Evidence map›Paper›PMID 19478137›Full record

ArticleThe Journal of pharmacology and experimental therapeutics2009

Early atorvastatin reduces hemorrhage after acute cerebral ischemia in diabetic rats.

Hazem F Elewa, Anna Kozak, Azza B El-Remessy, Reginald F Frye, Maribeth H Johnson, Adviye Ergul, Susan C Fagan

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in The Journal of pharmacology and experimental therapeutics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.4field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Article
  6. Article
  7. The role of KActa pharmacologica Sinica · 2018
    Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Cerebral neovascularization in diabetes: implications for stroke recovery and beyond.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2014
    Review
  14. Article
  15. Article
  16. Review
  17. Cerebrovascular complications of diabetes: focus on stroke.Endocrine, metabolic & immune disorders drug targets · 2012
    Review
  18. Article
  19. Article
  20. Article
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 2 institutions in 1 country.

Hazem F ElewaProgram in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, Georgia 30912-2450, USA.
Anna Kozak
Azza B El-Remessy
Reginald F Frye
Maribeth H Johnson
Adviye Ergul
Susan C Fagan
Augusta University · USUniversity of Georgia · US

Funding

Vascular Protection &Endothelin B Receptors in DiabetesR01DK074385 · NIDDK · UNIVERSITY OF GEORGIA (UGA) · PI ERGUL, ADVIYE · 2005 to 2009
$1.1M
Cerebrovascular mechanisms of ischemic injury in diabetesR03NS054688 · NINDS · AUGUSTA UNIVERSITY · PI ERGUL, ADVIYE · 2007 to 2008
$147k
NIDDK NIH HHS DK074385NIDDK NIH HHS R01 DK074385NINDS NIH HHS NS054688NINDS NIH HHS R03 NS054688
6 · The paper itself

Abstract

Ischemic stroke is a leading cause of death in the United States, and diabetes mellitus is a major risk factor for stroke. Our previous work showed that type II diabetic rats [Goto-Kakizaki (GK)] have more bleeding after stroke than their normoglycemic controls (Wistar). Our aim was to evaluate the vascular protective properties of acute atorvastatin therapy after experimental ischemic stroke in diabetes and to explore the effect of stroke in GK rats compared with their normoglycemic controls. Fifty male Wistar and 40 GK rats (270-305 g) underwent 3 h of middle cerebral artery occlusion followed by reperfusion for 21 h. Animals received atorvastatin (5 mg/kg), atorvastatin (15 mg/kg), or vehicle, administered by oral gavage, one dose 5 min after reperfusion and a second dose after 12 h. At 24 h, functional outcome was measured, and brain tissue was analyzed for infarct volume, hemoglobin content, and molecular biomarkers. Plasma was collected for analysis of atorvastatin concentrations. Atorvastatin-treated groups had significantly lower bleeding rates (p = 0.0011) and infarct volume (p = 0.0007) compared with controls. There was a significant reduction in hemoglobin content and infarct volume only in the higher dose group (15 mg/kg) (p < 0.05), and these benefits were more than 4 times greater in the diabetic animals. Atorvastatin (15 mg/kg) improved neurological outcome in both Wistar and GK rats (p = 0.029) at a peak concentration of 27 to 77 ng/ml and was associated with an increase in Akt phosphorylation (p = 0.0007). We concluded that atorvastatin is a vascular protective agent after experimental ischemic stroke, especially in diabetes.

Indexed as

Acute DiseaseAnimalsAtorvastatinBrain IschemiaCerebral HemorrhageDiabetes Mellitus, Type 2Drug Administration ScheduleHeptanoic AcidsMalePyrrolesRatsRats, WistarTime FactorsAtorvastatinHeptanoic AcidsPyrroles

Identifiers

PMID19478137
PMCPMC2713088
OpenAlexW1998102431

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.