Evidence map›Paper›PMID 26670322›Full record

Trial reportCNS drugs2015

Mechanisms of Antioxidant Induction with High-Dose N-Acetylcysteine in Childhood Cerebral Adrenoleukodystrophy.

Reena V Kartha, Jie Zhou, Lisa Basso, Henning Schröder, Paul J Orchard, James Cloyd

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in CNS drugs, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Reena V KarthaDepartment of Experimental and Clinical Pharmacology, Center for Orphan Drug Research, University of Minnesota, Minneapolis, MN, USA. rvkartha@umn.edu.
Jie ZhouDepartment of Experimental and Clinical Pharmacology, Center for Orphan Drug Research, University of Minnesota, Minneapolis, MN, USA.
Lisa BassoDivision of Pediatric Blood and Marrow Transplantation, University of Minnesota, Minneapolis, MN, USA.
Henning SchröderDepartment of Pharmaceutics, University of Minnesota, Minneapolis, MN, USA.
Paul J OrchardDivision of Pediatric Blood and Marrow Transplantation, University of Minnesota, Minneapolis, MN, USA.
James CloydDepartment of Experimental and Clinical Pharmacology, Center for Orphan Drug Research, University of Minnesota, Minneapolis, MN, USA.
University of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood cerebral adrenoleukodystrophy (CCALD), a progressive demyelinating disease affecting school-aged boys, causes death within a few years. Oxidative stress is an important contributing factor. N-acetylcysteine (NAC; 280 mg/kg/day) added as adjunctive therapy to reduced-intensity hematopoietic cell transplantation (HCT) improves survival in advanced cases. However, the mechanisms underlying the benefits of NAC are unclear.

objectiveThe aim of this study was to understand the mechanism of action of NAC in the setting of HCT in CCALD.

methodsImmunoassays were carried out to determine changes in heme oxygenase-1 (HO-1) and ferritin expression in plasma samples collected from boys with CCALD at three different timepoints during the course of transplantation. In addition, the induction of HO-1 was also confirmed in normal fibroblasts following incubation with 10-100 µmol/L NAC for 4 h.

resultsFollowing NAC therapy we observed an increase in expression of the antioxidants HO-1 (~4-fold) and its effector ferritin (~160-fold) in patient samples as compared with baseline. We also observed that NAC exposure significantly increased HO-1 expression in fibroblasts.

conclusionOur data suggest that HO-1 is a possible target protein of NAC and a mediator of its cytoprotective effects in these patients.

Indexed as

AcetylcysteineAdolescentAdrenoleukodystrophyAntioxidantsBlood Chemical AnalysisCells, CulturedChildChild, PreschoolEnzyme-Linked Immunosorbent AssayFerritinsFibroblastsHeme Oxygenase-1HumansMaleRNA, MessengerTreatment OutcomeAcetylcysteineAntioxidantsFerritinsHeme Oxygenase-1RNA, Messenger

Identifiers

PMID26670322
OpenAlexW2198590885

What OpenQuestion holds

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Registered trials

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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.