Evidence map›Paper›PMID 19066109›Full record

ReviewActa neurochirurgica. Supplement2008

Genetic considerations relevant to intracranial hemorrhage and brain arteriovenous malformations.

H Kim, D A Marchuk, L Pawlikowska, Y Chen, H Su, G Y Yang, W L Young

Open access · greenAbstract readReview
In one paragraph

Review in Acta neurochirurgica. Supplement, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
19.4field-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.

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

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Basic Knowledge and Overview of Brain AVMs.Journal of neuroendovascular therapy · 2025
    Review
  8. Article
  9. Peripheral macrophages in the development and progression of structural cerebrovascular pathologies.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Intradural spinal cord arteriovenous shunts in the pediatric population: natural history, endovascular management, and follow-up.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019
    Article
  18. Article
  19. Review
  20. Pathogenesis of Brain Arteriovenous Malformations.Neurologia medico-chirurgica · 2016
    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

7 authors at 3 institutions in 1 country.

H KimCenter for Cerebrovascular Research, Department of Anesthesia and Perioperative Care, University of California, San Francisco, CA 94110, USA.
D A Marchuk
L Pawlikowska
Y Chen
H Su
G Y Yang
W L Young
University of California, San Francisco · USDuke University · USSan Francisco General Hospital · US

Funding

Underlying mechanisms for the pro-angiogenic phenotype of AVMsP01NS044155 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SU, HUA · 2003 to 2013
$12.8M
PREDICTORS OF SPONTANEOUS CEREBRAL AVM HEMORRHAGER01NS034949 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KIM, HELEN · 1995 to 2017
$6.5M
Upstream Regulators of the prothrombotic stateR01NS041877 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI YOUNG, WILLIAM L · 2000 to 2008
$2.5M
NINDS NIH HHS P01 NS044155NINDS NIH HHS R01 NS034949NINDS NIH HHS R01 NS041877
6 · The paper itself

Abstract

Brain arteriovenous malformations (AVMs) cause intracranial hemorrhage (ICH), especially in young adults. Molecular characterization of lesional tissue provides evidence for involvement of both angiogenic and inflammatory pathways, but the pathogenesis remains obscure and medical therapy is lacking. Abnormal expression patterns have been observed for proteins related to angiogenesis (e.g., vascular endothelial growth factor, angiopoietin-2, matrix metalloproteinase-9), and inflammation (e.g., interleukin-6 [IL-6] and myeloperoxidase). Macrophage and neutrophil invasion have also been observed in the absence of prior ICH. Candidate gene association studies have identified a number of germline variants associated with clinical ICH course and AVM susceptibility. A single nucleotide polymorphism (SNP) in activin receptor-like kinase-1 (ALK-1) is associated with AVM susceptibility, and SNPs in IL-6, tumor necrosis factor-alpha (TNF-alpha), and apolipoprotein-E (APOE) are associated with AVM rupture. These observations suggest that even without a complete understanding of the determinants of AVM development, the recent discoveries of downstream derangements in vascular function and integrity may offer potential targets for therapy development. Further, biomarkers can now be established for assessing ICH risk. These data will generate hypotheses that can be tested mechanistically in model systems, including surrogate phenotypes, such as vascular dysplasia and/or models recapitulating the clinical syndrome of recurrent spontaneous ICH.

Indexed as

Activin Receptors, Type IIAnimalsApolipoproteins EArteriovenous MalformationsHumansInterleukin-6Intracranial HemorrhagesModels, BiologicalNeovascularization, PathologicPolymorphism, GeneticTumor Necrosis Factor-alphaActivin Receptors, Type IIACVRL1 protein, humanApolipoproteins EInterleukin-6Tumor Necrosis Factor-alpha

Identifiers

PMID19066109
PMCPMC2640934
OpenAlexW1534082283

What OpenQuestion holds

Textmetadata
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.