Evidence map›Paper›PMID 29332196›Full record

ArticleDiabetologia2018

Bioelectronic modulation of carotid sinus nerve activity in the rat: a potential therapeutic approach for type 2 diabetes.

Joana F Sacramento, Daniel J Chew, Bernardete F Melo, Matteo Donegá, Wesley Dopson, Maria P Guarino, Alison Robinson, Jesus Prieto-Lloret, Sonal Patel, Bradley J Holinski and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
6.5field-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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Electroceuticals: Unlocking the promise of therapies.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2024
    Review
  6. Review
  7. Article
  8. Article
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  12. Review
  13. Scalable and reversible axonal neuromodulation of the sympathetic chain for cardiac control.American journal of physiology. Heart and circulatory physiology · 2022
    Article
  14. Article
  15. Article
  16. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 2 countries.

Joana F SacramentoCEDOC, NOVA Medical School, Faculdade de Ciências, Universidade NOVA de Lisboa, Rua Camara Pestana, no. 6, 6A, edificio II, piso 3, 1150-082, Lisboa, Portugal.
Daniel J ChewGalvani Bioelectronics, Stevenage, UK.
Bernardete F MeloCEDOC, NOVA Medical School, Faculdade de Ciências, Universidade NOVA de Lisboa, Rua Camara Pestana, no. 6, 6A, edificio II, piso 3, 1150-082, Lisboa, Portugal.
Matteo DonegáGalvani Bioelectronics, Stevenage, UK.
Wesley DopsonGalvani Bioelectronics, Stevenage, UK.
Maria P GuarinoCEDOC, NOVA Medical School, Faculdade de Ciências, Universidade NOVA de Lisboa, Rua Camara Pestana, no. 6, 6A, edificio II, piso 3, 1150-082, Lisboa, Portugal.
Alison RobinsonGlaxoSmithKline, Stevenage, UK.
Jesus Prieto-LloretCEDOC, NOVA Medical School, Faculdade de Ciências, Universidade NOVA de Lisboa, Rua Camara Pestana, no. 6, 6A, edificio II, piso 3, 1150-082, Lisboa, Portugal.
Sonal PatelGalvani Bioelectronics, Stevenage, UK.
Bradley J HolinskiGalvani Bioelectronics, Stevenage, UK.
Nishan RamnarainGalvani Bioelectronics, Stevenage, UK.
Victor PikovGalvani Bioelectronics, Stevenage, UK.
Kristoffer FammGalvani Bioelectronics, Stevenage, UK.
Silvia V CondeCEDOC, NOVA Medical School, Faculdade de Ciências, Universidade NOVA de Lisboa, Rua Camara Pestana, no. 6, 6A, edificio II, piso 3, 1150-082, Lisboa, Portugal. silvia.conde@fcm.unl.pt.
Universidade Nova de Lisboa · PTAge UK · GBInstituto Politécnico de Leiria · PT

Funding

Fundação para a Ciência e a Tecnologia PD/BD/105890/2014
6 · The paper itself

Abstract

aims/hypothesisA new class of treatments termed bioelectronic medicines are now emerging that aim to target individual nerve fibres or specific brain circuits in pathological conditions to repair lost function and reinstate a healthy balance. Carotid sinus nerve (CSN) denervation has been shown to improve glucose homeostasis in insulin-resistant and glucose-intolerant rats; however, these positive effects from surgery appear to diminish over time and are heavily caveated by the severe adverse effects associated with permanent loss of chemosensory function. Herein we characterise the ability of a novel bioelectronic application, classified as kilohertz frequency alternating current (KHFAC) modulation, to suppress neural signals within the CSN of rodents.

methodsRats were fed either a chow or high-fat/high-sucrose (HFHSu) diet (60% lipid-rich diet plus 35% sucrose drinking water) over 14 weeks. Neural interfaces were bilaterally implanted in the CSNs and attached to an external pulse generator. The rats were then randomised to KHFAC or sham modulation groups. KHFAC modulation variables were defined acutely by respiratory and cardiac responses to hypoxia (10% O

resultsKHFAC modulation of the CSN, applied over 9 weeks, restored insulin sensitivity (constant of the insulin tolerance test [K CONCLUSIONS/

interpretationKHFAC modulation of the CSN improves metabolic control in rat models of type 2 diabetes. These positive outcomes have significant translational potential as a novel therapeutic modality for the purpose of treating metabolic diseases in humans.

Indexed as

AnimalsBlood GlucoseCarotid SinusCorticosteroneC-PeptideDiabetes Mellitus, Type 2ElectromyographyInsulinInsulin ResistanceMaleNitric OxidePlethysmographyRatsBlood GlucoseCorticosteroneC-PeptideInsulinNitric OxideCarotid bodyCarotid sinus nerveGlucose toleranceInsulin resistanceKHFAC modulationNeuromodulationType 2 diabetes

Identifiers

PMID29332196
PMCPMC6448966
OpenAlexW2783825054

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.