Evidence map›Paper›PMID 32151384›Full record

ArticleBritish journal of anaesthesia2020

Neuroactive steroids alphaxalone and CDNC24 are effective hypnotics and potentiators of GABA

Vesna Tesic, Srdjan M Joksimovic, Nidia Quillinan, Kathiresan Krishnan, Douglas F Covey, Slobodan M Todorovic, Vesna Jevtovic-Todorovic

Open access · greenAbstract read
In one paragraph

Article in British journal of anaesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 40 citations in OpenAlex.

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  5. Neurodevelopmental Impacts of Ketamine and Alfaxalone Anesthesia Evaluated with Mouse MRI.Journal of the American Association for Laboratory Animal Science : JAALAS · 2025
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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

7 authors at 2 institutions in 1 country.

Vesna TesicDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Srdjan M JoksimovicDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Nidia QuillinanDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Neuroscience Graduate Program, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Kathiresan KrishnanDepartment of Developmental Biology, Washington University School of Medicine, St Louis, MO, USA.
Douglas F CoveyDepartment of Developmental Biology, Washington University School of Medicine, St Louis, MO, USA; Taylor Family Institute for Innovative Psychiatric Research, Washington University School of Medicine, St Louis, MO, USA.
Slobodan M TodorovicDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Neuroscience Graduate Program, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Vesna Jevtovic-TodorovicDepartment of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address: vesna.jevtovic-todorovic@ucdenver.edu.
University of Colorado Anschutz Medical Campus · USWashington University in St. Louis · US

Funding

Anesthesia-induced developmental neurodegenerationR01HD044517 · NICHD · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI JEVTOVIC-TODOROVIC, VESNA · 2005 to 2014
$3.0M
Novel neurosteroid anesthetics and developmental synaptogenesisR01HD097990 · NICHD · UNIVERSITY OF COLORADO DENVER · PI JEVTOVIC-TODOROVIC, VESNA · 2019 to 2023
$2.9M
Novel neurosteroid anesthetics and perioperative analgesiaR01GM123746 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI JEVTOVIC-TODOROVIC, VESNA · 2017 to 2025
$2.2M
FVMPE-RS Riser System for in vivo and in vitro imaging on anesthesia-induced developmental neurotoxicityR01GM118197 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI JEVTOVIC-TODOROVIC, VESNA · 2016 to 2019
$1.7M
Anesthesia impairs developmental axon pruning and functional neuronal networksR21HD080281 · NICHD · UNIVERSITY OF VIRGINIA · PI JEVTOVIC-TODOROVIC, VESNA · 2015 to 2016
$428k
NICHD NIH HHS R01 HD044517NICHD NIH HHS R01 HD097990NICHD NIH HHS R21 HD080281NIGMS NIH HHS R01 GM118197NIGMS NIH HHS R01 GM123746
6 · The paper itself

Abstract

backgroundThe most currently used general anaesthetics are potent potentiators of γ-aminobutyric acid A (GABA

methodsThe neurotoxic potential of CDNC24 was examined vis-à-vis propofol (2,6-diisopropylphenol) and alphaxalone (5α-pregnan-3α-ol-11,20-dione) at the peak of rat synaptogenesis. In addition to the morphological neurotoxicity studies of the subiculum and medial prefrontal cortex (mPFC), we assessed the extra-, pre-, and postsynaptic effects of these agents on GABAergic neurotransmission in acute subicular slices from rat pups.

resultsCDNC24, like alphaxalone and propofol, caused dose-dependent hypnosis in vivo, with a higher therapeutic index. CDNC24 and alphaxalone, unlike propofol, did not cause developmental neuroapoptosis in the subiculum and mPFC. Propofol potentiated post- and extrasynaptic GABA

conclusionsThe lack of neurotoxicity of CDNC24 and alphaxalone may be at least partly related to suppression of presynaptic GABA release in the developing brain.

Indexed as

AnimalsApoptosisBrainDose-Response Relationship, DrugGABA-A Receptor AgonistsHippocampusHypnotics and SedativesInhibitory Postsynaptic PotentialsNeurotoxicity SyndromesPrefrontal CortexPregnanedionesPropofolRats, Sprague-DawleyReceptors, GABA-ASteroidsSynapsesalphaxaloneCDNC24 steroidGABA-A Receptor AgonistsHypnotics and SedativesPregnanedionesPropofolReceptors, GABA-ASteroidsgeneral anaestheticprefrontal cortexpresynapticsubiculumsynaptic transmissionsynaptogenesis

Identifiers

PMID32151384
PMCPMC7222221
OpenAlexW3009792390

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.