Evidence map›Paper›PMID 38956661›Full record

ArticleJournal of orthopaedic surgery and research2024

Repetitive transcranial magnetic stimulation promotes motor function recovery in mice after spinal cord injury via regulation of the Cx43-autophagy loop.

Lechi Zhang, Zhihang Xiao, Zelin Su, Xinlong Wang, Huifang Tian, Min Su

Abstract readLetter
In one paragraph

Article in Journal of orthopaedic surgery and research, 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.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Role of astrocytes connexins - pannexins in acute brain injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
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.

Lechi Zhang *Department of Rehabilitation Medicine, The Fourth Affiliated Hospital of Soochow University, Suzhou, China.
Zhihang Xiao *Department of Rehabilitation Medicine, The Fourth Affiliated Hospital of Soochow University, Suzhou, China.
Zelin Su *Department of Rehabilitation Medicine, The Fourth Affiliated Hospital of Soochow University, Suzhou, China.
Xinlong WangDepartment of Rehabilitation Medicine, The Fourth Affiliated Hospital of Soochow University, Suzhou, China.
Huifang TianDepartment of Rehabilitation Medicine, The Fourth Affiliated Hospital of Soochow University, Suzhou, China.
Min SuDepartment of Rehabilitation Medicine, The Fourth Affiliated Hospital of Soochow University, Suzhou, China. sumin@suda.edu.cn.

Funding

National Natural Science Foundation of China 82272594
6 · The paper itself

Abstract

Spinal cord injury (SCI) is a severe condition with an extremely high disability rate. It is mainly manifested as the loss of motor, sensory and autonomic nerve functions below the injury site. High-frequency transcranial magnetic stimulation, a recently developed neuromodulation method, can increase motor function in mice with spinal cord injury. This study aimed to explore the possible mechanism by which transcranial magnetic stimulation (TMS) restores motor function after SCI. A complete T8 transection model of the spinal cord was established in mice, and the mice were treated daily with 15 Hz high-frequency transcranial magnetic stimulation. The BMS was used to evaluate the motor function of the mice after SCI. Western blotting and immunofluorescence were used to detect the expression of Connexin43 (CX43) and autophagy-related proteins in vivo and in vitro, and correlation analysis was performed to study the relationships among autophagy, CX43 and motor function recovery after SCI in mice. Western blotting was used to observe the effect of magnetic stimulation on the expression of mTOR pathway members. In the control group, the expression of CX43 was significantly decreased, and the expression of microtubule-associated protein 1 A/1b light chain 3 (LC3II) and P62 was significantly increased after 4 weeks of spinal cord transection. After high-frequency magnetic stimulation, the level of CX43 decreased, and the levels of LC3II and P62 increased in primary astrocytes. The BMS of the magnetic stimulation group was greater than that of the control group. High-frequency magnetic stimulation can inhibit the expression of CX43, which negatively regulates autophagic flux. HF-rTMS increased the expression levels of mTOR, p-mTOR and p-S6. Our experiments showed that rTMS can restore hindlimb motor function in mice after spinal cord injury via regulation of the Cx43-autophagy loop and activation of the mTOR signalling pathway.

Indexed as

AutophagyConnexin 43Recovery of FunctionSpinal Cord InjuriesTranscranial Magnetic StimulationAnimalsDisease Models, AnimalFemaleMaleMiceMice, Inbred C57BLMotor ActivityTOR Serine-Threonine KinasesConnexin 43GJA1 protein, mouseTOR Serine-Threonine KinasesAstrocyteAutophagyConnexin43Motor functionNeuromodulationrTMSSpinal cord injury

Identifiers

PMID38956661
PMCPMC11218133

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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.