Evidence map›Paper›PMID 23109881›Full record

ReviewInternational journal of molecular sciences2012

Neuroprotection for stroke: current status and future perspectives.

Jens Minnerup, Brad A Sutherland, Alastair M Buchan, Christoph Kleinschnitz

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

95 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  12. Article
  13. Article
  14. α-Phenyl-Antioxidants (Basel, Switzerland) · 2024
    Review
  15. Article
  16. Article
  17. Hemorrhagic stroke in children.Journal of central nervous system disease · 2024
    Review
  18. Review
  19. Article
  20. Article

35 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

4 authors.

Jens MinnerupDepartment of Neurology, University of Münster, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.
Brad A SutherlandAcute Stroke Programme, Nuffield Department of Clinical Medicine, University of Oxford, Oxford 38655, UK.
Alastair M BuchanAcute Stroke Programme, Nuffield Department of Clinical Medicine, University of Oxford, Oxford 38655, UK.
Christoph KleinschnitzUniversity Clinic of Würzburg, Department of Neurology, Würzburg 97080, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuroprotection aims to prevent salvageable neurons from dying. Despite showing efficacy in experimental stroke studies, the concept of neuroprotection has failed in clinical trials. Reasons for the translational difficulties include a lack of methodological agreement between preclinical and clinical studies and the heterogeneity of stroke in humans compared to homogeneous strokes in animal models. Even when the international recommendations for preclinical stroke research, the Stroke Academic Industry Roundtable (STAIR) criteria, were followed, we have still seen limited success in the clinic, examples being NXY-059 and haematopoietic growth factors which fulfilled nearly all the STAIR criteria. However, there are a number of neuroprotective treatments under investigation in clinical trials such as hypothermia and ebselen. Moreover, promising neuroprotective treatments based on a deeper understanding of the complex pathophysiology of ischemic stroke such as inhibitors of NADPH oxidases and PSD-95 are currently evaluated in preclinical studies. Further concepts to improve translation include the investigation of neuroprotectants in multicenter preclinical Phase III-type studies, improved animal models, and close alignment between clinical trial and preclinical methodologies. Future successful translation will require both new concepts for preclinical testing and innovative approaches based on mechanistic insights into the ischemic cascade.

Indexed as

Hypothermia, InducedStrokeAnimalsAntioxidantsAzolesBenzenesulfonatesClinical Trials as TopicDisease Models, AnimalHumansIsoindolesNeuroprotective AgentsOrganoselenium CompoundsAntioxidantsAzolesBenzenesulfonatesdisufenton sodiumebselenIsoindolesNeuroprotective AgentsOrganoselenium Compoundsischemic cascadeischemic strokeneuroprotectionSTAIRtranslation

Identifiers

PMID23109881
PMCPMC3472773

What OpenQuestion holds

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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.