Evidence map›Paper›PMID 40485847›Full record

ArticleJournal of orthopaedic translation2025

GPX4 activator enhances neuroprotection and functional recovery in spinal cord injury.

Xinjie Liu, Yilin Pang, Baoyou Fan, Jiawei Zhang, Shen Liu, Xiaobing Deng, Yun Li, Ying Liu, Xu Zhang, Chenxi Zhao and 7 more

Abstract read
In one paragraph

Article in Journal of orthopaedic translation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

17 authors.

Xinjie LiuTianjin Key Laboratory of Spine and Spinal Cord, Tianjin Institute of Orthopeadic Innovation and Translation, International Science and Technology Cooperation Base of Spinal Cord Injury, Department of Orthopedics, Tianjin Medical University General Hospital, International Chinese Musculoskeletal Research Society Collaborating Center for Spinal Cord Injury, Tianjin, 300052, China.
Yilin PangTianjin Key Laboratory of Spine and Spinal Cord, Tianjin Institute of Orthopeadic Innovation and Translation, International Science and Technology Cooperation Base of Spinal Cord Injury, Department of Orthopedics, Tianjin Medical University General Hospital, International Chinese Musculoskeletal Research Society Collaborating Center for Spinal Cord Injury, Tianjin, 300052, China.
Baoyou FanTianjin Key Laboratory of Spine and Spinal Cord, Tianjin Institute of Orthopeadic Innovation and Translation, International Science and Technology Cooperation Base of Spinal Cord Injury, Department of Orthopedics, Tianjin Medical University General Hospital, International Chinese Musculoskeletal Research Society Collaborating Center for Spinal Cord Injury, Tianjin, 300052, China.
Jiawei ZhangTianjin Key Laboratory of Spine and Spinal Cord, Tianjin Institute of Orthopeadic Innovation and Translation, International Science and Technology Cooperation Base of Spinal Cord Injury, Department of Orthopedics, Tianjin Medical University General Hospital, International Chinese Musculoskeletal Research Society Collaborating Center for Spinal Cord Injury, Tianjin, 300052, China.
Shen LiuTianjin Key Laboratory of Spine and Spinal Cord, Tianjin Institute of Orthopeadic Innovation and Translation, International Science and Technology Cooperation Base of Spinal Cord Injury, Department of Orthopedics, Tianjin Medical University General Hospital, International Chinese Musculoskeletal Research Society Collaborating Center for Spinal Cord Injury, Tianjin, 300052, China.
Xiaobing DengCollege of Chemistry and Molecular Engineering, Peking University, Beijing, 100871, China.
Yun LiTianjin Key Laboratory of Spine and Spinal Cord, Tianjin Institute of Orthopeadic Innovation and Translation, International Science and Technology Cooperation Base of Spinal Cord Injury, Department of Orthopedics, Tianjin Medical University General Hospital, International Chinese Musculoskeletal Research Society Collaborating Center for Spinal Cord Injury, Tianjin, 300052, China.
Ying LiuCollege of Chemistry and Molecular Engineering, Peking University, Beijing, 100871, China.
Xu ZhangTianjin Key Laboratory of Metabolic Diseases, Department of Physiology and Pathophysiology, The Province and Ministry Co-sponsored Collaborative Innovation Center for Medical Epigenetics, Center for Cardiovascular Diseases, Research Center of Basic Medical Sciences, Tianjin Medical University, Tianjin, 300070, China.
Chenxi ZhaoDepartment of Orthopedics, Qilu Hospital of Shandong University, Shandong University Centre for Orthopedics, Advanced Medical Research Institute, Shandong University, Jinan, Shandong, 250012, China.
Xiaoyu WangTianjin Key Laboratory of Spine and Spinal Cord, Tianjin Institute of Orthopeadic Innovation and Translation, International Science and Technology Cooperation Base of Spinal Cord Injury, Department of Orthopedics, Tianjin Medical University General Hospital, International Chinese Musculoskeletal Research Society Collaborating Center for Spinal Cord Injury, Tianjin, 300052, China.
Xudong WuDepartment of Cell Biology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, 300070, China.
Luhua LaiCollege of Chemistry and Molecular Engineering, Peking University, Beijing, 100871, China.
Shiqing FengTianjin Key Laboratory of Spine and Spinal Cord, Tianjin Institute of Orthopeadic Innovation and Translation, International Science and Technology Cooperation Base of Spinal Cord Injury, Department of Orthopedics, Tianjin Medical University General Hospital, International Chinese Musculoskeletal Research Society Collaborating Center for Spinal Cord Injury, Tianjin, 300052, China.
Wenpeng LiuRenal Division and Division of Engineering in Medicine, Department of Medicine, Brigham Women's Hospital, Harvard Medical School, Harvard University, Boston, MA, 02115, USA.
Guangzhi NingTianjin Key Laboratory of Spine and Spinal Cord, Tianjin Institute of Orthopeadic Innovation and Translation, International Science and Technology Cooperation Base of Spinal Cord Injury, Department of Orthopedics, Tianjin Medical University General Hospital, International Chinese Musculoskeletal Research Society Collaborating Center for Spinal Cord Injury, Tianjin, 300052, China.
Xue YaoTianjin Key Laboratory of Spine and Spinal Cord, Tianjin Institute of Orthopeadic Innovation and Translation, International Science and Technology Cooperation Base of Spinal Cord Injury, Department of Orthopedics, Tianjin Medical University General Hospital, International Chinese Musculoskeletal Research Society Collaborating Center for Spinal Cord Injury, Tianjin, 300052, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Spinal cord injury (SCI) exerts severe physical, social, and economic effects on individuals and the healthcare system. While much progress has been made in understanding the pathophysiology of SCI, the regulation of the ferroptosis master regulator, GPX4 (Glutathione Peroxidase 4), remains poorly understood. Methods: In a rat T10 contusion SCI model, GPX4 expression was tracked with western blot and immunofluorescence. Ferroptosis was induced in primary neurons using the GPX4 inhibitor RSL3, and inflammatory cytokine release was measured. Conditioned media from these neurons was applied to microglia to assess activation. The GPX4 activator PKUMDL-LC-102 was administered to SCI rats, with functional recovery evaluated through behavioral tests, MRI, and motor-evoked potentials. Results: We first reveal a temporal and spatial decrease of GPX4 levels in neurons after SCI. We then demonstrate that GPX4 inhibition leads to primary neuronal ferroptosis, triggering the secretion of pro-inflammatory cytokines that activate microglia. This study represents the initial Conclusion: These findings highlight the significance of GPX4 as a key factor for neuroprotection in the spinal cord. We identified the pivotal role of GPX4 in SCI and realize the neuroprotection via specific GPX4 activation to improve functional recovery The translational potential of this article: These findings provide a novel avenue for therapeutic intervention to enhance functional recovery after SCI through GPX4 targeted activation.

Indexed as

FerroptosisGPX4 activationNeuroinflammationNeuroprotectionSpinal cord injury

Identifiers

PMID40485847
PMCPMC12143174

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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.