Evidence map›Paper›PMID 25589741›Full record

ArticleThe Journal of neuroscience : the official journal of the Society for Neuroscience2015

Neuropathic pain is constitutively suppressed in early life by anti-inflammatory neuroimmune regulation.

Rebecca McKelvey, Temugin Berta, Elizabeth Old, Ru-Rong Ji, Maria Fitzgerald

Open access · hybridAbstract read
In one paragraph

Article in The Journal of neuroscience : the official journal of the Society for Neuroscience, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
8.3field-weighted citation impact, top 2% 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

71 citing papers in PubMed, 119 citations in OpenAlex.

  1. Glial cells in neuropathic pain.Physiological reviews · 2026
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11 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 4 institutions in 2 countries.

Rebecca McKelveyDepartment of Neuroscience, Physiology and Pharmacology, University College London, London WC1E 6BT, United Kingdom.
Temugin BertaDepartments of Anesthesiology and Neurobiology, Duke University Medical Center, Durham, North Carolina 27710, and.
Elizabeth OldWolfson Centre for Age Related Diseases, King's College London, London WC2R 2LS, United Kingdom.
Ru-Rong JiDepartments of Anesthesiology and Neurobiology, Duke University Medical Center, Durham, North Carolina 27710, and.
Maria FitzgeraldDepartment of Neuroscience, Physiology and Pharmacology, University College London, London WC1E 6BT, United Kingdom, m.fitzgerald@ucl.ac.uk.
University College London · GBDuke Medical Center · USDuke University · USKing's College London · GB

Funding

Neuronal and glial interactions of neuropathic painR01DE017794 · NIDCR · DUKE UNIVERSITY · PI BUCHHEIT, THOMAS · 2006 to 2021
$6.6M
Hemichannels, Astrocytic Release, and Neuropathic PainR01DE022743 · NIDCR · DUKE UNIVERSITY · PI JI, RU-RONG, NEDERGAARD, MAIKEN · 2012 to 2016
$2.0M
Medical Research Council G0901269NIDCR NIH HHS DE17794NIDCR NIH HHS R01 DE017794NIDCR NIH HHS R01 DE022743
6 · The paper itself

Abstract

Peripheral nerve injury can trigger neuropathic pain in adults but not in infants; indeed, for unknown reasons, neuropathic pain is rare before adolescence. We show here that the absence of neuropathic pain response in infant male rats and mice following nerve injury is due to an active, constitutive immune suppression of dorsal horn pain activity. In contrast to adult nerve injury, which triggers a proinflammatory immune response in the spinal dorsal horn, infant nerve injury triggers an anti-inflammatory immune response, characterized by significant increases in IL-4 and IL-10. This immediate anti-inflammatory response can also be evoked by direct C-fiber nerve stimulation in infant, but not adult, mice. Blockade of the anti-inflammatory activity with intrathecal anti-IL10 unmasks neuropathic pain behavior in infant nerve injured mice, showing that pain hypersensitivity in young mice is actively suppressed by a dominant anti-inflammatory neuroimmune response. As infant nerve injured mice reach adolescence (postnatal day 25-30), the dorsal horn immune profile switches from an anti-inflammatory to a proinflammatory response characterized by significant increases in TNF and BDNF, and this is accompanied by a late onset neuropathic pain behavior and increased dorsal horn cell sensitivity to cutaneous mechanical and cold stimuli. These findings show that neuropathic pain following early life nerve injury is not absent but suppressed by neuroimmune activity and that "latent" pain can still emerge at adolescence, when the neuroimmune profile changes. The data may explain why neuropathic pain is rare in young children and also why it can emerge, for no observable reason, in adolescent patients.

Indexed as

NeuroimmunomodulationAnimalsBrain-Derived Neurotrophic FactorHyperalgesiaInterleukin-10Interleukin-4MaleMiceNeuralgiaRatsRats, Sprague-DawleySpinal Cord Dorsal HornTumor Necrosis Factor-alphaBrain-Derived Neurotrophic FactorInterleukin-10Interleukin-4Tumor Necrosis Factor-alphaanti-inflammatorydevelopmentdorsal horninfantneuropathicpain

Identifiers

PMID25589741
PMCPMC4293402
OpenAlexW2012939075

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.