Evidence map›Paper›PMID 38812640›Full record

ArticleTurkish journal of medical sciences2024

Leaky gut and inflammatory biomarkers in a medication overuse headache model in male rats.

Doğa Vuralli, Hale Gök Dağidir, Elif Abbasoğlu Topa, Hayrunnisa Bolay Belen

Abstract read
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Article in Turkish journal of medical sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

4 authors.

Doğa VuralliDepartment of Neurology and Algology, Faculty of Medicine, Gazi University, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-7964-2676
Hale Gök DağidirNeuroscience and Neurotechnology Center of Excellence (NÖROM), Gazi University, Ankara, Turkiye.ORCID https://orcid.org/0000-0003-3997-4307
Elif Abbasoğlu TopaNeuropsychiatry Center, Gazi University, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-5140-1451
Hayrunnisa Bolay BelenDepartment of Neurology and Algology, Faculty of Medicine, Gazi University, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-3357-7733

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: Medication overuse is common among chronic migraine patients and nonsteroidal antiinflammatory drugs (NSAIDs) are the most frequently overused drugs. The pathophysiological mechanisms underlying medication overuse headache (MOH) are not completely understood. Intestinal hyperpermeability and leaky gut are reported in patients using NSAIDs. The aim of the study is to investigate the role of leaky gut and inflammation in an MOH model MOH model in male rats. Methods: The study was conducted in male Sprague Dawley rats. There were two experimental groups. The first group was the chronic NSAID group in which the rats received mefenamic acid (n = 8) for four weeks intraperitoneally (ip) and the second group was the vehicle group (n = 8) that received 5% dimethyl sulfoxide+sesame oil (ip) for 4 weeks. We assessed spontaneous pain-like behavior, periorbital mechanical withdrawal thresholds, and anxiety-like behavior using an elevated plus maze test. After behavioral testing, serum levels of occludin and lipopolysaccharide-binding protein (LBP) and brain levels of IL-17, IL-6, and high mobility group box 1 protein (HMGB1) were evaluated with ELISA.Results: Serum LBP and occludin levels and brain IL-17 and HMGB1 levels were significantly elevated in the chronic NSAID group compared to its vehicle (p = 0.006, p = 0.016, p = 0.016 and p = 0.016 respectively) while brain IL-6 levels were comparable (p = 0.67) between the groups. The chronic NSAID group showed pain-like and anxiety-like behavior in behavioral tests. Brain IL-17 level was positively correlated with number of head shakes (r = 0.64, p = 0.045), brain IL-6 level was negatively correlated with periorbital mechanical withdrawal thresholds (r = -0.71, p = 0.049), and serum occludin level was positively correlated with grooming duration (r = 0.73, p = 0.032) in chronic NSAID group. Conclusion: Elevated serum occludin and LBP levels and brain IL-17 and HMGB1 levels indicate a possible role of leaky gut and inflammation in an MOH model in male rats. Additionally, a significant correlation between pain behavior and markers of inflammation and intestinal hyperpermeability, supports the role of inflammation and leaky gut in MOH pathophysiology.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalBiomarkersCarrier ProteinsDisease Models, AnimalHeadache Disorders, SecondaryInterleukin-17Rats, Sprague-DawleyAcute-Phase ProteinsAnimalsBrainHMGB1 ProteinInflammationInterleukin-6Lipopolysaccharide-Binding ProteinMaleMembrane GlycoproteinsAcute-Phase ProteinsAnti-Inflammatory Agents, Non-SteroidalBiomarkersCarrier ProteinsHMGB1 ProteinInterleukin-17Interleukin-6Lipopolysaccharide-Binding ProteinMembrane GlycoproteinsOccludinhigh mobility group box protein 1inflammationleaky gutlipopolysaccharide binding proteinMedication overuse headacheoccludin

Identifiers

PMID38812640
PMCPMC11031181

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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.