Evidence map›Paper›PMID 29128611›Full record

ArticleBrain, behavior, and immunity2018

Intrathecal administration of antisense oligonucleotide against p38α but not p38β MAP kinase isoform reduces neuropathic and postoperative pain and TLR4-induced pain in male mice.

Xin Luo, Bethany Fitzsimmons, Apoorva Mohan, Linlin Zhang, Niccolo Terrando, Holly Kordasiewicz, Ru-Rong Ji

Open access · greenAbstract read
In one paragraph

Article in Brain, behavior, and immunity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

47 citing papers in PubMed, 85 citations in OpenAlex.

  1. Glial cells in neuropathic pain.Physiological reviews · 2026
    Review
  2. Measuring Joint Pain Through Tibiofemoral Flexion: A Novel Approach to Assess Pain Behavior and Analgesic Profiles in Rats.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Activation of µ-δ Opioid Receptor Heteromer Attenuates Chemotherapy-Induced Neuropathic Pain in Mice.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
    Article
  9. Article
  10. Article
  11. Quantifying and mitigating motor phenotypes induced by antisense oligonucleotides in the central nervous system.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Article
  12. Article
  13. Article
  14. Gene therapy for chronic pain management.Cell reports. Medicine · 2024
    Review
  15. Article
  16. Pathology of pain and its implications for therapeutic interventions.Signal transduction and targeted therapy · 2024
    Review
  17. Review
  18. Direct paraventricular thalamus-basolateral amygdala circuit modulates neuropathic pain and emotional anxiety.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  19. Review
  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

7 authors at 3 institutions in 1 country.

Xin LuoDepartment of Anesthesiology, Duke University Medical Center, Durham, NC 27710, United States. Electronic address: xin.luo@duke.edu.
Bethany FitzsimmonsNeuroscience Drug Discovery, Ionis Pharmaceuticals, Carlsbad, CA 92010, United States.
Apoorva MohanNeuroscience Drug Discovery, Ionis Pharmaceuticals, Carlsbad, CA 92010, United States.
Linlin ZhangDepartment of Anesthesiology, Duke University Medical Center, Durham, NC 27710, United States.
Niccolo TerrandoDepartment of Anesthesiology, Duke University Medical Center, Durham, NC 27710, United States.
Holly KordasiewiczNeuroscience Drug Discovery, Ionis Pharmaceuticals, Carlsbad, CA 92010, United States.
Ru-Rong JiDepartment of Anesthesiology, Duke University Medical Center, Durham, NC 27710, United States; Department of Anesthesiology and Neurobiology, Duke University Medical Center, NC 27710, United States. Electronic address: ru-rong.ji@duke.edu.
Ionis Pharmaceuticals (United States) · USDuke Medical Center · USDuke University · US

Funding

Neuronal and glial interactions of neuropathic painR01DE017794 · NIDCR · DUKE UNIVERSITY · PI BUCHHEIT, THOMAS · 2006 to 2021
$6.6M
Hemichannels, Astrocytic Release, and Neuropathic PainR01DE022743 · NIDCR · DUKE UNIVERSITY · PI JI, RU-RONG, NEDERGAARD, MAIKEN · 2012 to 2016
$2.0M
Resolution pathway of painR01NS087988 · NINDS · DUKE UNIVERSITY · PI JI, RU-RONG · 2014 to 2018
$1.7M
Treating chemotherapy-induced neuropathic pain by targeted silencing of A-fibersR21NS091779 · NINDS · DUKE UNIVERSITY · PI JI, RU-RONG · 2015 to 2016
$437k
NIDCR NIH HHS R01 DE017794NIDCR NIH HHS R01 DE022743NINDS NIH HHS R01 NS087988NINDS NIH HHS R21 NS091779
6 · The paper itself

Abstract

p38 mitogen-activated protein kinase (MAPK) consists of two major isoforms: p38α and p38β; however, it remains unclear which isoform is more important for chronic pain development. Recently, we developed potent, long-lasting, and p38 MAPK subtype-specific antisense oligonucleotides (ASOs). We examined the therapeutic effects of isoform-specific ASOs in several chronic pain models following single intrathecal injection (300 μg/10 μl) in CD1 mice. In the chronic constriction injury (CCI) model, p38α MAPK ASO, given on post-operative day 5, reduced CCI-induced mechanical allodynia in male but not female mice. In contrast, mechanical allodynia after CCI in both sexes was not affected by p38β MAPK ASO. Intrathecal injection of p38α or p38β ASO resulted in a partial reduction (≈ 50%) of spinal p38α or p38β mRNA level, respectively, in both sexes at two weeks. In contrast, intrathecal injection of the ASOs did not affect p38α and p38β MAPK mRNA levels in dorsal root ganglia. Intrathecal p38α ASO also reduced postoperative pain (mechanical and cold allodynia) in male mice after tibia fracture. However, intrathecal p38α ASO had no effect on mechanical allodynia in male mice after paclitaxel treatment. Intrathecal p38α MAPK ASO pre-treatment also prevented TLR4-mediated mechanical allodynia and downregulated levels of p38α MAPK and phosphorylated p38 MAPK following intrathecal treatment of lipopolysaccharide. In summary, our findings suggest that p38α MAPK is the major p38 MAPK isoform in the spinal cord and regulates chronic pain in a sex and model-dependent manner. Intrathecal p38α MAPK ASO may offer a new treatment for some chronic pain conditions.

Indexed as

AnimalsDisease Models, AnimalDown-RegulationFemaleGanglia, SpinalHyperalgesiaInjections, SpinalMaleMiceMicrogliaMitogen-Activated Protein Kinase 11Mitogen-Activated Protein Kinase 14NeuralgiaOligodeoxyribonucleotides, Antisensep38 Mitogen-Activated Protein KinasesPain MeasurementMitogen-Activated Protein Kinase 11Mitogen-Activated Protein Kinase 14Oligodeoxyribonucleotides, Antisensep38 Mitogen-Activated Protein KinasesProtein IsoformsTlr4 protein, mouseToll-Like Receptor 4Antisense oligonucleotides (ASOs)MicrogliaNeuropathic painP38 mitogen-activated protein kinase (MAPK)SexSpinal cord

Identifiers

PMID29128611
PMCPMC5940592
OpenAlexW2767964203

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.