Evidence map›Paper›PMID 34764216›Full record

ArticleNeurology(R) neuroimmunology & neuroinflammation2022

Analysis of Macrophages and Peptidergic Fibers in the Skin of Patients With Painful Diabetic Polyneuropathy.

Sandra Sif Gylfadottir, Mustapha Itani, Alexander Gramm Kristensen, Hatice Tankisi, Troels Staehelin Jensen, Søren H Sindrup, David LH Bennett, Jens Randel Nyengaard, Nanna Brix Finnerup, Pall Karlsson

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Neurology(R) neuroimmunology & neuroinflammation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Sandra Sif GylfadottirFrom the Danish Pain Research Center (S.S.G., T.S.J., N.B.F., P.K.), Department of Clinical Medicine, Aarhus University; Research Unit for Neurology (M.I., S.H.S.), Odense University Hospital, Odense, Denmark, University of Southern Denmark, Odense; Department of Clinical Neurophysiology (A.G.K., H.T.), Aarhus University Hospital; Department of Neurology (S.S.G., T.S.J., N.B.F.), Aarhus University Hospital, Denmark; Nuffield Department of Clinical Neurosciences (D.B.), University of Oxford, United Kingdom; Core Center for Molecular Morphology (J.R.N., P.K.), Section for Stereology and Microscopy, Department of Clinical Medicine, Aarhus University; and Department of Pathology (J.R.N.), Aarhus University Hospital, Denmark.ORCID 0000-0003-0411-4403
Mustapha ItaniFrom the Danish Pain Research Center (S.S.G., T.S.J., N.B.F., P.K.), Department of Clinical Medicine, Aarhus University; Research Unit for Neurology (M.I., S.H.S.), Odense University Hospital, Odense, Denmark, University of Southern Denmark, Odense; Department of Clinical Neurophysiology (A.G.K., H.T.), Aarhus University Hospital; Department of Neurology (S.S.G., T.S.J., N.B.F.), Aarhus University Hospital, Denmark; Nuffield Department of Clinical Neurosciences (D.B.), University of Oxford, United Kingdom; Core Center for Molecular Morphology (J.R.N., P.K.), Section for Stereology and Microscopy, Department of Clinical Medicine, Aarhus University; and Department of Pathology (J.R.N.), Aarhus University Hospital, Denmark.
Alexander Gramm KristensenFrom the Danish Pain Research Center (S.S.G., T.S.J., N.B.F., P.K.), Department of Clinical Medicine, Aarhus University; Research Unit for Neurology (M.I., S.H.S.), Odense University Hospital, Odense, Denmark, University of Southern Denmark, Odense; Department of Clinical Neurophysiology (A.G.K., H.T.), Aarhus University Hospital; Department of Neurology (S.S.G., T.S.J., N.B.F.), Aarhus University Hospital, Denmark; Nuffield Department of Clinical Neurosciences (D.B.), University of Oxford, United Kingdom; Core Center for Molecular Morphology (J.R.N., P.K.), Section for Stereology and Microscopy, Department of Clinical Medicine, Aarhus University; and Department of Pathology (J.R.N.), Aarhus University Hospital, Denmark.ORCID 0000-0001-9658-4108
Hatice TankisiFrom the Danish Pain Research Center (S.S.G., T.S.J., N.B.F., P.K.), Department of Clinical Medicine, Aarhus University; Research Unit for Neurology (M.I., S.H.S.), Odense University Hospital, Odense, Denmark, University of Southern Denmark, Odense; Department of Clinical Neurophysiology (A.G.K., H.T.), Aarhus University Hospital; Department of Neurology (S.S.G., T.S.J., N.B.F.), Aarhus University Hospital, Denmark; Nuffield Department of Clinical Neurosciences (D.B.), University of Oxford, United Kingdom; Core Center for Molecular Morphology (J.R.N., P.K.), Section for Stereology and Microscopy, Department of Clinical Medicine, Aarhus University; and Department of Pathology (J.R.N.), Aarhus University Hospital, Denmark.
Troels Staehelin JensenFrom the Danish Pain Research Center (S.S.G., T.S.J., N.B.F., P.K.), Department of Clinical Medicine, Aarhus University; Research Unit for Neurology (M.I., S.H.S.), Odense University Hospital, Odense, Denmark, University of Southern Denmark, Odense; Department of Clinical Neurophysiology (A.G.K., H.T.), Aarhus University Hospital; Department of Neurology (S.S.G., T.S.J., N.B.F.), Aarhus University Hospital, Denmark; Nuffield Department of Clinical Neurosciences (D.B.), University of Oxford, United Kingdom; Core Center for Molecular Morphology (J.R.N., P.K.), Section for Stereology and Microscopy, Department of Clinical Medicine, Aarhus University; and Department of Pathology (J.R.N.), Aarhus University Hospital, Denmark.
Søren H SindrupFrom the Danish Pain Research Center (S.S.G., T.S.J., N.B.F., P.K.), Department of Clinical Medicine, Aarhus University; Research Unit for Neurology (M.I., S.H.S.), Odense University Hospital, Odense, Denmark, University of Southern Denmark, Odense; Department of Clinical Neurophysiology (A.G.K., H.T.), Aarhus University Hospital; Department of Neurology (S.S.G., T.S.J., N.B.F.), Aarhus University Hospital, Denmark; Nuffield Department of Clinical Neurosciences (D.B.), University of Oxford, United Kingdom; Core Center for Molecular Morphology (J.R.N., P.K.), Section for Stereology and Microscopy, Department of Clinical Medicine, Aarhus University; and Department of Pathology (J.R.N.), Aarhus University Hospital, Denmark.
