Evidence map›Paper›PMID 24084689›Full record

ArticleNeurobiology of disease2014

Isoflurane on brain inflammation.

Orhan Altay, Hidenori Suzuki, Yu Hasegawa, Robert P Ostrowski, Jiping Tang, John H Zhang

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Neurobiology of disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
2.9field-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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Metabolomic and lipidomic pathways in aneurysmal subarachnoid hemorrhage.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Conditioning-based therapeutics for aneurysmal subarachnoid hemorrhage - A critical review.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Orhan AltayDepartment of Physiology, Loma Linda University School of Medicine, Loma Linda, USA.
Hidenori SuzukiDepartment of Physiology, Loma Linda University School of Medicine, Loma Linda, USA.
Yu HasegawaDepartment of Physiology, Loma Linda University School of Medicine, Loma Linda, USA.
Robert P OstrowskiDepartment of Physiology, Loma Linda University School of Medicine, Loma Linda, USA.
Jiping TangDepartment of Physiology, Loma Linda University School of Medicine, Loma Linda, USA.
John H ZhangDepartment of Physiology, Loma Linda University School of Medicine, Loma Linda, USA; Department of Neurosurgery, Loma Linda University School of Medicine, Loma Linda, USA. Electronic address: johnzhang3910@yahoo.com.
Loma Linda University · US

Funding

Vascular Biology Core FacilityP01NS082184 · NINDS · LOMA LINDA UNIVERSITY · PI PEARCE, WILLIAM J. · 2014 to 2018
$6.1M
Neurovascular Protection for Subarachnoid HemorrhageR01NS053407 · NINDS · LOMA LINDA UNIVERSITY · PI ZHANG, JOHN H · 2006 to 2010
$1.8M
Neurovascular Protection for Early Brain Injury after SAHR01NS081740 · NINDS · LOMA LINDA UNIVERSITY · PI ZHANG, JOHN H · 2013 to 2017
$1.6M
Mechanisms of G-CSF-Induced NeuroprotectionR01NS060936 · NINDS · LOMA LINDA UNIVERSITY · PI TANG, JIPING · 2009 to 2012
$1.3M
NINDS NIH HHS NS053407NINDS NIH HHS NS060936NINDS NIH HHS P01 NS082184NINDS NIH HHS R01 NS053407NINDS NIH HHS R01 NS060936NINDS NIH HHS R01 NS081740
6 · The paper itself

Abstract

Brain inflammation may play an important role in the pathophysiology of early brain injury after subarachnoid hemorrhage (SAH). Our aim was to demonstrate brain inflammation development and to determine whether isoflurane, a clinically available volatile anesthetic agent, prevents brain inflammation after SAH. This study used 162 8-week-old male CD-1 mice. We induced SAH with endovascular perforation in mice and randomly assigned animals to sham-operated (n=21), SAH+vehicle-air (n=35) and SAH+2% isoflurane (n=31). In addition to the evaluation of brain injury (neurological scores, brain edema and Evans blue dye extravasation), brain inflammation was evaluated by means of expression changes in markers of inflammatory cells (ionized calcium binding adaptor molecule-1, myeloperoxidase), cytokines (tumor necrosis factor [TNF]-α, interleukin-1β), adhesion molecules (intercellular adhesion molecule [ICAM]-1, P-selectin), inducers of inflammation (cyclooxygenase-2, phosphorylated c-Jun N-terminal kinase [p-JNK]) and endothelial cell activation (von Willebrand factor) at 24h post-SAH. Sphingosine kinase inhibitor (N, N-dimethylsphingosine [DMS]) and sphingosine-1-phosphate receptor-1/3 antagonist (VPC23019) were used to block isoflurane's effects (n=22, each). SAH caused early brain injury, which was associated with inflammation so that all evaluated markers of inflammation were increased. Isoflurane significantly inhibited both brain injury (P<0.001, respectively) and inflammation (myeloperoxidase, P=0.022; interleukin-1β, P=0.002; TNF-α, P=0.015; P-selectin, P=0.010; ICAM-1, P=0.016; p-JNK, P<0.001; cyclooxygenase-2, P=0.003, respectively). This beneficial effect of isoflurane was abolished with DMS and VPC23019. Isoflurane may suppress post-SAH brain inflammation possibly via the sphingosine-related pathway.

Indexed as

AnimalsBrainEncephalitisInflammation MediatorsIsofluraneMaleMiceMice, Inbred StrainsNeuroprotective AgentsRandom AllocationSubarachnoid HemorrhageInflammation MediatorsIsofluraneNeuroprotective AgentsBrain water contentBWCCOX-2Cyclooxygenase-2DMSEarly brain injuryEBIiba-1ICAM-1IL-1βInflammationIntercellular adhesion molecule-1Interleukin-1betaIonized calcium binding adaptor molecule-1IsofluraneMPOMyeloperoxidaseN, N-dimethylsphingosinePhosphorylated c-Jun N-terminal kinasep-JNKS1PS1P1/3SAHSphingosine 1-phosphateSphingosine-1-phosphate receptor-1/3Sphingosine kinaseSphKSubarachnoid hemorrhageTNF-αTumor necrosis factor-alphavon Willebrand factorvWF

Identifiers

PMID24084689
PMCPMC3919516
OpenAlexW2005193145

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.