Evidence map›Paper›PMID 25694482›Full record

ArticleAmerican journal of physiology. Renal physiology2015

Spinal stimulation of the upper lumbar spinal cord modulates urethral sphincter activity in rats after spinal cord injury.

Edsel M Abud, Ronaldo M Ichiyama, Leif A Havton, Huiyi H Chang

Registry-linked trialAbstract read
In one paragraph

Article in American journal of physiology. Renal physiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06587841 (Noninvasive Spinal Cord Neuromodulation to Improve Lower Urinary Tract Function After Spinal Cord Injury in Ukrainian War Veterans), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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.

NCT06587841 narecruitingnot on this mapstarted 2024, after this paper: background citation

Noninvasive Spinal Cord Neuromodulation to Improve Lower Urinary Tract Function After Spinal Cord Injury in Ukrainian War Veterans

TypeinterventionalSponsorUniversity of British ColumbiaRan2024 to 2027Enrolled60ConditionsSpinal Cord Injuries, Bowel Dysfunction, Sexual Dysfunction, Autonomic DysfunctionArmsSpinal COrd NEuromodulation™ (SCONE™) for transcutaneous spinal cord stimulation (TSCS)
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Mapping the Iceberg of Autonomic Recovery: Mechanistic Underpinnings of Neuromodulation following Spinal Cord Injury.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Spinal interneurons of the lower urinary tract circuits.Autonomic neuroscience : basic & clinical · 2021
    Review
  18. Article
  19. Article
  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

4 authors at 3 institutions in 2 countries.

Edsel M AbudDepartment of Neurobiology and Behavior, University of California, Irvine, California;
Ronaldo M IchiyamaSchool of Biomedical Sciences, University of Leeds, Leeds, United Kingdom.
Leif A HavtonDepartment of Anesthesiology and Perioperative Care, University of California, Irvine, California; Department of Anatomy and Neurobiology, University of California, Irvine, California; Department of Neurology, University of California, Irvine, California; Reeve-Irvine Research Center, University of California, Irvine, California; Department of Neurology, University of California, Los Angeles, California; and.
Huiyi H ChangDepartment of Anesthesiology and Perioperative Care, University of California, Irvine, California; Department of Neurology, University of California, Los Angeles, California; and HuiyiHarriet.Chang@med.usc.edu.
University of California, Los Angeles · USUniversity of California, Irvine · USUniversity of Leeds · GB

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM008620 · NIGMS · UNIVERSITY OF CALIFORNIA-IRVINE · PI GOLDIN, ALAN L · 1999 to 2023
$8.1M
Spinal stimulation modulates urethral sphincter activation in neurogenic bladdersR01DK106181 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHANG, HUIYI HARRIET · 2015 to 2017
$986k
NIDDK NIH HHS R01 DK106181NIGMS NIH HHS T32 GM008620
6 · The paper itself

Abstract

After spinal cord injury (SCI), the neurogenic bladder is observed to develop asynchronous bladder and external urethral sphincter (EUS) contractions in a condition known as detrusor-sphincter dyssnergia (DSD). Activation of the EUS spinal controlling center located at the upper lumbar spinal cord may contribute to reduce EUS dyssynergic contractions and decrease urethral resistance during voiding. However, this mechanism has not been well studied. This study aimed at evaluating the effects of epidural stimulation (EpS) over the spinal EUS controlling center (L3) in combination with a serotonergic receptor agonist on EUS relaxation in naive rats and chronic (6-8 wk) T8 SCI rats. Cystometrogram and EUS electromyography (EMG) were obtained before and after the intravenous administration of 5HT-1A receptor agonist and antagonist. The latency, duration, frequency, amplitude, and area under curve of EpS-evoked EUS EMG responses were analyzed. EpS on L3 evoked an inhibition of EUS tonic contraction and an excitation of EUS intermittent bursting/relaxation correlating with urine expulsion in intact rats. Combined with a 5HT-1A receptor agonist, EpS on L3 evoked a similar effect in chronic T8 SCI rats to reduce urethral contraction (resistance). This study examined the effect of facilitating the EUS spinal controlling center to switch between urine storage and voiding phases by using EpS and a serotonergic receptor agonist. This novel approach of applying EpS on the EUS controlling center modulates EUS contraction and relaxation as well as reduces urethral resistance during voiding in chronic SCI rats with DSD.

Indexed as

UrodynamicsAnimalsDisease Models, AnimalElectric Stimulation TherapyElectromyographyFemaleLumbar VertebraeRats, Sprague-DawleyReflexSerotonin 5-HT1 Receptor AgonistsSerotonin 5-HT1 Receptor AntagonistsSpinal CordSpinal Cord InjuriesTime FactorsUrethraUrinary Bladder, NeurogenicSerotonin 5-HT1 Receptor AgonistsSerotonin 5-HT1 Receptor Antagonistselectromyographyepidural stimulationserotonergic receptorsurethral resistance

Identifiers

PMID25694482
PMCPMC6189748
OpenAlexW2321372153

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.