Evidence map›Paper›PMID 33620266›Full record

ReviewExpert opinion on drug metabolism & toxicology2021

Evaluating the risk of manganese-induced neurotoxicity of parenteral nutrition: review of the current literature.

Airton C Martins, Silvana Ruella Oliveira, Fernando Barbosa, Alexey A Tinkov, Anatoly V Skalny, Abel Santamaría, Eunsook Lee, Aaron B Bowman, Michael Aschner

Open access · greenAbstract readReview
In one paragraph

Review in Expert opinion on drug metabolism & toxicology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.0field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
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  11. Biomolecules · 2022
    Review
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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

9 authors at 6 institutions in 4 countries.

Airton C MartinsDepartment of Molecular Pharmacology, Albert Einstein College of Medicine, Bronx, NY, USA.
Silvana Ruella OliveiraDepartment of Clinical Analyses, Toxicology and Food Sciences, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo-USP, Ribeirão Preto, Brazil.
Fernando BarbosaDepartment of Clinical Analyses, Toxicology and Food Sciences, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo-USP, Ribeirão Preto, Brazil.ORCID https://orcid.org/0000-0002-2498-0619
Alexey A TinkovYaroslavl State University, Yaroslavl, Russia.
Anatoly V SkalnyIM Sechenov First Moscow State Medical University, Moscow, Russia.
Abel SantamaríaLaboratorio De Aminoácidos Excitadores, Instituto Nacional De Neurología Y Neurocirugía, Mexico City, Mexico.
Eunsook LeeDepartment of Pharmaceutical Sciences, Florida A&M University, Tallahassee, FL USA.
Aaron B BowmanSchool of Health Sciences, Purdue University, West Lafayette, IN, USA.
Michael AschnerDepartment of Molecular Pharmacology, Albert Einstein College of Medicine, Bronx, NY, USA.ORCID https://orcid.org/0000-0002-2619-1656
Albert Einstein College of Medicine · USSechenov University · RUUniversidade de Ribeirão Preto · BRFlorida Agricultural and Mechanical University · USInstituto Nacional de Neurología y Neurocirugía · MXPurdue University West Lafayette · US

Funding

Mechanisms of Manganese NeurotoxicityR01ES010563 · NIEHS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Michael Aschner, Aaron B Bowman · 2001 to 2026
$11.9M
Mechanisms of Methylmercury Induced Neuron ToxicityR01ES007331 · NIEHS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Michael Aschner, Aaron B Bowman · 1996 to 2026
$10.6M
Mechanisms associated with neuroprotection from Mn-induced neurotoxicity.R01ES031282 · NIEHS · FLORIDA AGRICULTURAL AND MECHANICAL UNIV · PI LEE, EUNSOOK YU · 2020 to 2025
$2.4M
Mechanism of manganese-induced impairment of astrocytic glutamate transportersR01ES024756 · NIEHS · MEHARRY MEDICAL COLLEGE · PI LEE, EUN SOOK YU · 2015 to 2019
$1.8M
NIEHS NIH HHS R01 ES007331NIEHS NIH HHS R01 ES010563NIEHS NIH HHS R01 ES024756NIEHS NIH HHS R01 ES031282
6 · The paper itself

Abstract

introductionSeveral diseases and clinical conditions can affect enteral nutrition and adequate gastrointestinal uptake. In this respect, parenteral nutrition (PN) is necessary for the provision of deficient trace elements. However, some essential elements, such as manganese (Mn) may be toxic to children and adults when parenterally administered in excess, leading to toxic, especially neurotoxic effects. AREAS COVERED: Here, we briefly provide an overview on Mn, addressing its sources of exposure, the role of Mn in the etiology of neurodegenerative diseases, and focusing on potential mechanisms associated with Mn-induced neurotoxicity. In addition, we discuss the potential consequences of overexposure to Mn inherent to PN. EXPERT OPINION: In this critical review, we suggest that additional research is required to safely set Mn levels in PN, and that eliminating Mn as an additive should be considered by physicians and nutritionists on a case by case basis in the meantime to avoid the greater risk of neurotoxicity by its presence. There is a need to better define clinical biomarkers for Mn toxicity by PN, as well as identify new effective agents to treat Mn-neurotoxicity. Moreover, we highlight the importance of the development of new guidelines and practice safeguards to protect patients from excessive Mn exposure and neurotoxicity upon PN administration.

Indexed as

AdultAnimalsChildHumansManganeseNeurotoxicity SyndromesParenteral NutritionRiskTrace ElementsManganeseTrace ElementsHeavy metalsmanganeseneurotoxicitynutritionparenteral nutritiontrace elements

Identifiers

PMID33620266
PMCPMC8122055
OpenAlexW3131383968

What Socratic holds

Textmetadata
LicenceTDM
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.