Evidence map›Paper›PMID 27325560›Full record

ArticleMolecular pain2016

Mycolactone-mediated neurite degeneration and functional effects in cultured human and rat DRG neurons: Mechanisms underlying hypoalgesia in Buruli ulcer.

U Anand, M Sinisi, M Fox, A MacQuillan, T Quick, Y Korchev, C Bountra, T McCarthy, P Anand

Open access · goldAbstract read
In one paragraph

Article in Molecular pain, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
7.7field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Pharmacologic management ofExpert review of clinical pharmacology · 2020
    Review
  5. Neuronal Regulation of Cutaneous Immunity.Journal of immunology (Baltimore, Md. : 1950) · 2020
    Review
  6. Review
  7. Article
  8. Human Dorsal Root Ganglia.Frontiers in cellular neuroscience · 2019
    Review
  9. Article
  10. Macrophage angiotensin II type 2 receptor triggers neuropathic pain.Proceedings of the National Academy of Sciences of the United States of America · 2018
    Article
  11. Angiotensin II Triggers Peripheral Macrophage-to-Sensory Neuron Redox Crosstalk to Elicit Pain.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2018
    Article
  12. Review
  13. Article
  14. Article
  15. The chemistry and biology of mycolactones.Beilstein journal of organic chemistry · 2017
    Review
  16. 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 1 country.

U AnandDepartment of Medicine, Imperial College London, Hammersmith Hospital, London, UK u.anand@imperial.ac.uk.
M SinisiPeripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Middlesex, UK.
M FoxPeripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Middlesex, UK.
A MacQuillanPeripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Middlesex, UK.
T QuickPeripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Middlesex, UK.
Y KorchevDepartment of Medicine, Imperial College London, Hammersmith Hospital, London, UK.
C BountraUniversity of Oxford Structural Genomics Consortium, Headington, Oxford, UK.
T McCarthySpinifex Pharmaceuticals Pty Ltd, St. Preston, VIC, Australia.
P AnandDepartment of Medicine, Imperial College London, Hammersmith Hospital, London, UK.
Royal National Orthopaedic Hospital · GBHammersmith Hospital · GBImperial College London · GBUniversity College London · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMycolactone is a polyketide toxin secreted by the mycobacterium Mycobacterium ulcerans, responsible for the extensive hypoalgesic skin lesions characteristic of patients with Buruli ulcer. A recent pre-clinical study proposed that mycolactone may produce analgesia via activation of the angiotensin II type 2 receptor (AT2R). In contrast, AT2R antagonist EMA401 has shown analgesic efficacy in animal models and clinical trials for neuropathic pain. We therefore investigated the morphological and functional effects of mycolactone in cultured human and rat dorsal root ganglia (DRG) neurons and the role of AT2R using EMA401. Primary sensory neurons were prepared from avulsed cervical human DRG and rat DRG; 24 h after plating, neurons were incubated for 24 to 96 h with synthetic mycolactone A/B, followed by immunostaining with antibodies to PGP9.5, Gap43, β tubulin, or Mitotracker dye staining. Acute functional effects were examined by measuring capsaicin responses with calcium imaging in DRG neuronal cultures treated with mycolactone.

resultsMorphological effects: Mycolactone-treated cultures showed dramatically reduced numbers of surviving neurons and non-neuronal cells, reduced Gap43 and β tubulin expression, degenerating neurites and reduced cell body diameter, compared with controls. Dose-related reduction of neurite length was observed in mycolactone-treated cultures. Mitochondria were distributed throughout the length of neurites and soma of control neurons, but clustered in the neurites and soma of mycolactone-treated neurons. Functional effects: Mycolactone-treated human and rat DRG neurons showed dose-related inhibition of capsaicin responses, which were reversed by calcineurin inhibitor cyclosporine and phosphodiesterase inhibitor 3-isobutyl-1-Methylxanthine, indicating involvement of cAMP/ATP reduction. The morphological and functional effects of mycolactone were not altered by Angiotensin II or AT2R antagonist EMA401.

conclusionMycolactone induces toxic effects in DRG neurons, leading to impaired nociceptor function, neurite degeneration, and cell death, resembling the cutaneous hypoalgesia and nerve damage in individuals with M. Ulcerans infection.

Indexed as

AnimalsBuruli UlcerCapsaicinCells, CulturedFemaleFluorescent Antibody TechniqueGanglia, SpinalGAP-43 ProteinHumansHypesthesiaMacrolidesMitochondriaNerve DegenerationNeuritesRatsRats, WistarCapsaicinGAP-43 ProteinMacrolidesmycolactoneTubulinapoptosisBuruli ulcercalcium influxhypoalgesiamitochondriamycolactoneneurite degenerationneuronsTRPV1

Identifiers

PMID27325560
PMCPMC4956182
OpenAlexW2460652837

What OpenQuestion holds

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LicenceCC BY-NC
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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.