Evidence map›Paper›PMID 29352519›Full record

ArticleCNS neuroscience & therapeutics2018

Nafamostat mesilate attenuates inflammation and apoptosis and promotes locomotor recovery after spinal cord injury.

Hui-Quan Duan, Qiu-Li Wu, Xue Yao, Bao-You Fan, Hong-Yu Shi, Chen-Xi Zhao, Yan Zhang, Bo Li, Chao Sun, Xiao-Hong Kong and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

24 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Nafamostat mesilate prevented caerulein-induced pancreatic injury by targeting HDAC6-mediated NLRP3 inflammasome activation.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Article
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  18. Review
  19. Targeting Crucial Host Factors of SARS-CoV-2.ACS infectious diseases · 2020
    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

12 authors at 3 institutions in 2 countries.

Hui-Quan DuanDepartment of Orthopaedics, National Spinal Cord Injury International Cooperation Base, Tianjin Medical University General Hospital, Tianjin, China.
Qiu-Li WuDepartment of Orthopaedics, National Spinal Cord Injury International Cooperation Base, Tianjin Medical University General Hospital, Tianjin, China.
Xue YaoDepartment of Orthopaedics, National Spinal Cord Injury International Cooperation Base, Tianjin Medical University General Hospital, Tianjin, China.
Bao-You FanDepartment of Orthopaedics, National Spinal Cord Injury International Cooperation Base, Tianjin Medical University General Hospital, Tianjin, China.
Hong-Yu ShiDepartment of Orthopaedics, National Spinal Cord Injury International Cooperation Base, Tianjin Medical University General Hospital, Tianjin, China.
Chen-Xi ZhaoDepartment of Orthopaedics, National Spinal Cord Injury International Cooperation Base, Tianjin Medical University General Hospital, Tianjin, China.
Yan ZhangDepartment of Orthopaedics, National Spinal Cord Injury International Cooperation Base, Tianjin Medical University General Hospital, Tianjin, China.
Bo LiDepartment of Orthopaedics, National Spinal Cord Injury International Cooperation Base, Tianjin Medical University General Hospital, Tianjin, China.
Chao SunDepartment of Orthopaedics, National Spinal Cord Injury International Cooperation Base, Tianjin Medical University General Hospital, Tianjin, China.
Xiao-Hong KongSchool of Medicine, Nankai University, Tianjin, China.
Xin-Fu ZhouSchool of Pharmacology and Medical Sciences, University of South Australia, Adelaide, SA, Australia.
Shi-Qing FengDepartment of Orthopaedics, National Spinal Cord Injury International Cooperation Base, Tianjin Medical University General Hospital, Tianjin, China.ORCID 0000-0001-9437-7674
Tianjin Medical University General Hospital · CNNankai University · CNUniversity of South Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimSpinal cord injury (SCI) leads to severe neural damage for which there is currently no effective treatment. Exploration of the neuroprotective effect among clinically approved drugs will speed up clinical translation of SCI. Nafamostat mesilate (NM) as a synthetic serine protease inhibitor has been used clinically in pancreatitis treatments. However, its effectiveness in SCI is unknown. The aim of this study was to confirm the efficacy of NM in ameliorating SCI.

methodsIntraperitoneal administration of NM was performed on a contusion SCI model in Wistar rat. Hematoxylin and eosin staining (H&E staining) and Luxol fast blue (LFB) staining were used to observe the histological lesions. Apoptosis was examined by TUNEL staining, Annexin V-FITC/PI, caspase-3, and Bcl-2. Cytokines and neurotrophins were tested by Western blot. Locomotion recovery assessed by hindlimb BBB score and the inclined plane test.

resultsNafamostat mesilate treatment significantly improved locomotion recovery as assessed by hindlimb BBB scores and the inclined plane test. H&E staining and LFB staining showed a significant increase in spared tissue in both gray matter and white matter. NM decreased the expression of the proinflammatory cytokines TNF-α and IL-6. In addition, apoptosis was also significantly decreased, as shown by TUNEL staining and Annexin V-FITC/PI and by Western blotting for caspase-3 and Bcl-2 expression. Due to the mechanism of action of NM as a serine protease inhibitor, the drug decreased thrombin expression in the damaged spinal cord. Furthermore, NM increased the expression of neurotrophins (NT-3, BDNF, and NGF).

conclusionsUpon NM treatment, the functional and histological outcomes were improved, and microenvironment upon SCI was modulated. As a clinically approved drug, NM holds promise for clinical use after spinal cord injury.

Indexed as

AnimalsAnti-Inflammatory Agents, Non-SteroidalApoptosisBenzamidinesDisease Models, AnimalFemaleGuanidinesInflammationMotor ActivityNeuroprotective AgentsRandom AllocationRats, WistarRecovery of FunctionSpinal CordSpinal Cord InjuriesAnti-Inflammatory Agents, Non-SteroidalBenzamidinesGuanidinesnafamostatNeuroprotective Agentsapoptosisnafamostat mesilateneuroinflammationspinal cord injurythrombin

Identifiers

PMID29352519
PMCPMC6489917
OpenAlexW2791348807

What OpenQuestion holds

Textmetadata
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.