Evidence map›Paper›PMID 33090575›Full record

ArticleGlia2021

Proton extrusion during oxidative burst in microglia exacerbates pathological acidosis following traumatic brain injury.

Rodney M Ritzel, Junyun He, Yun Li, Tuoxin Cao, Niaz Khan, Bosung Shim, Boris Sabirzhanov, Taryn Aubrecht, Bogdan A Stoica, Alan I Faden and 2 more

Abstract read
In one paragraph

Article in Glia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

47 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Persistent dysmorphology and dysfunction of the brain microvasculature following repeated trauma.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Validation of HvFrontiers in cellular neuroscience · 2025
    Article
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  13. Review
  14. Article
  15. Article
  16. Review
  17. Deletion of Slc9a1 in Cx3cr1Journal of neuroinflammation · 2024
    Article
  18. Inhibition of the HFrontiers in immunology · 2024
    Article
  19. Article
  20. 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

12 authors.

Rodney M RitzelDepartment of Anesthesiology and Center for Shock, Trauma and Anesthesiology Research (STAR), University of Maryland School of Medicine, Baltimore, Maryland, USA.
Junyun HeDepartment of Anesthesiology and Center for Shock, Trauma and Anesthesiology Research (STAR), University of Maryland School of Medicine, Baltimore, Maryland, USA.
Yun LiDepartment of Anesthesiology and Center for Shock, Trauma and Anesthesiology Research (STAR), University of Maryland School of Medicine, Baltimore, Maryland, USA.
Tuoxin CaoDepartment of Anesthesiology and Center for Shock, Trauma and Anesthesiology Research (STAR), University of Maryland School of Medicine, Baltimore, Maryland, USA.
Niaz KhanDepartment of Anesthesiology and Center for Shock, Trauma and Anesthesiology Research (STAR), University of Maryland School of Medicine, Baltimore, Maryland, USA.
Bosung ShimDepartment of Anesthesiology and Center for Shock, Trauma and Anesthesiology Research (STAR), University of Maryland School of Medicine, Baltimore, Maryland, USA.
Boris SabirzhanovDepartment of Anesthesiology and Center for Shock, Trauma and Anesthesiology Research (STAR), University of Maryland School of Medicine, Baltimore, Maryland, USA.
Taryn AubrechtDepartment of Anesthesiology and Center for Shock, Trauma and Anesthesiology Research (STAR), University of Maryland School of Medicine, Baltimore, Maryland, USA.
Bogdan A StoicaDepartment of Anesthesiology and Center for Shock, Trauma and Anesthesiology Research (STAR), University of Maryland School of Medicine, Baltimore, Maryland, USA.
Alan I FadenDepartment of Anesthesiology and Center for Shock, Trauma and Anesthesiology Research (STAR), University of Maryland School of Medicine, Baltimore, Maryland, USA.
Long-Jun WuDepartment of Neurology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-8019-3380
Junfang WuDepartment of Anesthesiology and Center for Shock, Trauma and Anesthesiology Research (STAR), University of Maryland School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0003-3338-7291

Funding

Spinal Mechanisms Underlying SCI-Induced Pain: Implications for Targeted TherapyR01NR013601 · NINR · UNIVERSITY OF MARYLAND BALTIMORE · PI DORSEY, SUSAN G, FADEN, ALAN IRA · 2012 to 2021
$6.0M
The Role of Microglia in EpilepsyR01NS088627 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI WU, LONG-JUN · 2014 to 2023
$3.6M
The new roles of the autophagy-lysosomal pathway in spinal cord injury-mediated dementiaR01NS094527 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI MARTA M LIPINSKI, Junfang Wu · 2016 to 2026
$3.5M
Dementia Following Spinal Cord Injury: Mechanism and Therapeutic TargetingRF1NS110637 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI JAY, STEVEN MICHAEL, WU, JUNFANG · 2019 to 2019
$2.8M
Targeting brain inflammation and neurocognitive dysfunction in sepsisR01NS110567 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI CHAO, WEI, WU, JUNFANG · 2019 to 2024
$2.5M
The Function and Mechanisms of Autophagy in Spinal Cord InjuryRF1NS094527 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI LIPINSKI, MARTA M, WU, JUNFANG · 2022 to 2022
$2.2M
Mechanism of Inflammatory Related Brain Dysfunction after Spinal Cord InjuryR01NS110635 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI FADEN, ALAN IRA, WU, JUNFANG · 2019 to 2023
$2.2M
The Function and Mechanisms of Voltage-Gated Proton Channel Hv1 in Spinal Cord InjuryR01NS110825 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI WU, JUNFANG · 2020 to 2024
$1.9M
Mechanisms of injury-induced senescence and immune-sequelae in chronic TBIK99NS116032 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI RITZEL, RODNEY · 2020 to 2021
$198k
Injury-induced microglia/macrophage senescence and chronic immune dysfunction in TBIF32NS105355 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI RITZEL, RODNEY · 2017 to 2018
$118k
NINDS NIH HHS F32 NS105355NINDS NIH HHS K99 NS116032NINDS NIH HHS R01 NS088627NINDS NIH HHS R01 NS094527NINDS NIH HHS R01 NS110567NINDS NIH HHS R01 NS110635NINDS NIH HHS R01 NS110825NINDS NIH HHS RF1 NS094527NINDS NIH HHS RF1 NS110637NINR NIH HHS R01 NR013601
6 · The paper itself

Abstract

Acidosis is among the least studied secondary injury mechanisms associated with neurotrauma. Acute decreases in brain pH correlate with poor long-term outcome in patients with traumatic brain injury (TBI), however, the temporal dynamics and underlying mechanisms are unclear. As key drivers of neuroinflammation, we hypothesized that microglia directly regulate acidosis after TBI, and thereby, worsen neurological outcomes. Using a controlled cortical impact model in adult male mice we demonstrate that intracellular pH in microglia and extracellular pH surrounding the lesion site are significantly reduced for weeks after injury. Microglia proliferation and production of reactive oxygen species (ROS) were also increased during the first week, mirroring the increase in extracellular ROS levels seen around the lesion site. Microglia depletion by a colony stimulating factor 1 receptor (CSF1R) inhibitor, PLX5622, markedly decreased extracellular acidosis, ROS production, and inflammation in the brain after injury. Mechanistically, we identified that the voltage-gated proton channel Hv1 promotes oxidative burst activity and acid extrusion in microglia. Compared to wildtype controls, microglia lacking Hv1 showed reduced ability to generate ROS and extrude protons. Importantly, Hv1-deficient mice exhibited reduced pathological acidosis and inflammation after TBI, leading to long-term neuroprotection and functional recovery. Our data therefore establish the microglial Hv1 proton channel as an important link that integrates inflammation and acidosis within the injury microenvironment during head injury.

Indexed as

AcidosisBrain Injuries, TraumaticAnimalsHumansInflammationIon ChannelsMaleMiceMice, Inbred C57BLMicrogliaNeuroinflammatory DiseasesProtonsReactive Oxygen SpeciesRespiratory BurstIon ChannelsProtonsReactive Oxygen Speciesacidosischronic neurodegenerationmicroglianeuroinflammationtraumatic brain injury

Identifiers

PMID33090575
PMCPMC7819364

What OpenQuestion holds

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LicenceCC BY
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.