Evidence map›Paper›PMID 34903525›Full record

ArticleeNeuro

Metformin Reduces Repeat Mild Concussive Injury Pathophysiology.

Erica L Underwood, John B Redell, Mark E Maynard, Nobuhide Kobori, Michael J Hylin, Kimberly N Hood, Rebecca K West, Jing Zhao, Anthony N Moore, Pramod K Dash

Open access · goldAbstract read
In one paragraph

Article in eNeuro. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 50% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Uncovering mitochondrial defects in photoreceptors opens therapeutic opportunities for Stargardt disease.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Article
  3. 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

10 authors at 2 institutions in 1 country.

Erica L Underwood
Mark E Maynard
Nobuhide KoboriDepartment of Neurobiology and Anatomy, The University of Texas McGovern Medical School, Houston, TX 77030.
Kimberly N HoodDepartment of Neurobiology and Anatomy, The University of Texas McGovern Medical School, Houston, TX 77030.
Rebecca K WestDepartment of Neurobiology and Anatomy, The University of Texas McGovern Medical School, Houston, TX 77030.
Jing ZhaoDepartment of Neurobiology and Anatomy, The University of Texas McGovern Medical School, Houston, TX 77030.
Anthony N MooreDepartment of Neurobiology and Anatomy, The University of Texas McGovern Medical School, Houston, TX 77030.
Pramod K DashDepartment of Neurobiology and Anatomy, The University of Texas McGovern Medical School, Houston, TX 77030 p.dash@uth.tmc.edu.
The University of Texas Health Science Center · USThe University of Texas Health Science Center at Houston · US

Funding

ROLE OF THE GUT IN POST INJURY MULTIPLE ORGAN FAILURET32GM008792 · NIGMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Charles S Cox · 2001 to 2026
$5.2M
The role of mitochondrial fission in TBI outcomeR01NS101686 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI DASH, PRAMOD K, WAXHAM, M. NEAL · 2017 to 2021
$2.1M
Role of Glut4 in TBI PathophysiologyR01NS086301 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI DASH, PRAMOD K · 2015 to 2019
$1.7M
NIGMS NIH HHS T32 GM008792NINDS NIH HHS R01 NS086301NINDS NIH HHS R01 NS101686
6 · The paper itself

Abstract

Mild traumatic brain injury (mTBI) can initiate complex pathophysiological changes in the brain. Numerous cellular and molecular mechanisms underlying these pathologic changes are altered after injury, including those involved in energy utilization, excitotoxicity, ionic disturbances, and inflammation. It is thought that targeting multiple mechanisms may be necessary to produce meaningful reductions in brain pathology and to improve outcome. Previous studies have reported that the anti-diabetic drug metformin can also affect inflammatory, cell survival, and metabolic outcomes, possibly by acting on multiple targets and/or pathways. We therefore questioned whether metformin treatment can reduce pathology after repeat mild closed head injury (rmCHI) in male C57Bl/6 mice. We found that metformin, administered acutely after each head impact, resulted in markedly reduced white matter damage, astrogliosis, loss of hippocampal parvalbumin neurons, and improved mitochondrial function. In addition, both motor and cognitive functions were significantly improved when tested after discontinuation of the treatment. These studies suggest that metformin may be beneficial as a treatment for repeat concussion.

Indexed as

Brain ConcussionHead Injuries, ClosedMetforminAnimalsBrainDisease Models, AnimalMaleMiceMice, Inbred C57BLMetforminaxonal injurycognitive dysfunctionmild traumatic brain injuryoxygen consumption raterepeat concussiontissue respiration

Identifiers

PMID34903525
PMCPMC8805198
OpenAlexW4200089401

What OpenQuestion holds

Textmetadata
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.