Evidence map›Paper›PMID 18669895›Full record

ArticleStroke2008

Synergistic effect of an endothelin type A receptor antagonist, S-0139, with rtPA on the neuroprotection after embolic stroke.

Rui Lan Zhang, Chunling Zhang, Li Zhang, Cindi Roberts, Mei Lu, Alissa Kapke, Yisheng Cui, Mitsuyoshi Ninomiya, Toshiaki Nagafuji, Bruce Albala and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Stroke, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. The NEDD8-activating enzyme inhibitor MLN4924 reduces ischemic brain injury in mice.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Impact of tissue plasminogen activator on the neurovascular unit: from clinical data to experimental evidence.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2011
    Review
  15. Article
  16. Article
  17. Article
  18. Review
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

12 authors at 3 institutions in 2 countries.

Rui Lan ZhangDepartment of Neurology, Henry Ford Hospital, Detroit, Michigan 48202, USA.
Chunling Zhang
Li Zhang
Cindi Roberts
Mei Lu
Alissa Kapke
Yisheng Cui
Mitsuyoshi Ninomiya
Toshiaki Nagafuji
Bruce Albala
Zheng Gang Zhang
Michael Chopp
Shionogi (Japan) · JPShionogi (United States) · USOakland University · US

Funding

Treatment of Acute Embolic Stroke with Statins and rt-PAR01HL064766 · NHLBI · HENRY FORD HEALTH SYSTEM · PI ZHANG, ZHENG GANG · 2001 to 2009
$2.4M
Imaging of Brain Remodeling and Functional RecoveryP50NS023393 · NINDS · HENRY FORD HEALTH SYSTEM · PI CHOPP, MICHAEL · 2007 to 2007
$882k
NHLBI NIH HHS R01 HL064766NINDS NIH HHS P50 NS023393
6 · The paper itself

Abstract

background and purposeUsing a model of embolic stroke, the present study tested the hypothesis that blockage of endothelin-1 with S-0139, a specific endothelin type A receptor (ET(A)) antagonist, enhances the neuroprotective effect of recombinant tissue plasminogen activator (rtPA) by suppressing molecules that mediate thrombosis and blood brain barrier (BBB) disruption induced by ischemia and rtPA.

methodsRats (n=104) subjected to embolic middle cerebral artery (MCA) occlusion were randomly divided into 1 of 4 infusion groups with 26 rats per group: (1) the control group in which rats were administered saline, (2) the monotherapy rtPA group in which rtPA was intravenously administered at a dose of 10 mg/kg 4 hours after MCA occlusion, (3) the monotherapy S-0139 group in which S-0139 was intravenously given 2 hours after MCA occlusion, and (4) the combination of rtPA +S-0139 group in which S-0139 and rtPA were given 2 and 4 hours after MCA occlusion, respectively. Measurements of infarct volume and parenchymal hemorrhage, behavioral outcome, and immunostaining were performed on rats euthanized 1 and 7 days after stroke.

resultsThe combination therapy of S-0139 and rtPA significantly (P<0.01) reduced infarct volume (24.8+/-0.9% versus 33.8+/-1.5% in control) and hemorrhagic area (7.1+/-6.1 microm(2) versus 36.5+/-19.2 microm(2) in control) and improved functional recovery compared with control saline-treated animals. Immunostaining analysis revealed that the combination therapy had the synergistically suppressed ischemia- and rtPA-induced ICAM-1, protease-activated receptor 1 (PAR-1), as well as accumulation of platelets in cerebral microvessels. Furthermore, the combination treatment synergistically reduced loss of laminin, ZO1, and occludin in cerebral vessels.

conclusionsThese data suggest that S-0139 provides the neuroprotection by suppressing ischemia- and rtPA-triggered molecules that evoke thrombosis and BBB disruption.

Indexed as

AnimalsBlood-Brain BarrierBlood PlateletsBrainCaffeic AcidsCollagen Type IVDrug SynergismEndothelin Receptor AntagonistsFibrinolytic AgentsImmunohistochemistryInfarction, Middle Cerebral ArteryIntercellular Adhesion Molecule-1MaleNeuroprotective AgentsOleanolic AcidRatsCaffeic AcidsCollagen Type IVEndothelin Receptor AntagonistsFibrinolytic AgentsIntercellular Adhesion Molecule-1Neuroprotective AgentsOleanolic AcidReceptor, PAR-1S 0139Tissue Plasminogen Activator

Identifiers

PMID18669895
PMCPMC2740650
OpenAlexW2136452453

What OpenQuestion holds

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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 OpenQuestion graph.