Evidence map›Paper›PMID 34042964›Full record

ArticleNeuro-oncology2021

Metformin effects on brain development following cranial irradiation in a mouse model.

Nili Yuen, Kamila U Szulc-Lerch, Yu-Qing Li, Cindi M Morshead, Donald J Mabbott, C Shun Wong, Brian J Nieman

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 16% 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, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Effects of radiotherapy on the hippocampus and hippocampal neurogenesis: a systematic review of preclinical studies.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Pooled it
  2. Journal of Alzheimer's disease : JAD · 2026
    Article
  3. Neurodevelopmental Impacts of Ketamine and Alfaxalone Anesthesia Evaluated with Mouse MRI.Journal of the American Association for Laboratory Animal Science : JAALAS · 2025
    Article
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  8. Sex chromosomes and hormones independently influence healthy brain development but act similarly after cranial radiation.Proceedings of the National Academy of Sciences of the United States of America · 2024
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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 4 institutions in 1 country.

Nili YuenDepartment of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada.
Kamila U Szulc-LerchNeurosciences and Mental Health, The Hospital for Sick Children, Toronto, Ontario, Canada.
Yu-Qing LiDepartment of Radiation Oncology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Cindi M MorsheadInstitute of Medical Science, University of Toronto, Toronto, Ontario, Canada.
Donald J MabbottDepartment of Neurosciences & Mental Health, The Hospital for Sick Children, Toronto, Ontario, Canada.
C Shun WongDepartment of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada.
Brian J NiemanDepartment of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada.
Hospital for Sick Children · CAOccupational Cancer Research Centre · CASunnybrook Health Science Centre · CAUniversity of Toronto · CA

Funding

CIHR 156250
6 · The paper itself

Abstract

backgroundCranial radiation therapy (CRT) is a mainstay of treatment for malignant pediatric brain tumors and high-risk leukemia. Although CRT improves survival, it has been shown to disrupt normal brain development and result in cognitive impairments in cancer survivors. Animal studies suggest that there is potential to promote brain recovery after injury using metformin. Our aim was to evaluate whether metformin can restore brain volume outcomes in a mouse model of CRT.

methodsC57BL/6J mice were irradiated with a whole-brain radiation dose of 7 Gy during infancy. Two weeks of metformin treatment started either on the day of or 3 days after irradiation. In vivo magnetic resonance imaging was performed prior to irradiation and at 3 subsequent time points to evaluate the effects of radiation and metformin on brain development.

resultsWidespread volume loss in the irradiated brain appeared within 1 week of irradiation with limited subsequent recovery in volume outcomes. In many structures, metformin administration starting on the day of irradiation exacerbated radiation-induced injury, particularly in male mice. Metformin treatment starting 3 days after irradiation improved brain volume outcomes in subcortical regions, the olfactory bulbs, and structures of the brainstem and cerebellum.

conclusionsOur results show that metformin treatment has the potential to improve neuroanatomical outcomes after CRT. However, both timing of metformin administration and subject sex affect structure outcomes, and metformin may also be deleterious. Our results highlight important considerations in determining the potential benefits of metformin treatment after CRT and emphasize the need for caution in repurposing metformin in clinical studies.

Indexed as

MetforminAnimalsBrainChildCranial IrradiationHumansMagnetic Resonance ImagingMaleMiceMice, Inbred C57BLMetforminmetforminMRIneurodevelopmentneurogenesisradiation

Identifiers

PMID34042964
PMCPMC8408860
OpenAlexW3164180016

What OpenQuestion holds

Textmetadata
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.