David LH BennettFrom the Danish Pain Research Center (S.S.G., T.S.J., N.B.F., P.K.), Department of Clinical Medicine, Aarhus University; Research Unit for Neurology (M.I., S.H.S.), Odense University Hospital, Odense, Denmark, University of Southern Denmark, Odense; Department of Clinical Neurophysiology (A.G.K., H.T.), Aarhus University Hospital; Department of Neurology (S.S.G., T.S.J., N.B.F.), Aarhus University Hospital, Denmark; Nuffield Department of Clinical Neurosciences (D.B.), University of Oxford, United Kingdom; Core Center for Molecular Morphology (J.R.N., P.K.), Section for Stereology and Microscopy, Department of Clinical Medicine, Aarhus University; and Department of Pathology (J.R.N.), Aarhus University Hospital, Denmark.
Jens Randel NyengaardFrom the Danish Pain Research Center (S.S.G., T.S.J., N.B.F., P.K.), Department of Clinical Medicine, Aarhus University; Research Unit for Neurology (M.I., S.H.S.), Odense University Hospital, Odense, Denmark, University of Southern Denmark, Odense; Department of Clinical Neurophysiology (A.G.K., H.T.), Aarhus University Hospital; Department of Neurology (S.S.G., T.S.J., N.B.F.), Aarhus University Hospital, Denmark; Nuffield Department of Clinical Neurosciences (D.B.), University of Oxford, United Kingdom; Core Center for Molecular Morphology (J.R.N., P.K.), Section for Stereology and Microscopy, Department of Clinical Medicine, Aarhus University; and Department of Pathology (J.R.N.), Aarhus University Hospital, Denmark.
Nanna Brix FinnerupFrom the Danish Pain Research Center (S.S.G., T.S.J., N.B.F., P.K.), Department of Clinical Medicine, Aarhus University; Research Unit for Neurology (M.I., S.H.S.), Odense University Hospital, Odense, Denmark, University of Southern Denmark, Odense; Department of Clinical Neurophysiology (A.G.K., H.T.), Aarhus University Hospital; Department of Neurology (S.S.G., T.S.J., N.B.F.), Aarhus University Hospital, Denmark; Nuffield Department of Clinical Neurosciences (D.B.), University of Oxford, United Kingdom; Core Center for Molecular Morphology (J.R.N., P.K.), Section for Stereology and Microscopy, Department of Clinical Medicine, Aarhus University; and Department of Pathology (J.R.N.), Aarhus University Hospital, Denmark.
Pall KarlssonFrom the Danish Pain Research Center (S.S.G., T.S.J., N.B.F., P.K.), Department of Clinical Medicine, Aarhus University; Research Unit for Neurology (M.I., S.H.S.), Odense University Hospital, Odense, Denmark, University of Southern Denmark, Odense; Department of Clinical Neurophysiology (A.G.K., H.T.), Aarhus University Hospital; Department of Neurology (S.S.G., T.S.J., N.B.F.), Aarhus University Hospital, Denmark; Nuffield Department of Clinical Neurosciences (D.B.), University of Oxford, United Kingdom; Core Center for Molecular Morphology (J.R.N., P.K.), Section for Stereology and Microscopy, Department of Clinical Medicine, Aarhus University; and Department of Pathology (J.R.N.), Aarhus University Hospital, Denmark. pall@clin.au.dk.ORCID 0000-0001-7082-9576
University of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe mechanisms of pain in patients with diabetic polyneuropathy are unknown. Studies have suggested a role of inflammation and increased neuropeptides peripherally in pain generation. This study examined the possible skin markers of painful diabetic polyneuropathy (P-DPN): macrophages, substance P (SP), and calcitonin gene-related peptide (CGRP).

methodsThe participants were included from a large Danish cross-sectional clinical study of type 2 diabetes. We diagnosed definite diabetic polyneuropathy using the Toronto criteria and used the Neuropathic Pain Special Interest Group classification for defining P-DPN. We included 60 skin biopsies from patients with diabetic polyneuropathy-30 with P-DPN and 30 with nonpainful diabetic polyneuropathy (NP-DPN)-and 30 biopsies from healthy controls of similar age and sex. The biopsies were stained using PGP 9.5, IbA1, and SP and CGRP primary markers.

resultsThere was increased macrophage density in patients with P-DPN (8.0%) compared with that in patients with NP-DPN (5.1%, DISCUSSION: The findings point to a possible involvement of the innate immune system in the pathogenesis of neuropathic pain in patients with DPN, although markers of activated macrophages were not measured in this study.

Indexed as

Diabetic NeuropathiesMacrophagesNerve FibersNeuralgiaSkinAgedBiomarkersBiopsyCalcitonin Gene-Related PeptideCross-Sectional StudiesFemaleHumansMaleMiddle AgedSubstance PBiomarkersCalcitonin Gene-Related PeptideSubstance P

Identifiers

PMID34764216
PMCPMC8587735
OpenAlexW3211591349

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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.