Evidence map›Paper›PMID 29185473›Full record

ArticleScientific reports2017

The Systemic Response to Topical Aldara Treatment is Mediated Through Direct TLR7 Stimulation as Imiquimod Enters the Circulation.

Louis Nerurkar, Alison McColl, Gerard Graham, Jonathan Cavanagh

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

28 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Anti-Psoriatic activity ofOpen veterinary journal · 2026
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  7. Review
  8. Article
  9. Article
  10. Evaluation ofMediators of inflammation · 2024
    Article
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  16. IL10RB as a key regulator of COVID-19 host susceptibility and severity.medRxiv : the preprint server for health sciences · 2021
    Article
  17. Article
  18. Review
  19. Article
  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

4 authors at 2 institutions in 2 countries.

Louis NerurkarUniversity of Glasgow, Institute of Infection, Immunity & Inflammation, G12 8TA, Glasgow, Scotland.ORCID 0000-0001-7108-4633
Alison McCollUniversity of Glasgow, Institute of Infection, Immunity & Inflammation, G12 8TA, Glasgow, Scotland.
Gerard GrahamUniversity of Glasgow, Institute of Infection, Immunity & Inflammation, G12 8TA, Glasgow, Scotland.
Jonathan CavanaghUniversity of Glasgow, Institute of Health & Wellbeing, G12 8TA, Glasgow, Scotland. jonathan.cavanagh@glasgow.ac.uk.
Institute of Infection and Immunity · CAUniversity of Glasgow · GB

Funding

Medical Research Council G0901113Medical Research Council MR/M019764/1Wellcome Trust
6 · The paper itself

Abstract

Topical application of Aldara cream, containing the Toll-like receptor 7/8 agonist Imiquimod, is a widely used mouse model for investigating the pathogenesis of psoriasis. We have previously used this model to study the effects of peripheral inflammation on the brain, and reported a brain-specific response characterised by increased transcription, infiltration of immune cells and anhedonic-like behavior. Here, we perform a more robust characterisation of the systemic response to Aldara application and find a potent but transient response in the periphery, followed by a prolonged response in the brain. Mass spectrometry analysis of plasma and brain samples identified significant levels of Imiquimod in both compartments at molar concentrations likely to evoke a biological response. Indeed, the association of Imiquimod with the brain correlated with increased Iba1 and GFAP staining, indicative of microglia and astrocyte reactivity. These results highlight the potency of this model and raise the question of how useful it is for interpreting the systemic response in psoriasis-like skin inflammation. In addition, the potential impact on the brain should be considered with regards to human use and may explain why fatigue, headaches and nervousness have been reported as side effects following prolonged Aldara use.

Indexed as

AnimalsBrainCalcium-Binding ProteinsFemaleGlial Fibrillary Acidic ProteinImiquimodImmunohistochemistryMass SpectrometryMiceMice, Inbred C57BLMicrofilament ProteinsToll-Like Receptor 7Aif1 protein, mouseCalcium-Binding ProteinsGlial Fibrillary Acidic Proteinglial fibrillary astrocytic protein, mouseImiquimodMicrofilament ProteinsToll-Like Receptor 7

Identifiers

PMID29185473
PMCPMC5707416
OpenAlexW2770411652

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.