Evidence map›Paper›PMID 22751692›Full record

ArticleDiabetes2012

Metanx alleviates multiple manifestations of peripheral neuropathy and increases intraepidermal nerve fiber density in Zucker diabetic fatty rats.

Hanna Shevalye, Pierre Watcho, Roman Stavniichuk, Elena Dyukova, Sergey Lupachyk, Irina G Obrosova

Open access · hybridAbstract read
In one paragraph

Article in Diabetes, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
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

20 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
  2. Hyperglycemia promotes SIRT3-mediated deacetylation of SARM1 to exacerbate diabetic peripheral neuropathy in mice.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Diabetic neuropathy: cutting-edge research and future directions.Signal transduction and targeted therapy · 2025
    Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Diabetes · 2019
    Article
  11. Article
  12. Article
  13. Endothelial Cell Metabolism.Physiological reviews · 2018
    Review
  14. Article
  15. Article
  16. Metanx and early stages of diabetic retinopathy.Investigative ophthalmology & visual science · 2015
    Article
  17. Review
  18. Article
  19. Article
  20. 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

6 authors at 2 institutions in 1 country.

Hanna ShevalyePennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana, USA.
Pierre Watcho
Roman Stavniichuk
Elena Dyukova
Sergey Lupachyk
Irina G Obrosova
Louisiana State University System · USPennington Biomedical Research Center · US

Funding

Research BaseP30DK072476 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Sujoy Ghosh · 2005 to 2026
$26.5M
THE ROLE OF PROTEIN MALNUTRITION ON CIRCADIAN PHYSIOLOGY OF C57BL/6J MOUSE DAMSP20RR021945 · NCRR · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI GETTYS, THOMAS W · 2006 to 2011
$9.5M
Na+/H+-exchanger-1 and Diabetic NeuropathyR01DK077141 · NIDDK · UNIVERSITY OF IOWA · PI YOREK, MARK A. · 2008 to 2012
$1.6M
12/15-Lipoxygenase and Diabetic NeuropathyR01DK074517 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI OBROSOVA, IRINA G · 2007 to 2011
$1.5M
Peroxynitrite, protein nitration and advanced diabetic neuropathyR01DK081147 · NIDDK · UNIVERSITY OF IOWA · PI YOREK, MARK A. · 2010 to 2014
$1.4M
NCRR NIH HHS P20 RR021945NCRR NIH HHS P20-RR21945NIDDK NIH HHS 1-P30-DK-072476NIDDK NIH HHS P30 DK072476NIDDK NIH HHS R01 DK074517NIDDK NIH HHS R01-DK-074517NIDDK NIH HHS R01 DK077141NIDDK NIH HHS R01-DK-077141NIDDK NIH HHS R01 DK081147NIDDK NIH HHS R01-DK-081147
6 · The paper itself

Abstract

Metanx is a product containing L-methylfolate, pyridoxal 5'-phosphate, and methylcobalamin for management of endothelial dysfunction. Metanx ingredients counteract endothelial nitric oxide synthase uncoupling and oxidative stress in vascular endothelium and peripheral nerve. This study evaluates Metanx on diabetic peripheral neuropathy in ZDF rats, a model of type 2 diabetes. Metanx was administered to 15-week-old ZDF and ZDF lean rats at either 4.87 mg ⋅ kg(-1) ⋅ day(-1) (a body weight-based equivalent of human dose) or 24.35 mg ⋅ kg(-1) ⋅ day(-1) by oral gavage two times a day for 4 weeks. Both doses alleviated hind limb digital sensory, but not sciatic motor, nerve conduction slowing and thermal and mechanical hypoalgesia in the absence of any reduction of hyperglycemia. Low-dose Metanx increased intraepidermal nerve fiber density but did not prevent morphometric changes in distal tibial nerve myelinated fibers. Metanx treatment counteracted endothelial nitric oxide synthase uncoupling, inducible nitric oxide synthase upregulation, and methylglyoxal-derived advanced glycation end product, nitrotyrosine, and nitrite/nitrate accumulation in the peripheral nerve. In conclusion, Metanx, at a body weight-based equivalent of human dose, increased intraepidermal nerve fiber density and improved multiple parameters of peripheral nerve function in ZDF rats. Clinical studies are needed to determine if Metanx finds use in management of diabetic peripheral neuropathy.

Indexed as

AnimalsDiabetes Mellitus, Type 2Diabetic NeuropathiesDisease Models, AnimalFolic AcidHyperalgesiaMaleNerve FibersNeural ConductionNitric Oxide Synthase Type IINitric Oxide Synthase Type IIIPyridoxal PhosphateRatsRats, ZuckerSciatic NerveTibial Nerve3-nitrotyrosineFolic AcidmetanxNitric Oxide Synthase Type IINitric Oxide Synthase Type IIINos2 protein, ratNos3 protein, ratPyridoxal PhosphateTyrosineVitamin B 12

Identifiers

PMID22751692
PMCPMC3402301
OpenAlexW2120184033

What Socratic 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 Socratic graph.