Evidence map›Paper›PMID 30249273›Full record

ArticleFluids and barriers of the CNS2018

Cerebral influx of Na

Eva Kjer Oernbo, Kasper Lykke, Annette Buur Steffensen, Kathrin Töllner, Christina Kruuse, Martin Fredensborg Rath, Wolfgang Löscher, Nanna MacAulay

Open access · goldAbstract read
In one paragraph

Article in Fluids and barriers of the CNS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.6field-weighted citation impact, top 36% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Molecular mechanisms of brain water transport.Nature reviews. Neuroscience · 2021
    Review
  9. Article
  10. 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

8 authors at 2 institutions in 2 countries.

Eva Kjer OernboDepartment of Neuroscience, University of Copenhagen, Copenhagen, Denmark.
Kasper LykkeDepartment of Neuroscience, University of Copenhagen, Copenhagen, Denmark.
Annette Buur SteffensenDepartment of Neuroscience, University of Copenhagen, Copenhagen, Denmark.
Kathrin TöllnerDepartment of Pharmacology, Toxicology, and Pharmacy, University of Veterinary Medicine Hannover, Hannover, Germany.
Christina KruuseNeurovascular Research Unit, Department of Neurology, Herlev Gentofte Hospital, University of Copenhagen, Herlev, Copenhagen, Denmark.
Martin Fredensborg RathDepartment of Neuroscience, University of Copenhagen, Copenhagen, Denmark.
Wolfgang LöscherDepartment of Pharmacology, Toxicology, and Pharmacy, University of Veterinary Medicine Hannover, Hannover, Germany.
Nanna MacAulayDepartment of Neuroscience, University of Copenhagen, Copenhagen, Denmark. macaulay@sund.ku.dk.ORCID http://orcid.org/0000-0002-7800-6600
University of Copenhagen · DKUniversity of Veterinary Medicine Hannover, Foundation · DE

Funding

Deutsche Forschungsgemeinschaft Lo 274/15-1Independent Research Fund Denmark 0602-02344B
6 · The paper itself

Abstract

backgroundCerebral edema can cause life-threatening increase in intracranial pressure. Besides surgical craniectomy performed in severe cases, osmotherapy may be employed to lower the intracranial pressure by osmotic extraction of cerebral fluid upon intravenous infusion of mannitol or NaCl. A so-called rebound effect can, however, hinder continuous reduction in cerebral fluid by yet unresolved mechanisms.

methodsWe determined the brain water and electrolyte content in healthy rats treated with osmotherapy. Osmotherapy (elevated plasma osmolarity) was mediated by intraperitoneal injection of NaCl or mannitol with inclusion of pharmacological inhibitors of selected ion-transporters present at the capillary lumen or choroidal membranes. Brain barrier integrity was determined by fluorescence detection following intravenous delivery of Na

resultsNaCl was slightly more efficient than mannitol as an osmotic agent. The brain water loss was only ~ 60% of that predicted from ideal osmotic behavior, which could be accounted for by cerebral Na

conclusionsA brain volume regulatory response occurs during osmotherapy, leading to the rebound response. This response involves brain accumulation of Na

Indexed as

AnimalsBlood-Brain BarrierBrainBrain EdemaChlorineFemaleIon TransportMannitolOsmolar ConcentrationRats, Sprague-DawleySodiumSodium ChlorideWaterChlorineMannitolSodiumSodium ChlorideWaterBrain barriersBrain edemaIon-transporting mechanismsOsmotherapyRebound effect

Identifiers

PMID30249273
PMCPMC6154956
OpenAlexW2889291098

What OpenQuestion holds

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LicenceCC BY
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.