Evidence map›Paper›PMID 37951284›Full record

ArticleThe journal of pain2024

Alpha-7 Nicotinic Acetylcholine Receptor Activation Inhibits Trauma Induced Pronociceptive Autoimmune Responses.

Wen-Wu Li, Xiao-You Shi, Tzuping Wei, Tian-Zhi Guo, Wade S Kingery, John David Clark

Open access · bronzeAbstract read
In one paragraph

Article in The journal of pain, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 3 institutions in 1 country.

Wen-Wu LiDepartment of Anesthesia, Perioperative and Pain Medicine, Stanford University, School of Medicine, Stanford, California.
Xiao-You ShiDepartment of Anesthesia, Perioperative and Pain Medicine, Stanford University, School of Medicine, Stanford, California.
Tzuping WeiPalo Alto Veterans Institute for Research, Palo Alto, California.
Tian-Zhi GuoPalo Alto Veterans Institute for Research, Palo Alto, California.
Wade S KingeryPalo Alto Veterans Institute for Research, Palo Alto, California.
John David ClarkDepartment of Anesthesia, Perioperative and Pain Medicine, Stanford University, School of Medicine, Stanford, California; Anesthesiology Service Veterans Affairs Palo Alto Health Care System, Palo Alto, California.
Palo Alto Veterans Institute for Research · USStanford University · USVA Palo Alto Health Care System · US

Funding

Neural Immunoregulation of Post-Traumatic AutoimmunityR01NS094438 · NINDS · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI DAVID J. CLARK, WADE S KINGERY · 2016 to 2026
$4.4M
B Lymphocyte-Mediated Autoimmunity in Pain After TraumaR01NS117340 · NINDS · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI CLARK, DAVID J. · 2020 to 2024
$3.0M
Autonomic Regulation of the Immunological Response to Limb InjuryI01RX001475 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI CLARK, DAVID J. · 2015 to 2025
–
NINDS NIH HHS R01 NS094438NINDS NIH HHS R01 NS117340RRD VA I01 RX001475
6 · The paper itself

Abstract

Both autonomic nervous system dysfunction and immune system activation are characteristic of chronic pain after limb injuries. Cholinergic agonists reduce immune system activation in many settings. We hypothesized, therefore, that alpha-7 nicotinic acetylcholine receptor (α7nAChR) agonist administration would reduce nociceptive and immune changes after tibia fracture and cast immobilization in mice. Fracture mice were treated with either vehicle, a low (.2 mg/kg) dose, or a high (1 mg/kg) dose of the selective α7nAChR agonist PNU-282987 for 4 weeks. We assessed hindpaw allodynia and weight bearing as behavioral outcomes. The assessment of adaptive immune responses included regional lymph node hypertrophy, germinal center formation, α7nAChR expression, and IgM deposition. Assessment of innate immune system activation focused on IL-1β and IL-6 generation in fractured hindlimb skin. We observed that mechanical allodynia and unweighting were alleviated by PNU-282987 treatment. Drug treatment also reduced popliteal lymph node hypertrophy and germinal center formation. Immunohistochemical studies localized α7nAChR to germinal center B lymphocytes, and this expression increased after fracture. Analysis of fracture limb hindpaw skin demonstrated increased inflammatory mediator (IL-1β and IL-6) levels and IgM deposition, which were abrogated by PNU-282987. Serum analyses demonstrated fracture-induced IgM reactivity against keratin 16, histone 3.2, GFAP, and NMDAR-2B. Administration of PNU-282987 reduced the enhancement of IgM reactivity. Collectively, these data suggest that the α7nAChR is involved in regulating posttraumatic innate and adaptive immune responses and the associated nociceptive sensitization. PERSPECTIVE: These studies evaluate the effects of a selective α7nAChR agonist in a tibial fracture/cast immobilization model of limb pain. Administration of the drug reduced nociceptive and functional changes 4 weeks after injury. These novel findings suggest that well-tolerated α7nAChR agonists may be viable analgesics for chronic pain after limb injuries.

Indexed as

alpha7 Nicotinic Acetylcholine ReceptorAutoimmunityAnimalsBenzamidesBridged Bicyclo CompoundsDisease Models, AnimalHyperalgesiaMaleMiceMice, Inbred C57BLNicotinic AgonistsTibial Fracturesalpha7 Nicotinic Acetylcholine ReceptorBenzamidesBridged Bicyclo CompoundsNicotinic AgonistsPNU-282987Adaptive immunityAutonomic nervous systemCytokineFractureNicotinic acetylcholine receptorPain

Identifiers

PMID37951284
PMCPMC11058031
OpenAlexW4388571989

What OpenQuestion holds

Textmetadata
LicenceTDM
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.