Evidence map›Paper›PMID 36942513›Full record

ArticleCNS neuroscience & therapeutics2023

Dihydroorotate dehydrogenase regulates ferroptosis in neurons after spinal cord injury via the P53-ALOX15 signaling pathway.

Dachuan Li, Xiao Lu, Guangyu Xu, Siyang Liu, Zhaoyang Gong, Feizhou Lu, Xinlei Xia, Jianyuan Jiang, Hongli Wang, Fei Zou and 1 more

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
8.0field-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

39 citing papers in PubMed, 52 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Arachidonic acid metabolism in spinal cord injury.Journal of advanced research · 2026
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  15. Gut microbes · 2025
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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

11 authors at 1 institution in 1 country.

Dachuan LiDepartment of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.ORCID 0000-0002-2028-4245
Xiao LuDepartment of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
Guangyu XuDepartment of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
Siyang LiuDepartment of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
Zhaoyang GongDepartment of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
Feizhou LuDepartment of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
Xinlei XiaDepartment of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
Jianyuan JiangDepartment of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
Hongli WangDepartment of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
Fei ZouDepartment of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
Xiaosheng MaDepartment of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
Fudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal cord injury (SCI) is a highly disabling condition in spinal surgery that leads to neuronal damage and secondary inflammation. Ferroptosis is a non-apoptotic type of cell death that has only recently been identified, which is marked primarily by iron-dependent and lipid-derived reactive oxygen species accumulation, and accompanied by morphological modifications such as mitochondrial atrophy and increase in membrane density. Dihydroorotate dehydrogenase (DHODH) is a powerful inhibitor of ferroptosis and has been demonstrated to inhibit cellular ferroptosis in tumor cells, but whether it can inhibit neuronal injury following spinal cord injury remains ambiguous.

methodsIn this study, the effect of DHODH on neuronal ferroptosis was observed in vivo and in vitro using a rat spinal cord injury model and erastin-induced PC12 cells, respectively. A combination of molecular and histological approaches was performed to assess ferroptosis and explore the possible mechanisms in vivo and in vitro.

resultsFirst, we confirmed the existence of neuronal ferroptosis after spinal cord injury and that DHODH attenuates neuronal damage after spinal cord injury. Second, we showed molecular evidence that DHODH inhibits the activation of ferroptosis-related molecules and reduces lipid peroxide production and mitochondrial damage, thereby reducing neuronal ferroptosis. Further analysis suggests that P53/ALOX15 may be one of the mechanisms regulated by DHODH. Importantly, we determined that DHODH inhibits ALOX15 expression by inhibiting P53.

conclusionsOur findings reveal a novel function for DHODH in neuronal ferroptosis after spinal cord injury, suggesting a unique therapeutic target to alleviate the disease process of spinal cord injury.

Indexed as

FerroptosisSpinal Cord InjuriesAnimalsDihydroorotate DehydrogenaseNeuronsRatsSignal TransductionSpinal CordTumor Suppressor Protein p53Dihydroorotate DehydrogenaseTumor Suppressor Protein p53ALOX15DHODHferroptosisP53spinal cord injury

Identifiers

PMID36942513
PMCPMC10324365
OpenAlexW4328049284

What OpenQuestion holds

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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.