Evidence map›Paper›PMID 31334605›Full record

ArticleCNS neuroscience & therapeutics2020

Mechanism of dorsal root ganglion stimulation for pain relief in painful diabetic polyneuropathy is not dependent on GABA release in the dorsal horn of the spinal cord.

Eva Koetsier, Glenn Franken, Jacques Debets, Lonne Heijmans, Sander M J van Kuijk, Bengt Linderoth, Elbert A Joosten, Paolo Maino

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 48 citations in OpenAlex.

  1. Review
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  5. Tonic Stimulation of Dorsal Root Ganglion Results in Progressive Decline in Recruitment of Aα/β-Fibers in Rats.Neuromodulation : journal of the International Neuromodulation Society · 2024
    Article
  6. Review
  7. Mechanisms of Action of Dorsal Root Ganglion Stimulation.International journal of molecular sciences · 2024
    Review
  8. Article
  9. Article
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  11. Review
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  14. Article
  15. Spinal Cord Stimulation as Treatment for Cancer and Chemotherapy-Induced Pain.Frontiers in pain research (Lausanne, Switzerland) · 2021
    Review
  16. Article
  17. 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 3 institutions in 3 countries.

Eva KoetsierPain Management Center, Neurocenter of Southern Switzerland, Regional Hospital of Lugano, Lugano, Switzerland.ORCID 0000-0002-8786-0665
Glenn FrankenDepartment of Anesthesiology and Pain Management, Maastricht University Medical Center+, Maastricht, The Netherlands.
Jacques DebetsMuroidean Facility, School of Cardiovascular Diseases (CARIM), Maastricht, The Netherlands.
Lonne HeijmansDepartment of Translational Neuroscience, School of Mental Health and Neuroscience (MHeNS), University of Maastricht, The Netherlands.
Sander M J van KuijkDepartment of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center+, Maastricht, The Netherlands.
Bengt LinderothDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Elbert A JoostenDepartment of Anesthesiology and Pain Management, Maastricht University Medical Center+, Maastricht, The Netherlands.
Paolo MainoPain Management Center, Neurocenter of Southern Switzerland, Regional Hospital of Lugano, Lugano, Switzerland.
Maastricht University · NLOspedale regionale di Lugano · CHKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsIt is hypothesized that dorsal root ganglion stimulation (DRGS), sharing some of the mechanisms of traditional spinal cord stimulation (SCS) of the dorsal columns, induces γ-aminobutyric acid (GABA) release from interneurons in the spinal dorsal horn.

methodsWe used quantitative immunohistochemical analysis in order to investigate the effect of DRGS on intensity of intracellular GABA-staining levels in the L4-L6 spinal dorsal horn of painful diabetic polyneuropathy (PDPN) animals. To establish the maximal pain relieving effect, we tested for mechanical hypersensitivity to von Frey filaments and animals received 30 minutes of DRGS at day 3 after implantation of the electrode. One day later, 4 Sham-DRGS animals and four responders-to-DRGS received again 30 minutes of DRGS and were perfused at the peak of DRGS-induced pain relief.

resultsNo significant difference in GABA-immunoreactivity was observed between DRGS and Sham-DRGS in lamina 1-3 of the spinal levels L4-6 neither ipsilaterally nor contralaterally.

conclusionsDorsal root ganglion stimulation does not induce GABA release from the spinal dorsal horn cells, suggesting that the mechanisms underlying DRGS in pain relief are different from those of conventional SCS. The modulation of a GABA-mediated "Gate Control" in the DRG itself, functioning as a prime Gate of nociception, is suggested and discussed.

Indexed as

AnimalsDiabetic NeuropathiesElectric Stimulation TherapyElectrodes, ImplantedFemalegamma-Aminobutyric AcidGanglia, SpinalHyperalgesiaPainPain ManagementPain MeasurementRatsRats, Sprague-DawleySpinal Cord Dorsal Horngamma-Aminobutyric Acidanimal modeldorsal horndorsal root ganglion stimulationpainful diabetic polyneuropathyratsspinal cordγ-aminobutyric acid

Identifiers

PMID31334605
PMCPMC6930820
OpenAlexW2964182659

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LicenceCC BY
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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.