Evidence map›Paper›PMID 29573741›Full record

ArticleJournal of neuroinflammation2018

HIV-1 Tat-induced diarrhea is improved by the PPARalpha agonist, palmitoylethanolamide, by suppressing the activation of enteric glia.

Giovanni Sarnelli, Luisa Seguella, Marcella Pesce, Jie Lu, Stefano Gigli, Eugenia Bruzzese, Roberta Lattanzi, Alessandra D'Alessandro, Rosario Cuomo, Luca Steardo and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 27% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. The Physiology of Enteric Glia.Annual review of physiology · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Enteric nervous system as a target and source of SARS-CoV-2 and other viral infections.American journal of physiology. Gastrointestinal and liver physiology · 2023
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Nutraceuticals and Enteric Glial Cells.Molecules (Basel, Switzerland) · 2021
    Review
  18. Review
  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

11 authors at 4 institutions in 2 countries.

Giovanni SarnelliDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, 80131, Naples, Italy. sarnelli@unina.it.ORCID http://orcid.org/0000-0002-1467-1134
Luisa SeguellaDepartment of Physiology and Pharmacology, "Vittorio Erspamer", La Sapienza University of Rome, 00185, Rome, Italy.
Marcella PesceDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, 80131, Naples, Italy.
Jie LuDepartment of Anatomy, China Medical University, Shenyang, Liaoning Province, 110122, People's Republic of China.
Stefano GigliDepartment of Physiology and Pharmacology, "Vittorio Erspamer", La Sapienza University of Rome, 00185, Rome, Italy.
Eugenia BruzzeseDepartment of Translational Medical Science, Section of Pediatrics, University Federico II, 80131, Naples, Italy.
Roberta LattanziDepartment of Physiology and Pharmacology, "Vittorio Erspamer", La Sapienza University of Rome, 00185, Rome, Italy.
Alessandra D'AlessandroDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, 80131, Naples, Italy.
Rosario CuomoDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, 80131, Naples, Italy.
Luca SteardoDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, 80131, Naples, Italy.
Giuseppe EspositoDepartment of Physiology and Pharmacology, "Vittorio Erspamer", La Sapienza University of Rome, 00185, Rome, Italy. giuseppe.esposito@uniroma1.it.
Sapienza University of Rome · ITUniversity of Naples Federico II · ITFederico II University Hospital · ITChina Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiarrhea is a severe complication in HIV-1-infected patients with Trans-activator of transcription (HIV-1 Tat) protein being recognized as a major underlying cause. Beside its direct enterotoxic effects, Tat protein has been recently shown to affect enteric glial cell (EGC) activity. EGCs regulate intestinal inflammatory responses by secreting pro-inflammatory molecules; nonetheless, they might also release immune-regulatory factors, as palmytoilethanolamide (PEA), which exerts anti-inflammatory effects by activating PPARα receptors. We aimed at clarifying whether EGCs are involved in HIV-1 Tat-induced diarrhea and if PEA exerts antidiarrheal activity.

methodsDiarrhea was induced by intracolonic administration of HIV-1 Tat protein in rats at day 1. PEA alone or in the presence of peroxisome proliferator-activated receptor (PPAR) antagonists was given intraperitoneally from day 2 to day 7. S100B, iNOS, NF-kappaB, TLR4 and GFAP expression were evaluated in submucosal plexi, while S100B and NO levels were measured in EGC submucosal plexi lysates, respectively. To verify whether PEA effects were PPARα-mediated, PPARα

resultsHIV-1 Tat protein induced rapid onset diarrhea alongside with a significant activation of EGCs. Tat administration significantly increased all hallmarks of neuroinflammation by triggering TLR4 and NF-kappaB activation and S100B and iNOS expression. Endogenous PEA levels were increased following HIV-1 Tat exposure in both wildtype and knockout animals. In PPARα

conclusionsEGCs mediate HIV-1 Tat-induced diarrhea by sustaining the intestinal neuroinflammatory response. These effects are regulated by PEA through a selective PPARα-dependent mechanism. PEA might be considered as an adjuvant therapy in HIV-1-induced diarrhea.

Indexed as

AmidesAnesthetics, LocalAnimalsAntiviral AgentsDiarrheaDisease Models, AnimalEthanolaminesGastrointestinal TractGene Expression Regulation, ViralLidocaineMaleMiceMice, Inbred C57BLMice, KnockoutNeurogliaNF-kappa BAmidesAnesthetics, LocalAntiviral AgentsEthanolaminesLidocaineNF-kappa BpalmidrolPalmitic AcidsPPAR alphaS100 Calcium Binding Protein beta Subunittat Gene Products, Human Immunodeficiency VirusDiarrheaEGCsHIV-1 Tat proteinNeuroinflammationPEA

Identifiers

PMID29573741
PMCPMC5866515
OpenAlexW2794808244

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.