Evidence map›Paper›PMID 21102603›Full record

ArticleJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2011

Unconjugated bilirubin contributes to early inflammation and edema after intracerebral hemorrhage.

Matthew C Loftspring, Holly L Johnson, Rui Feng, Aaron J Johnson, Joseph F Clark

Open access · bronzeAbstract read
In one paragraph

Article in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

30 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
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  10. Review
  11. Bilirubin: a novel predictor of hemorrhagic transformation and symptomatic intracranial hemorrhage after mechanical thrombectomy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Observational
  12. Article
  13. Article
  14. Biliverdin reductase and bilirubin in hepatic disease.American journal of physiology. Gastrointestinal and liver physiology · 2018
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Subclinical change of liver function could also provide a clue on prognosis for patients with spontaneous intracerebral hemorrhage.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2016
    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

5 authors at 1 institution in 1 country.

Matthew C LoftspringDepartment of Neurology, University of Cincinnati College of Medicine, Cincinnati, Ohio 45267, USA. loftspmc@mail.uc.edu
Holly L Johnson
Rui Feng
Aaron J Johnson
Joseph F Clark
University of Cincinnati Medical Center · US

Funding

TrainingU54EB007954 · NIBIB · UNIVERSITY OF CINCINNATI · PI BEYETTE, FRED RICHARD · 2007 to 2011
$9.4M
Bilirubin oxidation and intracerebral hemorrhageR01NS050569 · NINDS · UNIVERSITY OF CINCINNATI · PI CLARK, JOSEPH FLOYD · 2005 to 2009
$1.8M
CD 8 T Cell Mediated Disruption of Blood Brain Tight JunctionR01NS060881 · NINDS · UNIVERSITY OF CINCINNATI · PI JOHNSON, AARON J · 2009 to 2013
$1.7M
NIBIB NIH HHS U54 EB007954NIBIB NIH HHS U54EB007954NINDS NIH HHS R01 NS050569NINDS NIH HHS R01NS050569NINDS NIH HHS R01 NS060881NINDS NIH HHS R01NS060881
6 · The paper itself

Abstract

Intracerebral hemorrhage (ICH) is a stroke subtype with significant mortality and morbidity. The role of unconjugated bilirubin (UBR) in ICH brain injury is not well understood. Therefore, we studied the effects of UBR on brain injury markers and inflammation, as well as mechanisms involved therein. We induced ICH in mice by infusion of autologous whole blood with vehicle (dimethyl sulfoxide) or UBR. We found that UBR led to an increase in edema (P≤0.05), but a decrease in nitrate/nitrite formation (7.0±0.40  nmol/mg versus 5.2±0.70  nmol/mg protein, P≤0.05) and no change in protein carbonyls. Unconjugated bilirubin was also associated with an increase in neutrophil infiltration compared with ICH alone, as determined by both immunofluorescence and flow cytometry (36%±3.2% versus 53%±1.3% of CD45(+) cells, P≤0.05). In contrast, we observed reduced perihematomal microglia immunoreactivity in animals receiving UBR (P≤0.05). Using in vitro techniques, we show neutrophil activation by UBR and also show that protein kinase C participates in this signaling pathway. Finally, we found that UBR was associated with an increased expression of the leukocyte adhesion molecule intercellular adhesion molecule-1. Our results suggest that UBR possesses complex immune-modulatory and antioxidant effects.

Indexed as

AnimalsBilirubinBrainBrain EdemaCell DegranulationCell SeparationCerebral HemorrhageFlow CytometryFluorescent Antibody TechniqueHumansInflammationIntercellular Adhesion Molecule-1MaleMiceMice, Inbred C57BLMicroscopy, ConfocalBilirubinIntercellular Adhesion Molecule-1Protein Kinase CSuperoxides

Identifiers

PMID21102603
PMCPMC3070973
OpenAlexW2017607004

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.