Evidence map›Paper›PMID 19302148›Full record

ArticleThe European journal of neuroscience2009

Neuroprotective activities of activated protein C mutant with reduced anticoagulant activity.

Huang Guo, Itender Singh, Yaoming Wang, Rashid Deane, Theresa Barrett, José A Fernández, Nienwen Chow, John H Griffin, Berislav V Zlokovic

RetractedOpen access · greenAbstract readRetracted Publication
In one paragraph

Article in The European journal of neuroscience, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

53 citing papers in PubMed, 83 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Diversification of PAR signaling through receptor crosstalk.Cellular & molecular biology letters · 2022
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. The Next Step in the Treatment of Stroke.Frontiers in neurology · 2020
    Review
  15. Article
  16. Article
  17. Activated Protein C in Cutaneous Wound Healing: From Bench to Bedside.International journal of molecular sciences · 2019
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Huang GuoDepartment for Neurosurgery and Neurology, Center for Neurodegenerative and Vascular Brain Disorders, University of Rochester Medical Center, Rochester, NY 14642, USA.
Itender Singh
Yaoming Wang
Rashid Deane
Theresa Barrett
José A Fernández
Nienwen Chow
John H Griffin
Berislav V Zlokovic
University of Rochester Medical Center · USScripps Research Institute · US

Funding

Structure and Function of Protein CR01HL052246 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI GRIFFIN, JOHN H · 2005 to 2017
$9.6M
PROTEINS OF COAGULATION PATHWAYSR01HL021544 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI GRIFFIN, JOHN H · 1985 to 2014
$7.5M
REGULATION OF BRAIN THROMBOSIS IN STROKE MODELSR01HL063290 · NHLBI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ZLOKOVIC, BERISLAV V · 1999 to 2013
$7.5M
Protein S: Neurovascular Protection in StrokeR01HL081528 · NHLBI · UNIVERSITY OF ROCHESTER · PI ZLOKOVIC, BERISLAV V · 2006 to 2010
$1.9M
NHLBI NIH HHS HL63290NHLBI NIH HHS HL81528NHLBI NIH HHS R01 HL021544NHLBI NIH HHS R01 HL052246NHLBI NIH HHS R01 HL063290NHLBI NIH HHS R01 HL081528
6 · The paper itself

Abstract

The anticoagulant activated protein C (APC) protects neurons and endothelium via protease activated receptor (PAR)1, PAR3 and endothelial protein C receptor. APC is neuroprotective in stroke models. Bleeding complications may limit the pharmacologic utility of APC. Here, we compared the 3K3A-APC mutant with 80% reduced anticoagulant activity and wild-type (wt)-APC. Murine 3K3A-APC compared with wt-APC protected mouse cortical neurons from N-methyl-D-aspartate-induced apoptosis with twofold greater efficacy and more potently reduced N-methyl-D-aspartate excitotoxic lesions in vivo. Human 3K3A-APC protected human brain endothelial cells (BECs) from oxygen/glucose deprivation with 1.7-fold greater efficacy than wt-APC. 3K3A-APC neuronal protection required PAR1 and PAR3, as shown by using PAR-specific blocking antibodies and PAR1- and PAR3-deficient cells and mice. BEC protection required endothelial protein C receptor and PAR1. In neurons and BECs, 3K3A-APC blocked caspase-9 and -3 activation and induction of p53, and decreased the Bax/Bcl-2 pro-apoptotic ratio. After distal middle cerebral artery occlusion (dMCAO) in mice, murine 3K3A-APC compared with vehicle given 4:00 h after dMCAO improved the functional outcome and reduced the infarction volume by 50% within 3 days. 3K3A-APC compared with wt-APC multi-dosing therapy at 12:00 h, 1, 3, 5 and 7 days after dMCAO significantly improved functional recovery and reduced the infarction volume by 75% and 38%, respectively, within 7 days. The wt-APC, but not 3K3A-APC, significantly increased the risk of intracerebral bleeding as indicated by a 50% increase in hemoglobin levels in the ischemic hemisphere. Thus, 3K3A-APC offers a new approach for safer and more efficacious treatments of neurodegenerative disorders and stroke with APC.

Indexed as

Analysis of VarianceAnimalsAntibodiesAnticoagulantsApoptosisBrainCaspase 3Caspase 9Cells, CulturedEmbryo, MammalianEndothelial CellsEnzyme InhibitorsExcitatory Amino Acid AgonistsFemaleGlucoseHemoglobinsAntibodiesAnticoagulantsCaspase 3Caspase 9Enzyme InhibitorsExcitatory Amino Acid AgonistsGlucoseHemoglobinsNeuroprotective AgentsN-MethylaspartateProtein CReceptors, Proteinase-ActivatedTumor Suppressor Protein p53

Identifiers

PMID19302148
PMCPMC2692517
OpenAlexW1965786411

What OpenQuestion holds

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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.