Evidence map›Paper›PMID 29959433›Full record

ArticleSpinal cord2018

Anti-inflammatory effects of Metformin improve the neuropathic pain and locomotor activity in spinal cord injured rats: introduction of an alternative therapy.

Khashayar Afshari, Amir Dehdashtian, Nazgol-Sadat Haddadi, Arvin Haj-Mirzaian, Arad Iranmehr, Mohammad Ali Ebrahimi, Seyed Mohammad Tavangar, Hedyeh Faghir-Ghanesefat, Fatemeh Mohammadi, Nastaran Rahimi and 2 more

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In one paragraph

Article in Spinal cord, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 4 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

48 citing papers in PubMed, 4 syntheses or guidelines pooled it, 86 citations in OpenAlex.

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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 1 country.

Khashayar AfshariMD-MPH, Tehran University of Medical Sciences, Tehran, Iran.
Amir DehdashtianMD-MPH, Tehran University of Medical Sciences, Tehran, Iran.
Nazgol-Sadat HaddadiMD-MPH, Tehran University of Medical Sciences, Tehran, Iran.
Arvin Haj-MirzaianExperimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Arad IranmehrExperimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Ali EbrahimiExperimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Mohammad TavangarChronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Hedyeh Faghir-GhanesefatExperimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Fatemeh MohammadiExperimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Nastaran RahimiExperimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Abbas Norouzi JavidanBrain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Ahmad Reza DehpourExperimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran. dehpoura@sina.tums.ac.ir.
Tehran University of Medical Sciences · IRIran University of Medical Sciences · IRShariati Hospital · IR

Funding

Iran National Science Foundation (INSF) 96002757
6 · The paper itself

Abstract

STUDY

designThis is an animal study.

objectivesMetformin is a safe drug for controlling blood sugar in diabetes. It has been shown that metformin improves locomotor recovery after spinal cord injury (SCI). Neuropathic pain is also a disturbing component of SCI. It is indicated that metformin has neuroprotective and anti-inflammatory effects, which attenuate neuropathic pain and hyperalgesia in injured nerves. Thus, we evaluated metformin's therapeutic effects on SCI neuroinflammation and its sensory and locomotor complications. Meanwhile, results were compared to minocycline, an anti-neuroinflammation therapy in SCI.

settingExperimental Medicine Research Center, Tehran University of Medical Sciences, Iran

methodsIn an animal model of SCI, 48 male rats were subjected to T9 vertebra laminectomy. Animals were divided into a SHAM-operated group and five treatment groups. The treatments included normal saline as a vehicle control group, minocycline 90 mg/kg and metformin at the doses of 10, 50 and 100 mg/kg. Locomotor scaling, behavioral tests for neuropathic pain and weight changes were evaluated and compared through a 28-days period. At the end of the study, tissue samples were taken to assess neuroinflammatory changes.

resultsMetformin 50 mg/kg improved the locomotors ability (p < 0.001) and decreased sensitivity to mechanical and thermal allodynia (p < 0.01). These results were compatible with minocycline effect on SCI (p > 0.05). While metformin led to weight loss, both metformin and minocycline significantly decreased neuroinflammation in the assessment of cord tissue histopathology, and levels of TNF-α and interleukin-1β (p < 0.001).

conclusionsMetformin could be considered as an alternative therapeutic agent for SCI, as it potentially attenuates neuroinflammation, sensory and locomotor complications of cord injury.

Indexed as

AnimalsCentral Nervous System AgentsDisease Models, AnimalHyperalgesiaInflammationLocomotionMaleMetforminNeuralgiaRats, Sprague-DawleySpinal CordSpinal Cord InjuriesCentral Nervous System AgentsMetformin

Identifiers

PMID29959433
OpenAlexW2811048694

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.