Most-cited articles · 2021
The 10 most-cited articles in Experimental Biology and Medicine, 2021
Ranked by OpenAlex citation count on 29 October 2026, out of 218 eligible articles Experimental Biology and Medicine published in 2021. Ranks are frozen; this page will not change. Number one, with 343 citations: Influence of glutamate and GABA transport on brain excitatory/inhibitory balance.
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- 218 articles
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- Top 10 (4.6%)
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- 2026-10-29
The most-cited articles from 2021 cluster around neuroscience and cancer biology. Several top papers examine brain signaling and disease, including the leading article by Sears and Hewett on glutamate and GABA transport and excitatory/inhibitory balance, with 343 citations, alongside work on nitric oxide in neuroinflammation, dopamine dysregulation in major depressive disorder, and the microbiota-gut-brain axis. Cancer research forms a second major theme, spanning cancer stem cells, breast cancer in sub-Saharan Africa, and sex hormones in lung cancer. Other highly cited papers address regulatory science and emerging technologies, ultrasound cavitation effects on endothelial cells, and nicorandil in myocardial infarction.
Readers can use this list to see which 2021 papers in the journal attracted the most subsequent attention, as measured by OpenAlex citation counts among 218 eligible articles. The ranking reflects citation activity rather than quality or importance, and the counts are drawn from a single database at a given time. The titles and abstracts indicate the range of subjects covered, from molecular mechanisms to clinical and public health topics.
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- 1top 0.5%
Influence of glutamate and GABA transport on brain excitatory/inhibitory balance
Sheila M. S. Sears, Sandra J. Hewett
343 citationsOpen accessdoi:10.1177/1535370221989263OpenAlex
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An optimally functional brain requires both excitatory and inhibitory inputs that are regulated and balanced. A perturbation in the excitatory/inhibitory balance-as is the case in some neurological disorders/diseases (e.g. traumatic brain injury Alzheimer's disease, stroke, epilepsy and substance abuse) and disorders of development (e.g. schizophrenia, Rhett syndrome and autism spectrum disorder)-leads to dysfunctional signaling, which can result in impaired cognitive and motor function, if not frank neuronal injury. At the cellular level, transmission of glutamate and GABA, the principle excitatory and inhibitory neurotransmitters in the central nervous system control excitatory/inhibitory balance. Herein, we review the synthesis, release, and signaling of GABA and glutamate followed by a focused discussion on the importance of their transport systems to the maintenance of excitatory/inhibitory balance.
- 2top 1%
Cancer and stem cells
Wen Yin, Jialing Wang, Linling Jiang, Yujian James Kang
149 citationsOpen accessdoi:10.1177/15353702211005390OpenAlex
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Being the second leading cause of death globally, cancer has been a long-standing and rapidly evolving focus of biomedical research and practice in the world. A tremendous effort has been made to understand the origin of cancer cells, the formation of cancerous tissues, and the mechanism by which they spread and relapse, but the disease still remains mysterious. Here, we made an attempt to scrutinize evidences that indicate the role of stem cells in tumorigenesis and metastasis, and cancer relapse. We also looked into the influence of cancers on stem cells, which in turn represent a major constituent of tumor microenvironment. Based on current understandings of the properties of (cancer) stem cells and their relation to cancers, we can foresee that novel therapeutic approaches would become the next wave of cancer treatment.
