Evidence map›Paper›PMID 26192071›Full record

ArticleJournal of neurotrauma2015

A Direct Comparison of Three Clinically Relevant Treatments in a Rat Model of Cervical Spinal Cord Injury.

Hillary Hosier, David Peterson, Orest Tsymbalyuk, Kaspar Keledjian, Bradley R Smith, Svetlana Ivanova, Volodymyr Gerzanich, Phillip G Popovich, J Marc Simard

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Journal of neurotrauma, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.5field-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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. The neuroprotective role of riluzole in spinal cord injury: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Pooled it
  2. Article
  3. Pediatric Spinal Cord Injury: A Review.Children (Basel, Switzerland) · 2023
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Sulfonylurea Receptor 1 in Central Nervous System Injury: An Updated Review.International journal of molecular sciences · 2021
    Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
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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 2 institutions in 1 country.

Hillary Hosier1 Department of Neurosurgery, University of Maryland , Baltimore, Maryland.
David Peterson1 Department of Neurosurgery, University of Maryland , Baltimore, Maryland.
Orest Tsymbalyuk1 Department of Neurosurgery, University of Maryland , Baltimore, Maryland.
Kaspar Keledjian1 Department of Neurosurgery, University of Maryland , Baltimore, Maryland.
Bradley R Smith1 Department of Neurosurgery, University of Maryland , Baltimore, Maryland.
Svetlana Ivanova1 Department of Neurosurgery, University of Maryland , Baltimore, Maryland.
Volodymyr Gerzanich1 Department of Neurosurgery, University of Maryland , Baltimore, Maryland.
Phillip G Popovich2 Center for Brain and Spinal Cord Repair, the Ohio State University , Columbus, Ohio.
J Marc Simard3 Departments of Neurosurgery, Pathology and Physiology, University of Maryland , Baltimore, Maryland.
University of Maryland, Baltimore · USThe Ohio State University · US

Funding

TRPM4 channel in spinal cord injuryR01NS061934 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI GERZANICH, VLADIMIR · 2008 to 2018
$3.3M
Spinal cord injury, progressive hemorrhagic necrosis and the NC(Ca-ATP) channelR01NS060801 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI SIMARD, J. MARC · 2009 to 2018
$3.3M
NINDS NIH HHS NS060801NINDS NIH HHS NS061934NINDS NIH HHS R01 NS060801NINDS NIH HHS R01 NS061934PHS HHS HHSN271200800040C
6 · The paper itself

Abstract

Recent preclinical studies have identified three treatments that are especially promising for reducing acute lesion expansion following traumatic spinal cord injury (SCI): riluzole, systemic hypothermia, and glibenclamide. Each has demonstrated efficacy in multiple studies with independent replication, but there is no way to compare them in terms of efficacy or safety, since different models were used, different laboratories were involved, and different outcomes were evaluated. Here, using a model of lower cervical hemicord contusion, we compared safety and efficacy for the three treatments, administered beginning 4 h after trauma. Treatment-associated mortality was 30% (3/10), 30% (3/10), 12.5% (1/8), and 0% (0/7) in the control, riluzole, hypothermia, and glibenclamide groups, respectively. For survivors, all three treatments showed overall favorable efficacy, compared with controls. On open-field locomotor scores (modified Basso, Beattie, and Bresnahan scores), hypothermia- and glibenclamide-treated animals were largely indistinguishable throughout the study, whereas riluzole-treated rats underperformed for the first two weeks; during the last four weeks, scores for the three treatments were similar, and significantly different from controls. On beam balance, hypothermia and glibenclamide treatments showed significant advantages over riluzole. After trauma, rats in the glibenclamide group rapidly regained a normal pattern of weight gain that differed markedly and significantly from that in all other groups. Lesion volumes at six weeks were: 4.8±0.7, 3.5±0.4, 3.1±0.3 and 2.5±0.3 mm(3) in the control, riluzole, hypothermia, and glibenclamide groups, respectively; measurements of spared spinal cord tissue confirmed these results. Overall, in terms of safety and efficacy, systemic hypothermia and glibenclamide were superior to riluzole.

Indexed as

AnimalsBehavior, AnimalCervical CordDisease Models, AnimalFemaleGlyburideHypoglycemic AgentsHypothermia, InducedMotor ActivityNeuroprotective AgentsRatsRats, Long-EvansRiluzoleSpinal Cord InjuriesGlyburideHypoglycemic AgentsNeuroprotective AgentsRiluzoleglibenclamidehypothermiaratriluzolespinal cord injurysulfonylurea receptor 1 (Sur1)

Identifiers

PMID26192071
PMCPMC4638208
OpenAlexW1619565504

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.