels have been strongly implicated in the development of the brain edema. Additionally, inflammation and sepsis have been shown to contribute to the astrocyte swelling/brain edema in the setting of ALF. We posit that ammonia initiates a number of signaling events, including oxidative/nitrative stress (ONS), the mitochondrial permeability transition (mPT), activation of the transcription factor (NF-κB) and signaling kinases, all of which have been shown to contribute to the mechanism of astrocyte swelling. All of these factors also impact ion-transporters, including Na(+), K(+), Cl(-) cotransporter and the sulfonylurea receptor 1, as well as the water channel protein aquaporin-4 resulting in a perturbation of cellular ion and water homeostasis, ultimately resulting in astrocyte swelling/brain edema. All of these events are also potentiated by inflammation. This article reviews contemporary knowledge regarding mechanisms of astrocyte swelling/brain edema formation which hopefully will facilitate the identification of therapeutic targets capable of mitigating the brain edema associated with ALF.

Indexed as

Acute DiseaseAmmoniaAnimalsAstrocytesBody WaterBrain EdemaCell SizeConfounding Factors, EpidemiologicHomeostasisHumansInfectionsInflammationIntracranial HypertensionIon TransportLiver FailureMitogen-Activated Protein KinasesAmmoniaMitogen-Activated Protein KinasesNerve Tissue ProteinsNF-kappa B

Identifiers

PMID24567229
OpenAlexW1984352381

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.