Evidence map›Paper›PMID 35106976›Full record

ArticleBrain and behavior2022

Involvement of the BDNF-TrkB-KCC2 pathway in neuropathic pain after brachial plexus avulsion.

Shuo Zhao, Fengyu Wang, Li Wang, Yali Xu, Li Lv, Wenxu Duan, Runze Bai, Zhao Meng, Xinzhong Shao

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

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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

18 citing papers in PubMed, 22 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Shuo ZhaoDepartment of Hand Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.ORCID 0000-0002-3159-4791
Fengyu WangDepartment of Hand Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Li WangDepartment of Hand Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Yali XuDepartment of Hand Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Li LvDepartment of Hand Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Wenxu DuanDepartment of Hand Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Runze BaiDepartment of Hand Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Zhao MengOrthopaedic Department, Children's Hospital of Hebei Province, Shijiazhuang, China.
Xinzhong ShaoDepartment of Hand Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Hebei Medical University · CNHospital of Hebei Province · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBrachial plexus avulsion significantly increased brain-derived neurotrophic factor (BDNF) release in the spinal cord. Here we investigated the involvement of the BDNF-TrkB-KCC2 pathway in neuropathic pain caused by BPA injury. We hypothesized that activation of BDNF-TrkB may inhibit neuronal excitability by downregulating KCC2 to maintain a high intracellular Cl-concentration. We established a neuropathic pain rat model by avulsion of the lower trunk brachial plexus, and investigated the effects of the TrkB-specific antibody K-252a on the expression of BDNF, TrkB, and KCC2.

methodsWe randomly divided 40 male SD rats into four groups. In the brachial plexus avulsion group, C8-T1 roots were avulsed from the spinal cord at the lower trunk level. In the K252a group, 5uL K252a was applied intrathecally daily for three days after avulsion. In the sham surgery group, expose only and without damage. The control group did not undergo any treatment. Mechanical hyperalgesia and cold allodynia were analyzed by electronic pain measuring instrument and acetone spray method at different time points on days 1, 3, 7, 10, 14, and 21 after surgery. At 21 days after surgery, the expression of BDNF and TrkB in dorsal horn neurons and GFAP in astrocytes were detected by immunohistochemistry at the C5-T1 segment of the spinal cord. The expression levels of BDNF, TrkB, and KCC2 in the C5-T1 spinal cord were measured by Western Blot at 7 and 21 days.

resultsMechanical hyperalgesia and cold allodynia were significantly reduced in the K252a group compared with the brachial plexus avulsion group. Compared with the BPA group, BDNF, TrkB and GFAP were significantly decreased in the K252a group at 21 days after treatment by immunohistochemical test. In the WB test, the expressions of BDNF and TrkB in the K252a group were quantitatively detected to be decreased, while the expression of KCC2 was increased, which was obvious at 7 and 21 days.

conclusionBDNF-TrkB-KCC2 pathway can significantly relieve neuropathic pain after BPA, and is a potential target for the treatment of neuropathic pain.

Indexed as

Brachial PlexusNeuralgiaSymportersAnimalsBrain-Derived Neurotrophic FactorDisease Models, AnimalFemaleHyperalgesiaMaleRatsRats, Sprague-DawleyBrain-Derived Neurotrophic FactorSymportersBDNFbrachial plexus avulsionK252aKCC2neuropathic painTrkB

Identifiers

PMID35106976
PMCPMC8933754
OpenAlexW4210745031

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LicenceCC BY
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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.