Evidence map›Paper›PMID 39174550›Full record

ArticleNPJ Parkinson's disease2024

Neuroprotection of low dose carbon monoxide in Parkinson's disease models commensurate with the reduced risk of Parkinson's among smokers.

K N Rose, M Zorlu, A Fassini, H Lee, W Cai, X Xue, S Lin, P Kivisakk, M A Schwarzschild, X Chen and 1 more

Abstract read
In one paragraph

Article in NPJ Parkinson's disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Neurobiology of exercise in Parkinson's disease.Journal of Parkinson's disease · 2026
    Review
  6. Genetic and Proteomic Investigation of the Smoking-Parkinson's Disease Association.medRxiv : the preprint server for health sciences · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. The role of gasotransmitters in Parkinson's disease: Interplay of nitric oxide, carbon monoxide, and hydrogen sulfide.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

K N RoseDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.
M ZorluDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.ORCID http://orcid.org/0000-0001-9076-9662
A FassiniDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.
H LeeDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.
W CaiDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.
X XueDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.
S LinDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.
P KivisakkDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.
M A SchwarzschildDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.
X ChenDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.ORCID http://orcid.org/0000-0001-8582-8891
S N GompertsDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA. Gomperts.stephen@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-0083-0077

Funding

Research Education ComponentP30AG062421 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Christine S Ritchie · 2019 to 2026
$36.5M
Urate-LRRK2 interactions in Parkinson's diseaseR01NS110879 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI SCHWARZSCHILD, MICHAEL A · 2019 to 2023
$2.0M
HBI-002 to Treat Parkinson’s DiseaseR41NS122576 · NINDS · HILLHURST BIOPHARMACEUTICALS, INC. · PI GOMPERTS, EDWARD, GOMPERTS, STEPHEN N. · 2021 to 2022
$634k
NIA NIH HHS P30 AG062421NINDS NIH HHS R01 NS110879NINDS NIH HHS R41 NS122576U.S. Department of Health & Human Services | National Institutes of Health (NIH) P30AG062421U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01NS110879U.S. Department of Health & Human Services | National Institutes of Health (NIH) R41NS122576U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) NS110879U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R01NS110879U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R41NS122576U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) RO1NS110879
6 · The paper itself

Abstract

Paradoxically, cigarette smoking is associated with a reduced risk of Parkinson's Disease (PD). This led us to hypothesize that carbon monoxide (CO) levels, which are constitutively but modestly elevated in smokers, might contribute to neuroprotection. Using rodent models of PD based on α-synuclein (αSyn) accumulation and oxidative stress, we show that low-dose CO mitigates neurodegeneration and reduces αSyn pathology. Oral CO administration activated signaling cascades mediated by heme oxygenase-1 (HO-1), which have been implicated in limiting oxidative stress, and in promoting αSyn degradation, thereby conferring neuroprotection. Consistent with the neuroprotective effect of smoking, HO-1 levels in cerebrospinal fluid were higher in human smokers compared to nonsmokers. Moreover, in PD brain samples, HO-1 levels were higher in neurons without αSyn pathology. Thus, CO in rodent PD models reduces pathology and increases oxidative stress responses, phenocopying possible protective effects of smoking evident in PD patients. These data highlight the potential for low-dose CO-modulated pathways to slow symptom onset and limit pathology in PD patients.

Identifiers

PMID39174550
PMCPMC11341721

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.