Evidence map›Paper›PMID 34475875›Full record

ArticleFrontiers in immunology2021

Kynurenic Acid and Its Synthetic Derivatives Protect Against Sepsis-Associated Neutrophil Activation and Brain Mitochondrial Dysfunction in Rats.

Marietta Z Poles, Anna Nászai, Levente Gulácsi, Bálint L Czakó, Krisztián G Gál, Romy J Glenz, Dishana Dookhun, Attila Rutai, Szabolcs P Tallósy, Andrea Szabó and 7 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–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

29 citing papers in PubMed.

  1. Research Advances in the Pathogenesis of Sepsis-Associated Encephalopathy.International journal of molecular sciences · 2026
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  17. Role of Kynurenine and Its Derivatives in the Neuroimmune System.International journal of molecular sciences · 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

17 authors.

Marietta Z PolesInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Anna NászaiInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Levente GulácsiInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Bálint L CzakóInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Krisztián G GálInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Romy J GlenzInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Dishana DookhunInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Attila RutaiInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Szabolcs P TallósyInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Andrea SzabóInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Bálint LőrincziInstitute of Pharmaceutical Chemistry and Research Group for Stereochemistry, Hungarian Academy of Sciences, University of Szeged, Szeged, Hungary.
István SzatmáriInstitute of Pharmaceutical Chemistry and Research Group for Stereochemistry, Hungarian Academy of Sciences, University of Szeged, Szeged, Hungary.
Ferenc FülöpInstitute of Pharmaceutical Chemistry and Research Group for Stereochemistry, Hungarian Academy of Sciences, University of Szeged, Szeged, Hungary.
László VécseiDepartment of Neurology, Interdisciplinary Excellence Centre, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Mihály BorosInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.
László JuhászInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.
József KaszakiInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: The systemic host response in sepsis is frequently accompanied by central nervous system (CNS) dysfunction. Evidence suggests that excessive formation of neutrophil extracellular traps (NETs) can increase the permeability of the blood-brain barrier (BBB) and that the evolving mitochondrial damage may contribute to the pathogenesis of sepsis-associated encephalopathy. Kynurenic acid (KYNA), a metabolite of tryptophan catabolism, exerts pleiotropic cell-protective effects under pro-inflammatory conditions. Our aim was to investigate whether exogenous KYNA or its synthetic analogues SZR-72 and SZR-104 affect BBB permeability secondary to NET formation and influence cerebral mitochondrial disturbances in a clinically relevant rodent model of intraabdominal sepsis. Methods: Sprague-Dawley rats were subjected to fecal peritonitis (0.6 g kg Results: Sepsis was characterized by significantly elevated ROFA scores, while the increased BBB permeability and plasma S100B levels demonstrated brain damage. Plasma levels of CitH3, MPO and IL-1β were elevated in sepsis but were ameliorated by KYNA and its synthetic analogues. The sepsis-induced deterioration in tissue CI-CII-linked OXPHOS and BBB parameters as well as the increase in tissue MPO content were positively affected by KYNA/KYNA analogues. Conclusion: This study is the first to report that KYNA and KYNA analogues are potential neuroprotective agents in experimental sepsis. The proposed mechanistic steps involve reduced peripheral NET formation, lowered BBB permeability changes and alleviation of mitochondrial dysfunction in the CNS.

Indexed as

AnimalsBlood-Brain BarrierDisease Models, AnimalKynurenic AcidMaleMitochondriaNeuroprotective AgentsNeutrophil ActivationPermeabilityRatsSepsisKynurenic AcidNeuroprotective Agentsblood-brain barrierbrain injurymitochondrial respirationneutrophil extracellular trapN-methyl-D-aspartate receptor

Identifiers

PMID34475875
PMCPMC8406694

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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.