Evidence map›Paper›PMID 31990732›Full record

ArticleAnesthesia and analgesia2020

Differential Regulation of the Glucocorticoid Receptor in a Rat Model of Inflammatory Pain.

Shaimaa I A Ibrahim, Judith A Strong, Katherine A Qualls, Yvonne M Ulrich-Lai, Jun-Ming Zhang

Open access · greenAbstract read
In one paragraph

Article in Anesthesia and analgesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.1field-weighted citation impact, top 63% 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

6 citing papers in PubMed, 8 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

5 authors at 1 institution in 1 country.

Shaimaa I A IbrahimFrom the Department of Anesthesiology, Pain Research Center.
Judith A StrongFrom the Department of Anesthesiology, Pain Research Center.
Katherine A QuallsFrom the Department of Anesthesiology, Pain Research Center.
Yvonne M Ulrich-LaiDepartment of Pharmacology and Systems Physiology, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Jun-Ming ZhangFrom the Department of Anesthesiology, Pain Research Center.
University of Cincinnati Medical Center · US

Funding

STUDY OF ACTIVITY-DEPENDENT SYMPATHETIC SPROUTINGR01NS045594 · NINDS · UNIVERSITY OF CINCINNATI · PI ZHANG, JUN-MING · 2004 to 2025
$8.6M
NEURAL AND CHEMICAL BASIS OF PATHOLOGIC PAINR01NS055860 · NINDS · UNIVERSITY OF CINCINNATI · PI ZHANG, JUN-MING · 2008 to 2017
$3.7M
Steroids and Steroid Receptors in Low Back PainR01AR068989 · NIAMS · UNIVERSITY OF CINCINNATI · PI ZHANG, JUN-MING · 2016 to 2020
$1.7M
NIAMS NIH HHS R01 AR068989NINDS NIH HHS R01 NS045594NINDS NIH HHS R01 NS055860
6 · The paper itself

Abstract

backgroundAnti-inflammatory corticosteroids are a common treatment for different conditions involving chronic pain and inflammation. Clinically used steroids target the glucocorticoid receptor (GR) for its anti-inflammatory effects. We previously reported that GR in sensory neurons may play central roles in some pain models and that GR immunoreactivity signal in dorsal root ganglia (DRG) decreased after local inflammation of the DRG (a model of low back pain). In the current study, we aimed to determine if similar changes in GR signal also exist in a skin inflammation model, the complete Freund's adjuvant (CFA) model (a model of peripheral inflammatory pain), in which the terminals of the sensory neurons rather than the somata are inflamed.

methodsA low dose of CFA was injected into the hind paw to establish the peripheral inflammation model in Sprague-Dawley rats of both sexes, as confirmed by measurements of behavior and paw swelling. Immunohistochemical and western blotting techniques were used to determine the expression pattern of the GR in the inflamed hind paw and the DRGs. Plasma corticosterone levels were measured with radioimmunoassay.

resultsThe immunohistochemical staining revealed that GR is widely expressed in the normal DRG and skin tissues. Paw injection with CFA caused upregulation of the GR in the skin tissue on postinjection day 1, mostly detected in the dermis area. However, paw inflammation significantly reduced the GR signal in the L5 DRG 1 day after the injection. The GR downregulation was still evident 14 days after CFA inflammation. On day 1, western blotting confirmed this downregulation and showed that it could also be observed in the contralateral L5 DRG, as well as in the L2 DRG (a level which does not innervate the paw). Plasma corticosterone levels were elevated in both sexes on day 14 after CFA compared to day 1, suggesting autologous downregulation of the GR by corticosterone may have contributed to the downregulation observed on day 14 but not day 1.

conclusionsThere are distinctive patterns of GR activation under different pain conditions, depending on the anatomical location. The observed downregulation of the GR in sensory neurons may have a significant impact on the use of steroids as treatment in these conditions and on the regulatory effects of endogenous glucocorticoids.

Indexed as

Disease Models, AnimalAnimalsFemaleFreund's AdjuvantHyperalgesiaInflammationMaleRatsRats, Sprague-DawleyReceptors, GlucocorticoidSensory Receptor CellsFreund's AdjuvantReceptors, Glucocorticoid

Identifiers

PMID31990732
PMCPMC7299821
OpenAlexW3004293600

What OpenQuestion holds

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Registered trials

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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.