Evidence map›Paper›PMID 29651458›Full record

ArticleScience advances2018

Differential expression of voltage-gated sodium channels in afferent neurons renders selective neural block by ionic direct current.

Fei Yang, Michael Anderson, Shaoqiu He, Kimberly Stephens, Yu Zheng, Zhiyong Chen, Srinivasa N Raja, Felix Aplin, Yun Guan, Gene Fridman

Open access · goldAbstract read
In one paragraph

Article in Science advances, 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
1.7field-weighted citation impact, top 17% 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, 42 citations in OpenAlex.

  1. Trial
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  10. A Cuff Lead for Delivering Ionic Direct Current (iDC) to Block Neural Activities of Sciatic Nerve.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2023
    Article
  11. The Significance of Concentration-dependent Components in Computational Models of C-Fibers.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2023
    Article
  12. Article
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  14. Electrochemical modulation enhances the selectivity of peripheral neurostimulation in vivo.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  15. Article
  16. Model Analysis of Post-Stimulation Effect on Axonal Conduction and Block.IEEE transactions on bio-medical engineering · 2021
    Article
  17. On-chip ionic current sensor.Applied physics. A, Materials science & processing · 2021
    Article
  18. Article
  19. Article
  20. A microfluidic system integrated with shape memory alloy valves for a safe direct current delivery system.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2020
    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

10 authors at 1 institution in 2 countries.

Fei YangDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA.ORCID 0000-0002-9306-6097
Michael AndersonDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA.
Shaoqiu HeDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA.ORCID 0000-0002-9420-7453
Kimberly StephensDepartment of Pharmacology and Molecular Sciences, Johns Hopkins University, Baltimore, MD 21205, USA.
Yu ZhengDepartment of Otolaryngology, Head and Neck Surgery, Johns Hopkins University, Baltimore, MD 21205, USA.ORCID 0000-0001-7643-2879
Zhiyong ChenDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA.
Srinivasa N RajaDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA.ORCID 0000-0001-7991-7636
Felix AplinDepartment of Neurological Surgery, Johns Hopkins University, Baltimore, MD 21205, USA.ORCID 0000-0002-2486-6840
Yun GuanDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA.ORCID 0000-0003-1321-6655
Gene FridmanDepartment of Otolaryngology, Head and Neck Surgery, Johns Hopkins University, Baltimore, MD 21205, USA.ORCID 0000-0002-2208-8993
Johns Hopkins University · US

Funding

Electrical Stimulation to Restore Three Dimensional Vestibular SensationR01DC009255 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI DELLA SANTINA, CHARLES C · 2008 to 2018
$5.7M
Mrgs as New Target for the Treatment of Neuropathic PainR01NS070814 · NINDS · JOHNS HOPKINS UNIVERSITY · PI GUAN, YUN · 2011 to 2020
$3.2M
Safe Direct Current for Neuroprosthetic ApplicationsR01NS092726 · NINDS · JOHNS HOPKINS UNIVERSITY · PI FRIDMAN, GENE YEVGENY · 2015 to 2019
$1.7M
Developing Novel Direct Current Stimulation Technology for Safe Precision Pain TreatmentR21NS099879 · NINDS · JOHNS HOPKINS UNIVERSITY · PI GUAN, YUN · 2016 to 2017
$449k
Safe Direct Current Neural Stimulation SystemR21NS081425 · NINDS · JOHNS HOPKINS UNIVERSITY · PI FRIDMAN, GENE YEVGENY · 2013 to 2014
$443k
NINDS NIH HHS R01 NS070814NINDS NIH HHS R01 NS092726NINDS NIH HHS R21 NS081425NINDS NIH HHS R21 NS099879
6 · The paper itself

Abstract

The assertion that large-diameter nerve fibers have low thresholds and small-diameter fibers have high thresholds in response to electrical stimulation has been held in a nearly axiomatic regard in the field of neuromodulation and neuroprosthetics. In contrast to the short pulses used to evoke action potentials, long-duration ionic direct current has been shown to block neural activity. We propose that the main determinant of the neural sensitivity to direct current block is not the size of the axon but the types of voltage-gated sodium channels prevalent in its neural membrane. On the basis of the variants of voltage-gated sodium channels expressed in different types of neurons in the peripheral nerves, we hypothesized that the small-diameter nociceptive fibers could be preferentially blocked. We show the results of a computational model and in vivo neurophysiology experiments that offer experimental validation of this novel phenomenon.

Indexed as

IonsSynaptic PotentialsSynaptic TransmissionAnimalsModels, BiologicalNerve Fibers, UnmyelinatedNeurons, AfferentPeripheral NervesRatsSignal TransductionSpinal Cord Dorsal HornVoltage-Gated Sodium ChannelsIonsVoltage-Gated Sodium Channels

Identifiers

PMID29651458
PMCPMC5895440
OpenAlexW2798214928

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.