Evidence map›Paper›PMID 30858699›Full record

ArticleDrug design, development and therapy2019

Dexmedetomidine attenuates the neurotoxicity of propofol toward primary hippocampal neurons in vitro via Erk1/2/CREB/BDNF signaling pathways.

Youbing Tu, Yubing Liang, Yong Xiao, Jing Lv, Ruicong Guan, Fei Xiao, Yubo Xie, Qiang Xiao

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Drug design, development and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05192629 (Prospective, Randomized, Double-blind, Double-dummy, Active-controlled, Phase 3 Clinical Trial Comparing the Safety and Efficacy of Intranasal Dexmedetomidine to Oral Midazolam as Premedication for Propofol Sedation in Pediatric Patients Undergoing Magnetic Resonance Imaging), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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.

NCT05192629 phase3unknown statusnot on this mapstarted 2022, after this paper: background citation

Prospective, Randomized, Double-blind, Double-dummy, Active-controlled, Phase 3 Clinical Trial Comparing the Safety and Efficacy of Intranasal Dexmedetomidine to Oral Midazolam as Premedication for Propofol Sedation in Pediatric Patients Undergoing Magnetic Resonance Imaging

TypeinterventionalSponsorBrugmann University HospitalRan2022 to 2023Enrolled250ConditionsMRI, Pediatric Sedation, Midazolam, DexmedetomidineArmsDexmedetomidine, Midazolam
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 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 3 institutions in 1 country.

Youbing TuDepartment of Anesthesiology, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China, xybdoctor@163.com.
Yubing LiangDepartment of Anesthesiology, The Affiliated Tumor Hospital of Guangxi Medical University, Nanning 530021, China.
Yong XiaoDepartment of Anesthesiology, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China, xybdoctor@163.com.
Jing LvDepartment of Anesthesiology, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China, xybdoctor@163.com.
Ruicong GuanDepartment of Anesthesiology, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China, xybdoctor@163.com.
Fei XiaoDepartment of Anesthesiology, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China, xybdoctor@163.com.
Yubo XieDepartment of Anesthesiology, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China, xybdoctor@163.com.
Qiang XiaoDepartment of Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China, docxiaoqiang@163.com.
First Affiliated Hospital of GuangXi Medical University · CNGuangxi Medical University · CNTumor Hospital of Guangxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPropofol is a commonly used general anesthetic for the induction and maintenance of anesthesia and critical care sedation in children, which may add risk to poor neurodevelopmental outcome. We aimed to evaluate the effect of propofol toward primary hippocampal neurons in vitro and the possibly neuroprotective effect of dexmedetomidine pretreatment, as well as the underlying mechanism. MATERIALS AND PROCEDURES: Primary hippocampal neurons were cultured for 8 days in vitro and pretreated with or without dexmedetomidine or phosphorylation inhibitors prior to propofol exposure. Cell viability was measured using cell counting kit-8 assays. Cell apoptosis was evaluated using a transmission electron microscope and flow cytometry analyses. Levels of mRNAs encoding signaling pathway intermediates were assessed using qRT-PCR. The expression of signaling pathway intermediates and apoptosis-related proteins was determined by Western blotting.

resultsPropofol significantly reduced cell viability, induced neuronal apoptosis, and downregulated the expression of the

conclusionDexmedetomidine alleviates propofol-induced cytotoxicity toward primary hippocampal neurons in vitro, which correlated with the activation of Erk1/2/CREB/BDNF signaling pathways.

Indexed as

AnimalsBrain-Derived Neurotrophic FactorCyclic AMP Response Element-Binding ProteinDexmedetomidineFemaleHippocampusMitogen-Activated Protein Kinase 1Mitogen-Activated Protein Kinase 3NeuronsNeuroprotective AgentsNeurotoxicity SyndromesPregnancyPropofolRatsRats, Sprague-DawleySignal TransductionBdnf protein, ratBrain-Derived Neurotrophic FactorCreb1 protein, ratCyclic AMP Response Element-Binding ProteinDexmedetomidineMitogen-Activated Protein Kinase 1Mitogen-Activated Protein Kinase 3Neuroprotective AgentsPropofolbrain-derived neurotrophic factorcyclic AMP response element-binding proteindexmedetomidineextracellular signal-regulated MAP kinaseshippocampuspropofol

Identifiers

PMID30858699
PMCPMC6387615
OpenAlexW2912674826

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.