Evidence map›Paper›PMID 33985529›Full record

ArticleJournal of neuroinflammation2021

Acute inflammatory profiles differ with sex and age after spinal cord injury.

Andrew N Stewart, John L Lowe, Ethan P Glaser, Caitlin A Mott, Ryan K Shahidehpour, Katelyn E McFarlane, William M Bailey, Bei Zhang, John C Gensel

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07259382 (Neuro-Inflammation in Extremity Trauma), which is not on this map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
12.9field-weighted citation impact, top 1% 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.

NCT07259382 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Neuro-Inflammation in Extremity Trauma: Risk Verification in Elbow Trauma: The NERVE Pilot Cohort Study

TypeobservationalSponsorUniversité de MontréalRan2026 to 2030Enrolled60ConditionsElbow Dislocation, Elbow Fractures, Inflammation Biomarkers, TBI Traumatic Brain InjuryArmsBiomarkers evaluation
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.

  1. Pooled it
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  19. Nonresolving Neuroinflammation Regulates Axon Regeneration in Chronic Spinal Cord Injury.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
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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 1 institution in 1 country.

Andrew N StewartDepartment of Physiology, Spinal Cord and Brain Injury Research Center, University of Kentucky College of Medicine, Lexington, KY, 40536, USA.
John L LoweDepartment of Physiology, Spinal Cord and Brain Injury Research Center, University of Kentucky College of Medicine, Lexington, KY, 40536, USA.
Ethan P GlaserDepartment of Physiology, Spinal Cord and Brain Injury Research Center, University of Kentucky College of Medicine, Lexington, KY, 40536, USA.
Caitlin A MottDepartment of Physiology, Spinal Cord and Brain Injury Research Center, University of Kentucky College of Medicine, Lexington, KY, 40536, USA.
Ryan K ShahidehpourDepartment of Neuroscience, Spinal Cord and Brain Injury Research Center, University of Kentucky College of Medicine, Lexington, KY, 40536, USA.
Katelyn E McFarlaneDepartment of Physiology, Spinal Cord and Brain Injury Research Center, University of Kentucky College of Medicine, Lexington, KY, 40536, USA.
William M BaileyDepartment of Physiology, Spinal Cord and Brain Injury Research Center, University of Kentucky College of Medicine, Lexington, KY, 40536, USA.
Bei ZhangDepartment of Physiology, Spinal Cord and Brain Injury Research Center, University of Kentucky College of Medicine, Lexington, KY, 40536, USA.
John C GenselDepartment of Physiology, Spinal Cord and Brain Injury Research Center, University of Kentucky College of Medicine, Lexington, KY, 40536, USA. Gensel.1@uky.edu.ORCID http://orcid.org/0000-0001-8980-108X
University of Kentucky · US

Funding

University of Kentucky Markey Cancer Center Support Grant ECIA SupplementP30CA177558 · NCI · UNIVERSITY OF KENTUCKY · PI Jennifer F Rogers · 2013 to 2026
$38.3M
Training in Translational Research in Alzheimer's and Related Dementias (TRIAD)T32AG057461 · NIA · UNIVERSITY OF KENTUCKY · PI MURPHY, MICHAEL PAUL, VAN ELDIK, LINDA J · 2017 to 2021
$2.1M
Interdisciplinary Training in Alcohol ResearchT32AA027488 · NIAAA · UNIVERSITY OF KENTUCKY · PI Mark T Fillmore, Mark A Prendergast · 2019 to 2026
$2.0M
The role of macrophage phenotype and age in spinal cord injuryR01NS091582 · NINDS · UNIVERSITY OF KENTUCKY · PI GENSEL, JOHN C · 2015 to 2019
$1.6M
Role of Age on Anti-oxidant Defense in Spinal Cord Injury: Physiological Changes and InterventionF32NS111241 · NINDS · UNIVERSITY OF KENTUCKY · PI STEWART, ANDREW NATHANIEL · 2019 to 2021
$161k
NCI NIH HHS P30 CA177558NCI NIH HHS P30CA177558NIAAA NIH HHS T32 AA027488NIAAA NIH HHS T32AA027488NIA NIH HHS T32 AG057461NINDS NIH HHS F32 NS111241NINDS NIH HHS F32NS111241NINDS NIH HHS R01 NS091582NINDS NIH HHS R01NS091582
6 · The paper itself

Abstract

backgroundSex and age are emerging as influential variables that affect spinal cord injury (SCI) recovery. Despite a changing demographic towards older age at the time of SCI, the effects of sex or age on inflammation remain to be elucidated. This study determined the sex- and age-dependency of the innate immune response acutely after SCI.

methodsMale and female mice of ages 4- and 14-month-old received T9 contusion SCI and the proportion of microglia, monocyte-derived macrophages (MDM), and neutrophils surrounding the lesion were determined at 3- and 7-day post-injury (DPI) using flow cytometry. Cell counts of microglia and MDMs were obtained using immunohistochemistry to verify flow cytometry results at 3-DPI. Microglia and MDMs were separately isolated using fluorescence-activated cell sorting (FACS) at 3-day post-injury (DPI) to assess RNA expression of 27 genes associated with activation, redox, and debris metabolism/clearance.

resultsFlow cytometry revealed that being female and older at the time of injury significantly increased MDMs relative to other phagocytes, specifically increasing the ratio of MDMs to microglia at 3-DPI. Cell counts using immunohistochemistry revealed that male mice have more total microglia within SCI lesions that can account for a lower MDM/microglia ratio. With NanoString analyses of 27 genes, only 1 was differentially expressed between sexes in MDMs; specifically, complement protein C1qa was increased in males. No genes were affected by age in MDMs. Only 2 genes were differentially regulated in microglia between sexes after controlling for false discovery rate, specifically CYBB (NOX2) as a reactive oxygen species (ROS)-associated marker as well as MRC1 (CD206), a gene associated with reparative phenotypes. Both genes were increased in female microglia. No microglial genes were differentially regulated between ages. Differences between microglia and MDMs were found in 26 of 27 genes analyzed, all expressed higher in MDMs with three exceptions. Specifically, C1qa, cPLA2, and CD86 were expressed higher in microglia.

conclusionsThese findings indicate that inflammatory responses to SCI are sex-dependent at both the level of cellular recruitment and gene expression.

Indexed as

AgingSex CharacteristicsAcute-Phase ReactionAge FactorsAnimalsDisease Models, AnimalFemaleGene ExpressionImmunohistochemistryMacrophagesMaleMiceMice, Inbred C57BLMicrogliaSex FactorsSpinal Cord InjuriesAcute inflammationAgingGenderMacrophage phenotypeNeurotraumaP2y12 receptorSex as a biological variable

Identifiers

PMID33985529
PMCPMC8120918
OpenAlexW3163882711

What Socratic holds

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LicenceCC BY
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Registered trials

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.