Evidence map›Paper›PMID 37231507›Full record

ArticleFluids and barriers of the CNS2023

Glucocorticoids modify intracranial pressure in freely moving rats.

Connar Stanley James Westgate, Ida Marchen Egerod Israelsen, Christina Kamp-Jensen, Rigmor Højland Jensen, Sajedeh Eftekhari

Open access · goldAbstract read
In one paragraph

Article in Fluids and barriers of the CNS, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
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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

5 authors at 1 institution in 1 country.

Connar Stanley James Westgate *Danish Headache Center, Dept of Neurology, Rigshospitalet-Glostrup, Glostrup Research Institute, University of Copenhagen, Glostrup, Denmark.ORCID http://orcid.org/0000-0001-5066-8306
Ida Marchen Egerod Israelsen *Danish Headache Center, Dept of Neurology, Rigshospitalet-Glostrup, Glostrup Research Institute, University of Copenhagen, Glostrup, Denmark.ORCID http://orcid.org/0000-0001-9765-0592
Christina Kamp-JensenDanish Headache Center, Dept of Neurology, Rigshospitalet-Glostrup, Glostrup Research Institute, University of Copenhagen, Glostrup, Denmark.ORCID http://orcid.org/0000-0001-5840-2211
Rigmor Højland JensenDanish Headache Center, Dept of Neurology, Rigshospitalet-Glostrup, Glostrup Research Institute, University of Copenhagen, Glostrup, Denmark.ORCID http://orcid.org/0000-0001-6433-5887
Sajedeh EftekhariDanish Headache Center, Dept of Neurology, Rigshospitalet-Glostrup, Glostrup Research Institute, University of Copenhagen, Glostrup, Denmark. Sajedeh.eftekhari@regionh.dk.ORCID http://orcid.org/0000-0002-5716-5725
University of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlucocorticoids (GCs) are widely prescribed for a variety of inflammatory diseases, but they are also used to treat raised intracranial pressure (ICP) caused by trauma or oedema. However, it is unclear if GCs independently modulate ICP and if GCs are involved in normal ICP regulation. In this study, we aimed to assess the ICP modulatory effects of GCs and their molecular consequences on choroid plexus (CP).

methodsAdult female rats were implanted with telemetric ICP probes for physiological, continuous ICP recordings in a freely moving setup. Rats received prednisolone or vehicle via oral gavage in a randomized acute (24 h) ICP study. In a subsequent study rats received corticosterone or vehicle in drinking water for a 4-week chronic ICP study. CP were removed, and the expression of genes associated with cerebrospinal fluid secretion were assessed.

resultsA single prednisolone dose reduced ICP by up to 48% (P < 0.0001), where ICP was reduced within 7 h and was maintained for at least 14 h. Prednisolone increases ICP spiking (P = 0.0075) while not altering ICP waveforms. Chronic corticosterone reduces ICP by up to 44%, where ICP was lower for the entirety of the 4-week ICP recording period (P = 0.0064). ICP daily periodicity was not altered by corticosterone. Corticosterone ICP reduction was not accompanied by ICP spike differences or alteration in ICP spike periodicity. Chronic corticosterone treatment had modest effects on CP gene expression, lowering the expression of Car2 at CP (P = 0.047).

conclusionsGCs reduce ICP in both the acute and chronic setting to a similar degree. Moreover, GCs did not modify the diurnal rhythm of ICP, suggesting the diurnal variation of ICP periodicity is not under explicit control of GCs. ICP disturbances should be considered a consequence of GC therapy. Based on these experiments, GCs may have broader ICP therapeutic uses, but side effects must be taken into consideration.

Indexed as

CorticosteroneGlucocorticoidsAnimalsFemaleIntracranial PressurePrednisoloneRatsTelemetryCorticosteroneGlucocorticoidsPrednisoloneChoroid plexusCorticosteroneGlucocorticoidIntracranial pressurePrednisolone

Identifiers

PMID37231507
PMCPMC10214560
OpenAlexW4378217698

What OpenQuestion holds

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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.