Evidence map›Paper›PMID 30759034›Full record

ReviewExpert review of neurotherapeutics2019

Iron and manganese-related CNS toxicity: mechanisms, diagnosis and treatment.

Pan Chen, Melissa Totten, Ziyan Zhang, Hana Bucinca, Keith Erikson, Abel Santamaría, Aaron B Bowman, Michael Aschner

Abstract readReview
In one paragraph

Review in Expert review of neurotherapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 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

8 authors at 4 institutions in 2 countries.

Pan Chena Department of Molecular Pharmacology , Albert Einstein College of Medicine , Bronx , NY , USA.
Melissa Tottenb Department of Nutrition , University of North Carolina Greensboro , Greensboro , NC , USA.
Ziyan Zhanga Department of Molecular Pharmacology , Albert Einstein College of Medicine , Bronx , NY , USA.
Hana Bucincaa Department of Molecular Pharmacology , Albert Einstein College of Medicine , Bronx , NY , USA.
Keith Eriksonb Department of Nutrition , University of North Carolina Greensboro , Greensboro , NC , USA.
Abel Santamaríac Laboratory of Excitatory Amino Acids , National Institute of Neurology and Neurosurgery , Mexico City , Mexico.
Aaron B Bowmand School of Health Sciences , Purdue University , West Lafayette , IN , USA.
Michael Aschnera Department of Molecular Pharmacology , Albert Einstein College of Medicine , Bronx , NY , USA.
Albert Einstein College of Medicine · USUniversity of North Carolina at Greensboro · USInstituto Nacional de Neurología y Neurocirugía · MXPurdue University West Lafayette · US

Funding

Mechanisms of Manganese NeurotoxicityR01ES010563 · NIEHS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Michael Aschner, Aaron B Bowman · 2001 to 2026
$11.9M
Mechanisms of Methylmercury Induced Neuron ToxicityR01ES007331 · NIEHS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Michael Aschner, Aaron B Bowman · 1996 to 2026
$10.6M
Genetic Modulation of MeHg-Induced Oxidative Stress in the Developing BrainR01ES020852 · NIEHS · VANDERBILT UNIVERSITY · PI ASCHNER, MICHAEL · 2012 to 2016
$1.8M
Genetic Susceptibility to Manganese NeurotoxicityR21ES025415 · NIEHS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI ASCHNER, MICHAEL · 2016 to 2017
$459k
Role of autophagy in manganese-induced neurotoxicityR21ES028960 · NIEHS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI ZHANG, ZIYAN · 2018 to 2019
$459k
NIEHS NIH HHS R01 ES007331NIEHS NIH HHS R01 ES010563NIEHS NIH HHS R01 ES020852NIEHS NIH HHS R21 ES025415NIEHS NIH HHS R21 ES028960
6 · The paper itself

Abstract

introductionIron (Fe) and manganese (Mn) are essential nutrients for humans. They act as cofactors for a variety of enzymes. In the central nervous system (CNS), these two metals are involved in diverse neurological activities. Dyshomeostasis may interfere with the critical enzymatic activities, hence altering the neurophysiological status and resulting in neurological diseases. Areas covered: In this review, the authors cover the molecular mechanisms of Fe/Mn-induced toxicity and neurological diseases, as well as the diagnosis and potential treatment. Given that both Fe and Mn are abundant in the earth crust, nutritional deficiency is rare. In this review the authors focus on the neurological disorders associated with Mn and Fe overload. Expert commentary: Oxidative stress and mitochondrial dysfunction are the primary molecular mechanism that mediates Fe/Mn-induced neurotoxicity. Although increased Fe or Mn concentrations have been found in brain of patients, it remains controversial whether the elevated metal amounts are the primary cause or secondary consequence of neurological diseases. Currently, treatments are far from satisfactory, although chelation therapy can significantly decrease brain Fe and Mn levels. Studies to determine the primary cause and establish the molecular mechanism of toxicity may help to adapt more comprehensive and satisfactory treatments in the future.

Indexed as

AnimalsBrainCentral Nervous System DiseasesHumansIronManganese PoisoningOxidative StressIronCNS diseasesIronmanganeseneurotoxicity

Identifiers

PMID30759034
PMCPMC6422746
OpenAlexW2912943191

What OpenQuestion holds

Textmetadata
LicenceTDM
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.