Evidence map›Paper›PMID 20405577›Full record

ReviewJournal of neurochemistry2010

Signaling, delivery and age as emerging issues in the benefit/risk ratio outcome of tPA For treatment of CNS ischemic disorders.

William M Armstead, Kumkum Ganguly, J W Kiessling, John Riley, Xiao-Han Chen, Douglas H Smith, Sherman C Stein, Abd A R Higazi, Douglas B Cines, Khalil Bdeir and 2 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of neurochemistry, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

21 citing papers in PubMed, 42 citations in OpenAlex.

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  15. MicroRNAs in cerebral ischemia-induced neurogenesis.Journal of neuropathology and experimental neurology · 2013
    Review
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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 2 institutions in 2 countries.

William M ArmsteadDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. armsteaw@uphs.upenn.edu
Kumkum Ganguly
J W Kiessling
John Riley
Xiao-Han Chen
Douglas H Smith
Sherman C Stein
Abd A R Higazi
Douglas B Cines
Khalil Bdeir
Sergei Zaitsev
Vladimir R Muzykantov
University of Pennsylvania · USLos Alamos National Laboratory · US

Funding

TRAINING GRANT IN HEMOSTASIS AND THROMBOSIST32HL007971 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Rodney M Camire · 2001 to 2026
$10.6M
Urokinase, Defensin and Acute Lung InjuryP01HL076406 · NHLBI · UNIVERSITY OF TEXAS HLTH CTR AT TYLER · PI IDELL, STEVEN · 2005 to 2009
$7.7M
KININOGEN/UROKINASE RECEPTORS IN TUMOR ANGIOGENESISR01CA083121 · NCI · TEMPLE UNIV OF THE COMMONWEALTH · PI COLMAN, ROBERT W · 1999 to 2008
$3.0M
Urokinase, Neutrophil Activation and Acute Lung Injury.R01HL076206 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI LIU, GANG · 2005 to 2013
$2.8M
Delivery of Anti-thrombotic Drugs by Blood CellsR01HL090697 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI MUZYKANTOV, VLADIMIR R · 2008 to 2012
$2.0M
Plasminogen activators and cerebral ischemic injuryR01NS053410 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI ARMSTEAD, WILLIAM M · 2006 to 2010
$1.8M
Plasminogen activators and NMDA after brain injuryR01HD057355 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI ARMSTEAD, WILLIAM M · 2008 to 2012
$1.6M
tPA in traumatic brain injuryR01HL077760 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI HIGAZI, ABD ALROOF · 2006 to 2009
$1.6M
THROMBOPROPHYLAXIS IN THE SURGICAL SETTINGR01HL066442 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI MUZYKANTOV, VLADIMIR R · 2001 to 2004
$1.1M
Nuclear translocation of urokinase/nucleolin complexesR21HL081864 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CINES, DOUGLAS BROCK · 2007 to 2008
$426k
NCI NIH HHS CA83121NCI NIH HHS R01 CA083121NHLBI NIH HHS HL07971NHLBI NIH HHS HL090697NHLBI NIH HHS HL66442NHLBI NIH HHS HL76206NHLBI NIH HHS HL76406NHLBI NIH HHS HL77760NHLBI NIH HHS HL81864NHLBI NIH HHS HL82545NHLBI NIH HHS P01 HL076406NHLBI NIH HHS R01 HL066442NHLBI NIH HHS R01 HL076206NHLBI NIH HHS R01 HL077760NHLBI NIH HHS R01 HL090697NHLBI NIH HHS R21 HL081864NHLBI NIH HHS T32 HL007971NICHD NIH HHS HD57355NICHD NIH HHS R01 HD057355NINDS NIH HHS NS53410NINDS NIH HHS R01 NS053410
6 · The paper itself

Abstract

Stroke is a leading cause of morbidity and mortality. While tissue-type plasminogen activator (tPA) remains the only FDA-approved treatment for ischemic stroke, clinical use of tPA has been constrained to roughly 3% of eligible patients because of the danger of intracranial hemorrhage and a narrow 3 h time window for safe administration. Basic science studies indicate that tPA enhances excitotoxic neuronal cell death. In this review, the beneficial and deleterious effects of tPA in ischemic brain are discussed along with emphasis on development of new approaches toward treatment of patients with acute ischemic stroke. In particular, roles of tPA-induced signaling and a novel delivery system for tPA administration based on tPA coupling to carrier red blood cells will be considered as therapeutic modalities for increasing tPA benefit/risk ratio. The concept of the neurovascular unit will be discussed in the context of dynamic relationships between tPA-induced changes in cerebral hemodynamics and histopathologic outcome of CNS ischemia. Additionally, the role of age will be considered since thrombolytic therapy is being increasingly used in the pediatric population, but there are few basic science studies of CNS injury in pediatric animals.

Indexed as

Age FactorsAnimalsBlood-Brain BarrierBrain IschemiaCentral Nervous SystemFibrinolytic AgentsHumansIntracranial HemorrhagesOdds RatioSignal TransductionTissue Plasminogen ActivatorTreatment OutcomeFibrinolytic AgentsTissue Plasminogen Activator

Identifiers

PMID20405577
PMCPMC3467975
OpenAlexW1975701836

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.