Evidence map›Paper›PMID 40125122›Full record

ReviewCureus2025

The Impact of Nuclear Factor Kappa B on the Response of Microglia in Spinal Cord Injuries.

Iordanis Varsamos, Christos Patilas, Athanasios Galanis, Dimitrios Zachariou, Georgios Tsalimas, Evangelos Sakellariou, Ioannis Spyrou, Meletis Rozis, Angelos Kaspiris, Panayiotis K Karampinas and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. 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

12 authors.

Iordanis Varsamos3rd Department of Orthopedics, National and Kapodistrian University of Athens, KAT General Hospital, Athens, GRC.
Christos Patilas3rd Department of Orthopedics, National and Kapodistrian University of Athens, KAT General Hospital, Athens, GRC.
Athanasios Galanis3rd Department of Orthopedics, National and Kapodistrian University of Athens, KAT General Hospital, Athens, GRC.
Dimitrios Zachariou3rd Department of Orthopedics, National and Kapodistrian University of Athens, KAT General Hospital, Athens, GRC.
Georgios Tsalimas3rd Department of Orthopedics, National and Kapodistrian University of Athens, KAT General Hospital, Athens, GRC.
Evangelos Sakellariou3rd Department of Orthopedics, National and Kapodistrian University of Athens, KAT General Hospital, Athens, GRC.
Ioannis Spyrou3rd Department of Orthopedics, National and Kapodistrian University of Athens, KAT General Hospital, Athens, GRC.
Meletis Rozis3rd Department of Orthopedics, National and Kapodistrian University of Athens, KAT General Hospital, Athens, GRC.
Angelos KaspirisDivision for Orthopaedic Research, Laboratory of Molecular Pharmacology, School of Health Sciences, University of Patras, Patras 26504, Greece, Patras, GRC.
Panayiotis K Karampinas3rd Department of Orthopedics, National and Kapodistrian University of Athens, KAT General Hospital, Athens, GRC.
Elias Vasiliadis3rd Department of Orthopedics, National and Kapodistrian University of Athens, KAT General Hospital, Athens, GRC.
Spyros G Pneumaticos3rd Department of Orthopedics, National and Kapodistrian University of Athens, KAT General Hospital, Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal cord injury (SCI) results in both primary and secondary damage, each contributing to the overall injury and its consequences. Following SCI, microglia, the resident immune cells of the central nervous system (CNS), undergo a series of complex responses that contribute to the pathophysiology of the injury. In the context of SCI, nuclear factor kappa B (NF-kB) emerged as a critical mediator in the regulation of inflammatory responses following SCI. The aim of this review is to provide a comprehensive understanding of the involvement of NF-kB in the response of microglia following SCI. The PUBMED database was searched using the following keywords: NF-kB AND microglia AND spinal cord injury. Clinical and experimental studies evaluating the role of NF-kB in the response of microglia following SCI were included. Systematic reviews, case reports, research protocols, conference articles, and studies in languages other than English were excluded. The final analysis included 52 studies. NF-kB signaling exerts profound effects on the microglial response following SCI, influencing the inflammatory milieu, tissue damage, and potential for repair and recovery. Deactivation of the NF-kB signaling pathway suppresses the production of proinflammatory mediators in microglia, after SCI. Moreover, NF-kB suppression has neuroprotective effects, as it mitigates neuronal apoptosis and facilitates the M2 microglial phenotype, alleviating tissue damage after SCI. Moreover, several microRNAs play a crucial role in regulating gene expression post-transcriptionally and have emerged as key regulators in microglia activation after SCI. Overall, the role of NF-kB in the response of microglia to SCI is complex and context-dependent. While NF-kB activation is involved in initiating and propagating the inflammatory response following SCI, it also plays a role in tissue repair and regeneration. Thus, modulating NF-kB signaling in microglia represents a potential therapeutic target for attenuating inflammation and promoting neuroprotection and tissue repair in SCI.

Indexed as

inflammatory responsemicroglianf-kbnf-kb signaling pathwayspinal cord injury

Identifiers

PMID40125122
PMCPMC11929549

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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.