Evidence map›Paper›PMID 29983546›Full record

ArticleDrug design, development and therapy2018

Electroporation-enhanced transdermal diclofenac sodium delivery into the knee joint in a rat model of acute arthritis.

Petra Hartmann, Edina Butt, Ágnes Fehér, Ágnes Lilla Szilágyi, Kurszán Dávid Jász, Boglárka Balázs, Mónika Bakonyi, Szilvia Berkó, Gábor Erős, Mihály Boros and 3 more

Open access · goldAbstract read
In one paragraph

Article in Drug design, development and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

9 citing papers in PubMed, 14 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

13 authors at 1 institution in 1 country.

Petra HartmannInstitute of Surgical Research, University of Szeged, Szeged, Hungary, hartmann.petra@med.u-szeged.hu.
Edina ButtDepartment of Traumatology, University of Szeged, Szeged, Hungary.
Ágnes FehérInstitute of Surgical Research, University of Szeged, Szeged, Hungary, hartmann.petra@med.u-szeged.hu.
Ágnes Lilla SzilágyiInstitute of Surgical Research, University of Szeged, Szeged, Hungary, hartmann.petra@med.u-szeged.hu.
Kurszán Dávid JászInstitute of Surgical Research, University of Szeged, Szeged, Hungary, hartmann.petra@med.u-szeged.hu.
Boglárka BalázsDepartment of Pharmaceutical Technology, University of Szeged, Szeged, Hungary.
Mónika BakonyiDepartment of Pharmaceutical Technology, University of Szeged, Szeged, Hungary.
Szilvia BerkóDepartment of Pharmaceutical Technology, University of Szeged, Szeged, Hungary.
Gábor ErősDepartment of Pathology, University of Szeged, Szeged, Hungary.
Mihály BorosInstitute of Surgical Research, University of Szeged, Szeged, Hungary, hartmann.petra@med.u-szeged.hu.
Gyöngyi HorváthDepartment of Physiology, University of Szeged, Szeged, Hungary.
Endre VargaDepartment of Traumatology, University of Szeged, Szeged, Hungary.
Erzsébet CsányiDepartment of Pharmaceutical Technology, University of Szeged, Szeged, Hungary.
University of Szeged · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSince electroporation (EP) can increase the permeability of biological membranes, we hypothesized that it offers an opportunity to enhance the transdermal delivery of drugs for intra-articular indications. Our aim was to compare the anti-inflammatory and analgesic efficacy of EP-combined topical administration of diclofenac sodium hydrogel (50 mg mL

methodsArthritis was induced with the injection of 2% λ-carrageenan and 4% kaolin into the right knee joints of male Sprague Dawley rats. EP was applied for 8 min with 900 V high-voltage pulses for 5 ms followed by a 20 ms break. Drug penetration into the synovial fluid and plasma was detected by high-performance liquid chromatography. Leukocyte-endothelial interactions were visualized by intravital videomicroscopy on the internal surface of the synovium. Inflammation-induced thermal and mechanical hyperalgesia reactions, knee joint edema, and inflammatory enzyme activities were assessed at 24 and 48 h after arthritis induction.

resultsEP significantly increased the plasma level of diclofenac as compared with the topical controls 10 min after the 2% λ-carrageenan and 4% kaolin injection. Increased leukocyte-endothelial interactions were accompanied by joint inflammation, which was significantly reduced by oral and EP diclofenac (by 45% and by 30%, respectively) and only slightly ameliorated by simple topical diclofenac treatment (by 18%). The arthritis-related secondary hyperalgesic reactions were significantly ameliorated by oral and EP-enhanced topical diclofenac treatments. The knee cross-section area (which increased by 35%) was also reduced with both approaches. However, simple topical application did not influence the development of joint edema and secondary hyperalgesia.

conclusionThe study provides evidence for the first time of the potent anti-inflammatory and analgesic effects of EP-enhanced topical diclofenac during arthritis. The therapeutic benefit provided by EP is comparable with that of oral diclofenac; EP is a useful alternative to conventional routes of administration.

Indexed as

ElectrochemotherapyAdministration, CutaneousAnimalsAnti-Inflammatory Agents, Non-SteroidalArthritis, ExperimentalCell CommunicationCytokinesDiclofenacKnee JointMalePeroxidaseRatsRats, Sprague-DawleyAnti-Inflammatory Agents, Non-SteroidalCytokinesDiclofenacPeroxidasediclofenacHPLCintravital videomicroscopytransdermal delivery

Identifiers

PMID29983546
PMCPMC6027698
OpenAlexW2811439550

What OpenQuestion holds

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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.