Evidence map›Paper›PMID 28286182›Full record

ArticleNeurobiology of disease2017

Crotalus helleri venom preconditioning reduces postoperative cerebral edema and improves neurological outcomes after surgical brain injury.

Cherine H Kim, Devin W McBride, Prativa Sherchan, Carl E Person, Eric C K Gren, Wayne Kelln, Tim Lekic, William K Hayes, Jiping Tang, John H Zhang

Open access · greenAbstract read
In one paragraph

Article in Neurobiology of disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Possible role of Sox11 in a rat model of surgical brain injury.Iranian journal of basic medical sciences · 2024
    Article
  4. Article
  5. Surgically-induced brain injury: where are we now?Chinese neurosurgical journal · 2019
    Review
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

10 authors at 1 institution in 1 country.

Cherine H KimDepartment of Physiology & Pharmacology, Loma Linda University School of Medicine, Loma Linda, CA, USA.
Devin W McBrideDepartment of Physiology & Pharmacology, Loma Linda University School of Medicine, Loma Linda, CA, USA.
Prativa SherchanDepartment of Physiology & Pharmacology, Loma Linda University School of Medicine, Loma Linda, CA, USA.
Carl E PersonDepartment of Earth and Biological Sciences, Loma Linda University School of Medicine, Loma Linda, CA, USA.
Eric C K GrenDepartment of Earth and Biological Sciences, Loma Linda University School of Medicine, Loma Linda, CA, USA.
Wayne KellnDepartment of Earth and Biological Sciences, Loma Linda University School of Medicine, Loma Linda, CA, USA.
Tim LekicDepartment of Physiology & Pharmacology, Loma Linda University School of Medicine, Loma Linda, CA, USA; Department of Neurology, Loma Linda University School of Medicine, Loma Linda, CA, USA.
William K HayesDepartment of Earth and Biological Sciences, Loma Linda University School of Medicine, Loma Linda, CA, USA.
Jiping TangDepartment of Physiology & Pharmacology, Loma Linda University School of Medicine, Loma Linda, CA, USA.
John H ZhangDepartment of Physiology & Pharmacology, Loma Linda University School of Medicine, Loma Linda, CA, USA; Department of Neurosurgery, Loma Linda University School of Medicine, Loma Linda, CA, USA; Department of Anesthesiology, Loma Linda University School of Medicine, Loma Linda, CA, USA. Electronic address: jhzhang@llu.edu.
Loma Linda University · US

Funding

Vascular Biology Core FacilityP01NS082184 · NINDS · LOMA LINDA UNIVERSITY · PI PEARCE, WILLIAM J. · 2014 to 2018
$6.1M
Crotalus Snake Venom Preconditioning to Prevent Surgical Brain InjuryR01NS084921 · NINDS · LOMA LINDA UNIVERSITY · PI ZHANG, JOHN H · 2014 to 2018
$1.7M
NINDS NIH HHS P01 NS082184NINDS NIH HHS R01 NS084921
6 · The paper itself

Abstract

introductionPostoperative cerebral edema is a devastating complication in neurosurgical patients. Loss of blood-brain barrier integrity has been shown to lead to the development of brain edema following neurosurgical procedures. The aim of this study was to evaluate preconditioning with Crotalus helleri venom (Cv-PC) as a potential preventive therapy for reducing postoperative brain edema in the rodent SBI model. C. helleri venom is known to contain phospholipase A2 (PLA2), an enzyme upstream to cyclooxygenase-2 (COX-2) in the inflammatory cascade, acts to increase the production of inflammatory mediators, such as prostaglandins. We hypothesize that Cv-PC will downregulate the response of the COX-2 pathway to injury, thereby reducing the inflammatory response and the development of brain edema after SBI. MATERIALS AND

methods75 male Sprague Dawley rats (280-330g) were divided to the following groups-naïve+vehicle, naïve+Cv-PC, sham, vehicle, Cv-PC, Cv-PC+NS398 (COX-2 inhibitor). Vehicle preconditioned and Cv-PC animals received either three daily subcutaneous doses of saline or C. helleri venom at 72h, 48h, and 24h prior to surgery. In Cv-PC+NS398 animals, NS398 was administered intraperitoneally 1h prior to each Cv-PC injection. Sham-operated animals received craniotomy only, whereas SBI animals received a partial right frontal lobectomy. Neurological testing and brain water content were assessed at 24h and 72h after SBI; COX-2 and PGE

resultsAt 24h after SBI, the vehicle-treated animals were observed to have increased brain water content (83.1±0.2%) compared to that of sham animals (80.2±0.1%). The brain water content of vehicle-treated animals at 72h post-SBI was elevated at 83.3±0.2%. Cv-PC-treated animals with doses of 10% LD

conclusionOur findings indicate that Cv-PC may provide a promising therapy for reducing postoperative edema and improving neurological function after neurosurgical procedures.

Indexed as

AnimalsBody WaterBrainBrain EdemaCrotalusCyclooxygenase 2Cyclooxygenase 2 InhibitorsDinoprostoneDisease Models, AnimalEpidermisFrontal LobeInflammationIntraoperative ComplicationsMaleNeuroprotective AgentsNeurosurgical ProceduresCyclooxygenase 2Cyclooxygenase 2 InhibitorsDinoprostoneN-(2-cyclohexyloxy-4-nitrophenyl)methanesulfonamideNeuroprotective AgentsNitrobenzenesPtgs2 protein, ratSnake VenomsSulfonamidesBrain edemaCerebral edemaCrotalus helleriPreconditioningRattlesnake venomSurgical brain injury

Identifiers

PMID28286182
PMCPMC5591040
OpenAlexW2591932434

What OpenQuestion holds

Textmetadata
LicenceTDM
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.