Evidence map›Paper›PMID 19286587›Full record

ArticleStroke2009

Immune response in human cerebral cavernous malformations.

Changbin Shi, Robert Shenkar, Hongyan Du, Edward Duckworth, Harish Raja, H Hunt Batjer, Issam A Awad

Open access · bronzeAbstract read
In one paragraph

Article in Stroke, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

42 citing papers in PubMed, 69 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. KRIT1 in vascular biology and beyond.Bioscience reports · 2024
    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. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Childhood stroke.Nature reviews. Disease primers · 2022
    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 1 institution in 1 country.

Changbin ShiDivision of Neurosurgery, NorthShore University HealthSystem, Evanston, IL 60201, USA.
Robert Shenkar
Hongyan Du
Edward Duckworth
Harish Raja
H Hunt Batjer
Issam A Awad
Northwestern University · US

Funding

IMMUNE RESPONSE IN HUMAN CEREBRAL CAVERNOUS MALFORMATIONSR21NS052285 · NINDS · NORTHSHORE UNIVERSITY HEALTHSYSTEM · PI AWAD, ISSAM A · 2007 to 2008
$367k
NINDS NIH HHS NS052285NINDS NIH HHS R21 NS052285
6 · The paper itself

Abstract

background and purposePreliminary observations suggesting the presence of B and plasma cells and oligoclonality of immunoglobulin (Ig) G in cerebral cavernous malformations (CCM) have motivated a systematic study correlating the infiltration of the immune cells with clinical activity and antigen-triggered immune response in surgically excised lesions.

methodsInfiltration of plasma, B, T, and human leukocyte antigen-DR-expressing cells and macrophages within 23 excised CCM was related to clinical activity. Relative amounts of Ig isotypes were determined. IgG clonality of mRNA from CCM was assessed by spectratyping, cloning, and sequencing.

resultsInfiltration of the immune cells ranged widely within CCM lesions, and cells were generally coexpressed with each other. Immune cell infiltration did not associate with recent bleeding and lesion growth. Significantly more B lymphocytes in CCM lesions were associated with venous anomaly. More T cells were present in solitary lesions. More T cells and less macrophages were present in CCM from younger subjects. IgG isotype was present in all CCM lesions. Most lesions also expressed IgM and IgA, with IgM predominance over IgA correlating with recent CCM growth. Oligoclonality was shown in IgG mRNA from CCM, but not from peripheral blood lymphocytes, with only 8 complementary-determining region 3 sequences observed among 134 clones from 2 CCM lesions.

conclusionsAn antigen-directed oligoclonal IgG immune response is present within CCM lesions regardless of recent clinical activity. Apparent differences in immune response in younger patients and in lesions with recent growth will need confirmation in other series. The pathogenicity of oligoclonal immune response will require systematic hypothesis testing in recently available CCM murine models.

Indexed as

B-LymphocytesCentral Nervous System Vascular MalformationsDNA, ComplementaryHLA-DR AntigensHumansImmunity, CellularImmunoglobulin AImmunoglobulin GImmunohistochemistryMacrophagesPlasma CellsReverse Transcriptase Polymerase Chain ReactionRNA, MessengerT-LymphocytesDNA, ComplementaryHLA-DR AntigensImmunoglobulin AImmunoglobulin GRNA, Messenger

Identifiers

PMID19286587
PMCPMC2792996
OpenAlexW2043270774

What OpenQuestion holds

Textmetadata
LicenceTDM
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.