Evidence map›Paper›PMID 35625044›Full record

ArticleBrain sciences2022

Quantum Mechanical Aspects in the Pathophysiology of Neuropathic Pain.

Sager Nawafleh, Abdallah Barjas Qaswal, Obada Alali, Fuad Mohammed Zayed, Ahmed Mahmoud Al-Azzam, Khaled Al-Kharouf, Mo'ath Bani Ali, Moath Ahmad Albliwi, Rawan Al-Hamarsheh, Mohammad Iswaid and 7 more

Abstract read
In one paragraph

Article in Brain sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

17 authors.

Sager NawaflehDepartment of Anesthesia and Intensive Care Unit, The Hashemite University, Zarqa 13115, Jordan.
Abdallah Barjas QaswalSchool of Medicine, The University of Jordan, Amman 11942, Jordan.ORCID 0000-0001-5419-4793
Obada AlaliDepartment of Anesthesia and Intensive Care, Alabdali Clemenceau Hospital, Amman 11190, Jordan.
Fuad Mohammed ZayedSchool of Medicine, The University of Jordan, Amman 11942, Jordan.ORCID 0000-0003-3420-029X
Ahmed Mahmoud Al-AzzamSchool of Medicine, The Hashemite University, Zarqa 13115, Jordan.ORCID 0000-0003-1319-9322
Khaled Al-KharoufSouthampton Orthopedics: Centre for Arthroplasty and Revision Surgery, University Hospital Southampton, Tremona Road, Southampton SO16 6YD, UK.
Mo'ath Bani AliSchool of Medicine, The University of Jordan, Amman 11942, Jordan.
Moath Ahmad AlbliwiSchool of Medicine, The University of Jordan, Amman 11942, Jordan.
Rawan Al-HamarshehSchool of Medicine, The University of Jordan, Amman 11942, Jordan.
Mohammad IswaidSchool of Medicine, The University of Jordan, Amman 11942, Jordan.
Ahmad AlbannaSchool of Medicine, The University of Jordan, Amman 11942, Jordan.
Ahmad EnjadatDepartment of Internship Program, Jordan University Hospital, Amman 11942, Jordan.
Mohammad Abu Orabi Al-AdwanSchool of Medicine, The University of Jordan, Amman 11942, Jordan.
Khaled DibbehLeicester University Hospitals, P.O. Box 7853, Leicester LE1 9WW, UK.
Ez-Aldeen Abu ShareahAccident and Emergency Department, The Princess Alexandra Hospital NHS Trust, Hamstel Road, Harlow CM20 1QX, UK.
Anas HamdanDepartment of Anesthesia and Intensive Care Unit, Istishari Hospital, Amman 11184, Jordan.
Aiman SuleimanDepartment of Anesthesia, Intensive Care and Pain Management, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.ORCID 0000-0003-2625-4028

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuropathic pain is a challenging complaint for patients and clinicians since there are no effective agents available to get satisfactory outcomes even though the pharmacological agents target reasonable pathophysiological mechanisms. This may indicate that other aspects in these mechanisms should be unveiled to comprehend the pathogenesis of neuropathic pain and thus find more effective treatments. Therefore, in the present study, several mechanisms are chosen to be reconsidered in the pathophysiology of neuropathic pain from a quantum mechanical perspective. The mathematical model of the ions quantum tunneling model is used to provide quantum aspects in the pathophysiology of neuropathic pain. Three major pathophysiological mechanisms are revisited in the context of the quantum tunneling model. These include: (1) the depolarized membrane potential of neurons; (2) the cross-talk or the ephaptic coupling between the neurons; and (3) the spontaneous neuronal activity and the emergence of ectopic action potentials. We will show mathematically that the quantum tunneling model can predict the occurrence of neuronal membrane depolarization attributed to the quantum tunneling current of sodium ions. Moreover, the probability of inducing an ectopic action potential in the axons of neurons will be calculated and will be shown to be significant and influential. These ectopic action potentials are generated due to the formation of quantum synapses which are assumed to be the mechanism behind the ephaptic transmission. Furthermore, the spontaneous neuronal activity and the emergence of ectopic action potentials independently from any adjacent stimulated neurons are predicted to occur according to the quantum tunneling model. All these quantum mechanical aspects contribute to the overall hyperexcitability of the neurons and to the pathogenesis of neuropathic pain. Additionally, providing a new perspective in the pathophysiology of neuropathic pain may improve our understanding of how the neuropathic pain is generated and maintained and may offer new effective agents that can improve the overall clinical outcomes of the patients.

Indexed as

depolarizationephaptic couplingion channelsneuropathic painquantum biologyquantum conductancequantum medicinequantum tunneling

Identifiers

PMID35625044
PMCPMC9140023

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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.