Evidence map›Paper›PMID 37544956›Full record

ArticleSignal transduction and targeted therapy2023

Extracellular RNAs-TLR3 signaling contributes to cognitive impairment after chronic neuropathic pain in mice.

Xueying Zhang, Rui Gao, Changteng Zhang, Yi Teng, Hai Chen, Qi Li, Changliang Liu, Jiahui Wu, Liuxing Wei, Liyun Deng and 6 more

Open access · goldAbstract read
In one paragraph

Article in Signal transduction and targeted therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The neuroimmune system and cognition.Nature immunology · 2026
    Review
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  17. Mechanisms of comorbidity between Alzheimer's disease and pain.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  18. 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

16 authors at 4 institutions in 3 countries.

Xueying Zhang *Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Rui Gao *Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Changteng Zhang *Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Yi TengDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Hai ChenDepartment of Respiratory and Critical Care Medicine, Targeted Tracer Research and Development Laboratory, West China Hospital, Sichuan University, Chengdu, China.
Qi LiDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Changliang LiuDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Jiahui WuDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Liuxing WeiDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Liyun DengDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Lining WuDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Shixin Ye-LehmannDiseases and Hormones of the Nervous System, University of Paris-Scalay Bicêtre Hosptial, Le Kremlin-Bicêtre, France.
Xiaobo MaoDepartment of Neurology, Institute of Cell Engineering, School of Medicine, Johns Hopkins University, Baltimore, USA.ORCID http://orcid.org/0000-0001-6587-556X
Jin LiuDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Tao ZhuDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China. 739501155@qq.com.
Chan ChenDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China. xychenchan@gmail.com.ORCID http://orcid.org/0000-0001-5823-8247
Chinese Academy of Medical Sciences & Peking Union Medical College · CNBicêtre Hospital · FRJohns Hopkins University · USSichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic pain is often associated with cognitive decline, which could influence the quality of the patient's life. Recent studies have suggested that Toll-like receptor 3 (TLR3) is crucial for memory and learning. Nonetheless, the contribution of TLR3 to the pathogenesis of cognitive decline after chronic pain remains unclear. The level of TLR3 in hippocampal neurons increased in the chronic constriction injury (CCI) group than in the sham group in this study. Importantly, compared to the wild-type (WT) mice, TLR3 knockout (KO) mice and TLR3-specific neuronal knockdown mice both displayed improved cognitive function, reduced levels of inflammatory cytokines and neuronal apoptosis and attenuated injury to hippocampal neuroplasticity. Notably, extracellular RNAs (exRNAs), specifically double-stranded RNAs (dsRNAs), were increased in the sciatic nerve, serum, and hippocampus after CCI. The co-localization of dsRNA with TLR3 was also increased in hippocampal neurons. And the administration of poly (I:C), a dsRNA analog, elevated the levels of dsRNAs and TLR3 in the hippocampus, exacerbating hippocampus-dependent memory. In additon, the dsRNA/TLR3 inhibitor improved cognitive function after CCI. Together, our findings suggested that exRNAs, particularly dsRNAs, that were present in the condition of chronic neuropathic pain, activated TLR3, initiated downstream inflammatory and apoptotic signaling, caused damage to synaptic plasticity, and contributed to the etiology of cognitive impairment after chronic neuropathic pain.

Indexed as

Chronic PainCognitive DysfunctionNeuralgiaAnimalsMiceMice, KnockoutRNA, Double-StrandedToll-Like Receptor 3RNA, Double-StrandedTLR3 protein, mouseToll-Like Receptor 3

Identifiers

PMID37544956
PMCPMC10404588
OpenAlexW4385614522

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.