- 3top 1.4%
Breast cancer in sub-Saharan Africa: The current state and uncertain future
Claudia Adzo Anyigba, Gordon A. Awandare, Lily Paemka
148 citationsOpen accessdoi:10.1177/15353702211006047OpenAlex
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Breast cancer is the commonest cause of global cancer-related deaths in women and a public health burden in sub-Saharan Africa (SSA). Although the disease incidence in SSA seems lower, mortality rates are disproportionately high in comparison to high-income countries. The global disease burden is growing, with SSA reporting the majority of cases; however, the dearth of information results in insufficient data which is barely representative of the actual disease burden in this population. Future incidence predictions assign the subregion with a majority of the cases and associated deaths. Breast cancer presents with racial and ethnic variations, and available evidence suggests geographical diversity and persistent risk factors that have barely been explored in SSA. Breast cancer is a complex genetic disease, but the genetic risk factors in the extant African population, which is the most genetically diverse population, is scant and of low quality. This review focuses on the burden, prevalence, detection, treatment, survival, biology, as well as risk factors, and reinforces the need…
- 4top 1.9%
Emerging technologies and their impact on regulatory science
Elke Anklam, Martin Iain Bahl, Robert Ball, Richard D. Beger, Jonathan E. Cohen and 25 more
119 citationsOpen access (PUBLIC-DOMAIN)doi:10.1177/15353702211052280OpenAlex
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technologies and novel approaches for safety assessment of food, drugs, and personal care products. Convergence of these emerging technologies is also enabling rapid advances and approaches that may impact regulatory decisions and approvals. Although the development of emerging technologies may allow rapid advances in regulatory decision making, there is concern that these new technologies have not been thoroughly evaluated to determine if they are ready for regulatory application, singularly or in combinations. The magnitude of these combined technical advances may outpace the ability to assess fit for purpose and to allow routine application of these new methods for regulatory purposes. There is a need to develop strategies to evaluate the new technologies to determine which ones are ready for regulatory use. The opportunity to apply these potentially faster, more accurate, and cost-effective approaches remains an important goal to facilitate their incorporation into regulatory use. However, without a clear strategy to evaluate emerging technologies rapidly and appropriately, the…
- 5top 2.3%
Nitric oxide modulation in neuroinflammation and the role of mesenchymal stem cells
Pan M Liy, Nur Nabilah Ahmad Puzi, Shinsmon Jose, Sharmili Vidyadaran
117 citationsOpen accessdoi:10.1177/1535370221997052OpenAlex
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Nitric oxide is a versatile mediator formed by enzymes called nitric oxide synthases. It has numerous homeostatic functions and important roles in inflammation. Within the inflamed brain, microglia and astrocytes produce large amounts of nitric oxide during inflammation. Excessive nitric oxide causes neuronal toxicity and death and mesenchymal stem cells can be used as an approach to limit the neuronal damage caused by neuroinflammation. Mesenchymal stem cell therapy ameliorates inflammation and neuronal damage in disease models of Alzheimer’s disease, Parkinson’s disease, and other neuroinflammatory disorders. Interestingly, we have reported that in vitro, mesenchymal stem cells themselves contribute to a rise in nitric oxide levels through microglial cues. This may be an undesirable effect and highlights a possible need to explore acellular approaches for mesenchymal stem cell therapy in the central nervous system.
- 6top 2.8%
Going with the grain: Fiber, cognition, and the microbiota-gut-brain-axis
Kirsten Berding, Carina Carbia, John F. Cryan
98 citationsOpen accessdoi:10.1177/1535370221995785OpenAlex
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Healthy dietary intake has been acknowledged for decades as one of the main contributors to health. More recently, the field of nutritional psychiatry has progressed our understanding regarding the importance of nutrition in supporting mental health and cognitive function. Thereby, individual nutrients, including omega-3 fatty acids and polyphenols, have been recognized to be key drivers in this relationship. With the progress in appreciating the influence of dietary fiber on health, increasingly research is focusing on deciphering its role in brain processes. However, while the importance of dietary fiber in gastrointestinal and metabolic health is well established, leading to the development of associated health claims, the evidence is not conclusive enough to support similar claims regarding cognitive function. Albeit the increasing knowledge of the impact of dietary fiber on mental health, only a few human studies have begun to shed light onto the underexplored connection between dietary fiber and cognition. Moreover, the microbiota-gut-brain axis has emerged as a key conduit…
- 7top 3.3%
Dysregulation of brain dopamine systems in major depressive disorder
Nella C. Delva, Gregg D. Stanwood
90 citationsOpen accessdoi:10.1177/1535370221991830OpenAlex
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Major depressive disorder (MDD or depression) is a debilitating neuropsychiatric syndrome with genetic, epigenetic, and environmental contributions. Depression is one of the largest contributors to chronic disease burden; it affects more than one in six individuals in the United States. A wide array of cellular and molecular modifications distributed across a variety of neuronal processes and circuits underlie the pathophysiology of depression-no established mechanism can explain all aspects of the disease. MDD suffers from a vast treatment gap worldwide, and large numbers of individuals who require treatment do not receive adequate care. This mini-review focuses on dysregulation of brain dopamine (DA) systems in the pathophysiology of MDD and describing new cellular targets for potential medication development focused on DA-modulated micro-circuits. We also explore how neurodevelopmental factors may modify risk for later emergence of MDD, possibly through dopaminergic substrates in the brain.
