Component

Human cerebrospinal fluid

Human cerebrospinal fluid. Species, exposure and limitations are retained in each linked claim.

1 recorded relationships. Experimental role, claim status and evidence remain attached to each record.

How nutrients influence it

Every nutrient with a recorded effect on this component, credited to the nutrient that acted rather than the chapter that recorded it. Open a nutrient to see the findings and the conditions they were measured under.

How nutrients reach it in more than one step

Chains of two or more recorded steps that end here, grouped by the nutrient they start from. Each step is a separate finding, so a chain is a route a mechanism could take, not proof that it does.

Tracing routes…

What it does

Every recorded relationship this component is part of, grouped by its role. Plain wording comes first; the technical statement follows.

Recorded relationships

Where it participates (unsigned role)

  1. Cerebrospinal fluid and blood were collected from 26 adult male patients between 10 and 211 minutes after intravenous administration of 1 gram of paracetamol, AM404 was detected in 17 of the 26 evaluable cerebrospinal fluid samples at 5 to 40 nanomoles per litre and paracetamol was measurable within 10 minutes with a maximum measured concentration of 60 micromoles per litre at 206 minutes, the first report of AM404 in human cerebrospinal fluid after paracetamol, although the measured concentrations were far below the previously documented half-maximal inhibitory concentration for this metabolite.

    Paracetamol → AM404 / N-arachidonoylphenolamine source_derived_draftungraded
    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/paracetamol-research/29238213.abstract.txt", "locator": "Indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "3f8c752d7c1931585f2ce5bc6059b45b103e73fbc7e067912b0d2c60e8541165", "start_char": 0, "end_char": 1557, "text_sha256": "3f8c752d7c1931585f2ce5bc6059b45b103e73fbc7e067912b0d2c60e8541165"}
    experimental_model
    Cerebrospinal fluid and blood sampled from 26 adult male patients after intravenous paracetamol
    exposure
    1 gram intravenous paracetamol, with AM404 measured by liquid chromatography-tandem mass spectrometry
    limitations
    The first human demonstration that the metabolite reaches the central nervous system, and simultaneously the strongest quantitative objection to its importance, since the concentrations found are far below the reported potency of the compound.
    nutrient_topic
    Paracetamol research collection; topical membership is not evidence of a direct clinical effect, and the drug is recorded separately from the metabolites NAPQI and AM404. · Paracetamol
    organism
    Human
    plain_language
    The metabolite really is in human brain fluid, at about a thousandth of the concentration it is thought to need.
    primary_references
    [apap-p29238213] First evidence of the conversion of paracetamol to AM404 in human cerebrospinal fluid. (2017). https://pubmed.ncbi.nlm.nih.gov/29238213/ DOI: 10.2147/jpr.s143500
    tissue_or_cell_type
    Cerebrospinal fluid

    Paracetamol: the enzyme it reduces rather than blocks, the isoform that turned out not to exist, the metabolite that carries the analgesia, and the metabolite that destroys the liver (2026-09-22) · lines 363–374

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Cerebrospinal fluid and blood sampled from 26 adult male patients after intravenous paracetamol · source_derived_draft · unverified_draft

    ### apap-am404-in-human-csf-but-low Cerebrospinal fluid and blood were collected from 26 adult male patients between 10 and 211 minutes after intravenous administration of 1 gram of paracetamol, AM404 was detected in 17 of the 26 evaluable cerebrospinal fluid samples at 5 to 40 nanomoles per litre and paracetamol was measurable within 10 minutes with a maximum measured concentration of 60 micromoles per litre at 206 minutes, the first report of AM404 in human cerebrospinal fluid after paracetamol, although the measured concentrations were far below the previously documented half-maximal inhibitory concentration for this metabolite. Condition category: normal nutrient_topic: Paracetamol research collection; topical membership is not evidence of a direct clinical effect, and the drug is recorded separately from the metabolites NAPQI and AM404. plain_language: The metabolite really is in human brain fluid, at about a thousandth of the concentration it is thought to need. organism: Human tissue_or_cell_type: Cerebrospinal fluid experimental_model: Cerebrospinal fluid and blood sampled from 26 adult male patients after intravenous paracetamol limitations: The first human demonstration that the metabolite reaches the central nervous system, and simultaneously the strongest quantitative objection to its importance, since the concentrations found are far below the reported potency of the compound. exposure: 1 gram intravenous paracetamol, with AM404 measured by liquid chromatography-tandem mass spectrometry evidence_span: {"source_cache": "artifacts/paracetamol-research/29238213.abstract.txt", "locator": "Indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "3f8c752d7c1931585f2ce5bc6059b45b103e73fbc7e067912b0d2c60e8541165", "start_char": 0, "end_char": 1557, "text_sha256": "3f8c752d7c1931585f2ce5bc6059b45b103e73fbc7e067912b0d2c60e8541165"} [apap-p29238213] First evidence of the conversion of paracetamol to AM404 in human cerebrospinal fluid. (2017). https://pubmed.ncbi.nlm.nih.gov/29238213/ DOI: 10.2147/jpr.s143500
    Complete structured claim and evidence

In the sources

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    This is a research prototype built from draft material. It is not medical advice, and its statements still await verification against the original studies.

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