Evidence map›Paper›PMID 36602945›Full record

SynthesisBrain and behavior2023

The core of maintaining neuropathic pain: Crosstalk between glial cells and neurons (neural cell crosstalk at spinal cord).

Tianrui Zhang, Mingqian Zhang, Shuang Cui, Wulin Liang, Zhanhong Jia, Fanfan Guo, Wenjing Ou, Yonghong Wu, Shuofeng Zhang

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Brain and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  18. Article
  19. The simultaneous activation of μ- and δ-opioid receptors by (-)-2Current research in pharmacology and drug discovery · 2025
    Article
  20. Burn scar pain: from mechanisms to treatments.Frontiers in physiology · 2025
    Review
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 1 institution in 1 country.

Tianrui ZhangDepartment of Pharmacology of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Mingqian ZhangDepartment of Pharmacology of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Shuang CuiDepartment of Pharmacology of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Wulin LiangDepartment of Pharmacology of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Zhanhong JiaDepartment of Pharmacology of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Fanfan GuoDepartment of Pharmacology of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Wenjing OuDepartment of Pharmacology of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Yonghong WuDepartment of Pharmacology of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Shuofeng ZhangDepartment of Pharmacology of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Beijing University of Chinese Medicine · CN

Funding

China Medical Education Association 2016SKT-M006
6 · The paper itself

Abstract

backgroundNeuropathic pain (NP) caused by the injury or dysfunction of the nervous system is a chronic pain state accompanied by hyperalgesia, and the available clinical treatment is relatively scarce. Hyperalgesia mediated by pro-inflammatory factors and chemokines plays an important role in the occurrence and maintenance of NP. DATA TREATMENT: Therefore, we conducted a systematic literature review of experimental NP (PubMed Medline), in order to find the mechanism of inducing central sensitization and explore the intervention methods of hyperalgesia caused by real or simulated injury.

resultIn this review, we sorted out the activation pathways of microglia, astrocytes and neurons, and the process of crosstalk among them. It was found that in NP, the microglia P2X4 receptor is the key target, which can activate the mitogen-activated protein kinase pathway inward and then activate astrocytes and outwardly activate neuronal tropomyosin receptor kinase B receptor to activate neurons. At the same time, activated neurons continue to maintain the activation of astrocytes and microglia through chemokines on CXCL13/CXCR5 and CX3CL1/CX3CR1. This crosstalk process is the key to maintaining NP.

conclusionWe summarize the further research on crosstalk among neurons, microglia, and astrocytes in the central nervous system, elaborate the ways and connections of relevant crosstalk, and find potential crosstalk targets, which provides a reference for drug development and preclinical research.

Indexed as

HyperalgesiaNeuralgiaAstrocytesHumansMicrogliaNeurogliaNeuronsSpinal Cordastrocytescrosstalkhyperalgesiamicroglianeuronneuropathic pain

Identifiers

PMID36602945
PMCPMC9927860
OpenAlexW4313545901

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.