- 8top 3.7%
The effect of ultrasound cavitation on endothelial cells
Madhumithra Subramanian Karthikesh, Xinmai Yang
76 citationsOpen accessdoi:10.1177/1535370220982301OpenAlex
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Acoustic cavitation has been widely explored for both diagnostic and therapeutic purposes. Ultrasound-induced cavitation, including inertial cavitation and non-inertial cavitation, can cause microstreaming, microjet, and free radical formation. The acoustic cavitation effects on endothelial cells have been studied for drug delivery, gene therapy, and cancer therapy. Studies have demonstrated that the ultrasound-induced cavitation effect can treat cancer, ischaemia, diabetes, and cardiovascular diseases. In this minireview, we will review the impact of ultrasound-induced cavitation on the endothelial cells such as cell permeability, cell proliferation, gene expression regulation, cell viability, hemostasis interaction, oxygenation, and variation in the level of calcium ions, ceramide, nitric oxide (NO) and nitric oxide synthase (NOS) activity. The applications of these effects and the cavitation mechanism involved will be summarized, demonstrating the important role of acoustic cavitation in non-invasive ultrasound treatment of various physiological conditions.
- 9top 4.2%
Nicorandil inhibits TLR4/MyD88/NF-κB/NLRP3 signaling pathway to reduce pyroptosis in rats with myocardial infarction
Feng Chen, Zhiqing Chen, Zhong Gui-ling, Ji-Jin Zhu
69 citationsOpen accessdoi:10.1177/15353702211013444OpenAlex
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Pyroptosis is an inflammatory cell death that regulates cardiomyocyte loss after myocardial infarction. Reports indicate that nicorandil has a strong anti-inflammatory effect and protects the myocardium from myocardial infarction. However, its relationship with pyroptosis is largely unreported. Here, we investigated to influence and mechanism of action of nicorandil on cardiomyocyte pyroptosis. Forty Sprague Dawley rats were randomly assigned to sham, MI, MI + nicorandil, and MI + nicorandil + TAK242 groups (10 per group). Myocardial infarction modeling was performed through ligation of the anterior descending branch of the left coronary artery. The function of cardiac was evaluated through echocardiography, detection of myocardial adenine nucleotides, cTnI, LDH, TTC, and HE staining. Moreover, we used qRT-PCR, immunohistochemistry, and Western blotting to examine the expression of pyroptosis-related molecules and the inflammasome pathway of TLR4/MyD88/NF- κB/NLRP3. Myocardial infarction caused the activation of GSDMD, aggravated myocardial injury, and triggered cardiac dysfunction.…
- 10top 4.6%
Role of sex hormones in lung cancer
Nathalie Fuentes, Miguel Silva Rodriguez, Patricia Silveyra
67 citationsOpen accessdoi:10.1177/15353702211019697OpenAlex
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Lung cancer represents the world's leading cause of cancer deaths. Sex differences in the incidence and mortality rates for various types of lung cancers have been identified, but the biological and endocrine mechanisms implicated in these disparities have not yet been determined. While some cancers such as lung adenocarcinoma are more commonly found among women than men, others like squamous cell carcinoma display the opposite pattern or show no sex differences. Associations of tobacco product use rates, susceptibility to carcinogens, occupational exposures, and indoor and outdoor air pollution have also been linked to differential rates of lung cancer occurrence and mortality between sexes. While roles for sex hormones in other types of cancers affecting women or men have been identified and described, little is known about the influence of sex hormones in lung cancer. One potential mechanism identified to date is the synergism between estrogen and some tobacco compounds, and oncogene mutations, in inducing the expression of metabolic enzymes, leading to enhanced formation of…
How to read this list
The cohort is every article, review and book chapter OpenAlex attributes to Experimental Biology and Medicine with publication year 2021, excluding retracted works and paratext such as editorials and errata. The top 10 by citation count are listed; the percentile is the rank divided by the cohort size. 10 of the 10 entries have an abstract in OpenAlex. Counts were read on 29 October 2026 and will not be updated on this page, so a quoted rank stays verifiable. Full rules on the methodology page.
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