Evidence map›Paper›PMID 41845054›Full record

ArticlePediatric research2026

Effects of very early arthritis on pain, behavior, and hippocampal TNF/BDNF in rats.

Nihal Şahin, Hafize E Sönmez, Gülşen Çelebi, Semil S Göçmez, Selenay H Furat, Yunus E Bayrak, Gözde Tüfekçi, Furkan Ö Halis, Gökhan Duruksu, Yusufhan Yazır and 1 more

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Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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11 authors.

Nihal ŞahinDepartment of Pediatric Rheumatology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey. nihal.sahin@kocaeli.edu.tr.
Hafize E SönmezDepartment of Pediatric Rheumatology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Gülşen ÇelebiDepartment of Pharmacology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Semil S GöçmezDepartment of Pharmacology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Selenay H FuratDepartment of Histology and Embryology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Yunus E BayrakDepartment of Pediatric Rheumatology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Gözde TüfekçiDepartment of Pharmacology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Furkan Ö HalisDepartment of Pharmacology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Gökhan DuruksuDepartment of Histology and Embryology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Yusufhan YazırDepartment of Histology and Embryology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Tijen UtkanDepartment of Pharmacology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJuvenile idiopathic arthritis (JIA) is the most common childhood chronic arthritis, and pain may persist despite controlled inflammation, potentially due to central sensitization. This study aimed to evaluate the effects of very early-onset arthritis on pain, behavior, and cognition using a collagen-induced arthritis model in juvenile rats.

methodsThirty-six three-week-old male Wistar rats were divided into control, sham (saline), and arthritis (type II collagen with incomplete Freund's adjuvant) groups. Disease severity was monitored via joint thickness and VAS. Pain (hot plate, Randall-Selitto), behaviors (EPM, MFST), and cognition (PAT) were assessed. Locomotor activity was assessed. Joints were analyzed histologically (H&E); hippocampal BDNF and TNF-α were examined immunohistochemically.

resultsArthritis severity progressed over six weeks, with increased joint thickness and VAS scores in the arthritis group (p < 0.05). Mechanical hyperalgesia showed a paw- and time-dependent pattern, with earlier changes in some paws and more consistent reductions during the late phase (weeks 4-6). Locomotor activity did not differ among groups, indicating no motor deficits. The arthritis group exhibited greater anxiety (EPM, p = 0.001) and depression-like behavior (FST, p = 0.004), while cognition (PAT) remained unaffected. Hippocampal TNF-α increased, whereas BDNF was unchanged.

conclusionVery early-onset arthritis is associated with mechanical hyperalgesia and emotional disturbances, accompanied by hippocampal TNF-α alterations, and exhibits features consistent with central sensitization, without significant effects on cognition or hippocampal BDNF expression. IMPACT: Early juvenile arthritis showed mild severity with delayed mechanical hyperalgesia. Thermal hyperalgesia and locomotor deficits were not observed in arthritic rats. Hippocampal TNF-α increase was linked to anxiety and depression-like behaviors. Hippocampal BDNF levels remained stable, suggesting intact learning processes.

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PMID41845054

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