Evidence map›Paper›PMID 26156380›Full record

ArticleJournal of neurophysiology2015

Ca2+ toxicity due to reverse Na+/Ca2+ exchange contributes to degeneration of neurites of DRG neurons induced by a neuropathy-associated Nav1.7 mutation.

M Estacion, B P S Vohra, S Liu, J Hoeijmakers, C G Faber, I S J Merkies, G Lauria, J A Black, S G Waxman

Open access · greenAbstract read
In one paragraph

Article in Journal of neurophysiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

27 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Multiple sclerosis: molecular pathogenesis and therapeutic intervention.Signal transduction and targeted therapy · 2025
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  5. Distinctive In Vitro Phenotypes in iPSC-Derived Neurons From Patients With Gain- and Loss-of-FunctionThe Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
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  6. From progression to progress: The future of multiple sclerosis.Journal of central nervous system disease · 2024
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  7. Article
  8. Review
  9. Peripheral mechanisms of peripheral neuropathic pain.Frontiers in molecular neuroscience · 2023
    Review
  10. Article
  11. Peripheral Ion Channel Genes Screening in Painful Small Fiber Neuropathy.International journal of molecular sciences · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Activity of NaJCI insight · 2016
    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

9 authors at 5 institutions in 3 countries.

M EstacionDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut; Center for Neuroscience and Regeneration Research, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut;
B P S VohraDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut; Center for Neuroscience and Regeneration Research, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut;
S LiuDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut; Center for Neuroscience and Regeneration Research, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut;
J HoeijmakersDepartment of Neurology, University Medical Center Maastricht, Maastricht, the Netherlands;
C G FaberDepartment of Neurology, University Medical Center Maastricht, Maastricht, the Netherlands;
I S J MerkiesDepartment of Neurology, University Medical Center Maastricht, Maastricht, the Netherlands; Department of Neurology, Spaarne Hospital, Hoofddorp, the Netherlands; and.
G LauriaNeuroalgology Unit IRCCS Foundation "Carlo Besta" Neurological Institute, Milan, Italy.
J A BlackDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut; Center for Neuroscience and Regeneration Research, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut;
S G WaxmanDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut; Center for Neuroscience and Regeneration Research, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut; Stephen.Waxman@yale.edu.
Yale University · USMaastricht University · NLVA Connecticut Healthcare System · USFondazione IRCCS Istituto Neurologico Carlo Besta · ITSpaarne Ziekenhuis · NL

Funding

Sodium Channels in Spinal Cord Injury, Nerve Injury and Neuropathic PainI01BX000605 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI WAXMAN, STEPHEN · 2009 to 2017
–
Pain-Associated Neuronal Hyperexcitability and Intracellular Calcium SignalingI21RX001727 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI ESTACION, MARK · 2015 to 2016
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BLRD VA I01 BX000605RRD VA I21 RX001727
6 · The paper itself

Abstract

Gain-of-function missense mutations in voltage-gated sodium channel Nav1.7 have been linked to small-fiber neuropathy, which is characterized by burning pain, dysautonomia and a loss of intraepidermal nerve fibers. However, the mechanistic cascades linking Nav1.7 mutations to axonal degeneration are incompletely understood. The G856D mutation in Nav1.7 produces robust changes in channel biophysical properties, including hyperpolarized activation, depolarized inactivation, and enhanced ramp and persistent currents, which contribute to the hyperexcitability exhibited by neurons containing Nav1.8. We report here that cell bodies and neurites of dorsal root ganglion (DRG) neurons transfected with G856D display increased levels of intracellular Na(+) concentration ([Na(+)]) and intracellular [Ca(2+)] following stimulation with high [K(+)] compared with wild-type (WT) Nav1.7-expressing neurons. Blockade of reverse mode of the sodium/calcium exchanger (NCX) or of sodium channels attenuates [Ca(2+)] transients evoked by high [K(+)] in G856D-expressing DRG cell bodies and neurites. We also show that treatment of WT or G856D-expressing neurites with high [K(+)] or 2-deoxyglucose (2-DG) does not elicit degeneration of these neurites, but that high [K(+)] and 2-DG in combination evokes degeneration of G856D neurites but not WT neurites. Our results also demonstrate that 0 Ca(2+) or blockade of reverse mode of NCX protects G856D-expressing neurites from degeneration when exposed to high [K(+)] and 2-DG. These results point to [Na(+)] overload in DRG neurons expressing mutant G856D Nav1.7, which triggers reverse mode of NCX and contributes to Ca(2+) toxicity, and suggest subtype-specific blockade of Nav1.7 or inhibition of reverse NCX as strategies that might slow or prevent axon degeneration in small-fiber neuropathy.

Indexed as

Mutation, MissenseAnimalsCalciumCells, CulturedErythromelalgiaGanglia, SpinalHumansNAV1.3 Voltage-Gated Sodium ChannelNeuritesPotassiumRatsRats, Sprague-DawleySodiumSodium-Calcium ExchangerSodium ChannelsCalciumNAV1.3 Voltage-Gated Sodium ChannelPotassiumSCN3A protein, humanSodiumSodium-Calcium ExchangerSodium Channelsaxon degenerationcalcium transientsodium-calcium exchangersodium channels

Identifiers

PMID26156380
PMCPMC4561630
OpenAlexW2184801426

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.