Evidence map›Paper›PMID 21737801›Full record

ArticleStroke2011

Programmed death-1 pathway limits central nervous system inflammation and neurologic deficits in murine experimental stroke.

Xuefang Ren, Kozaburo Akiyoshi, Arthur A Vandenbark, Patricia D Hurn, Halina Offner

Open access · bronzeAbstract read
In one paragraph

Article in Stroke, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
3.0field-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

63 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Therapeutic implications for the PD-1 axis in cerebrovascular injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  11. PD-L1: From cancer immunotherapy to therapeutic implications in multiple disorders.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Updates of the role of B-cells in ischemic stroke.Frontiers in cellular neuroscience · 2024
    Review
  18. Article
  19. Review
  20. Article

3 more citing papers are in PubMed but not listed here.

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.

Xuefang RenDrMed, Neuroimmunology Research, R&D-31, Portland Veterans Affairs Medical Center, 3710 SW US Veterans Hospital Road, Portland, OR 97239, USA.
Kozaburo Akiyoshi
Arthur A Vandenbark
Patricia D Hurn
Halina Offner
Portland VA Medical Center · US

Funding

Tissue AnalysisP01NS049210 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ALKAYED, NABIL J · 2005 to 2009
$6.9M
PH-MEDIATED MECHANISMS OF INJURY IN CEREBRAL ISCHEMIAR01NR003521 · NINR · UNIVERSITY OF TEXAS AT AUSTIN · PI HURN, PATRICIA D. · 1994 to 2013
$4.5M
NINDS NIH HHS NS49210NINDS NIH HHS P01 NS049210NINR NIH HHS NR03521NINR NIH HHS R01 NR003521
6 · The paper itself

Abstract

background and purposeEvaluation of infarct volumes and infiltrating immune cell populations in mice after middle cerebral artery occlusion strongly implicates a mixture of both pathogenic and regulatory immune cell subsets that affect stroke outcome. Our goal was to evaluate the contribution of the well-described coinhibitory pathway, programmed death (PD)-1, to the development of middle cerebral artery occlusion.

methodsInfarct volumes, functional outcomes, and effects on infiltrating immune cell populations were compared in wild-type C57BL/6 versus PD-1-deficient mice after 60 minutes middle cerebral artery occlusion and 96 hours reperfusion.

resultsThe results clearly demonstrate a previously unrecognized activity of the PD-1 pathway to limit infarct volume, recruitment of inflammatory cells from the periphery, activation of macrophages and central nervous system microglia, and functional neurological deficits. These regulatory functions were associated with increased percentages of circulating PD-ligand-1 and PD-ligand-2 expressing CD19(+) B-cells in blood, the spleen, and central nervous system with the capacity to inhibit activation of inflammatory T-cells and central nervous system macrophages and microglial cells through upregulated PD-1.

conclusionsOur novel observations are the first to implicate PD-1 signaling as a major protective pathway for limiting central nervous system inflammation in middle cerebral artery occlusion. This inhibitory circuit would likely be pivotal in reducing stroke-associated Toll-like receptor-2- and Toll like receptor-4-mediated release of neurotoxic factors by activated central nervous system microglia.

Indexed as

Signal TransductionAnimalsAntigens, SurfaceApoptosis Regulatory ProteinsB7-1 AntigenB7-H1 AntigenB-LymphocytesBrain InfarctionDisease Models, AnimalInflammationMacrophagesMembrane GlycoproteinsMiceMice, KnockoutMicrogliaPeptidesAntigens, SurfaceApoptosis Regulatory ProteinsB7-1 AntigenB7-H1 AntigenCd274 protein, mouseMembrane GlycoproteinsPDCD1LG2 protein, humanPdcd1lg2 protein, mousePdcd1 protein, mousePeptidesProgrammed Cell Death 1 Ligand 2 ProteinProgrammed Cell Death 1 ReceptorTlr2 protein, mouseTLR4 protein, humanToll-Like Receptor 2Toll-Like Receptor 4

Identifiers

PMID21737801
PMCPMC3164218
OpenAlexW2133909309

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.