Evidence map›Paper›PMID 24670647›Full record

ArticleNature2014

Capillary pericytes regulate cerebral blood flow in health and disease.

Catherine N Hall, Clare Reynell, Bodil Gesslein, Nicola B Hamilton, Anusha Mishra, Brad A Sutherland, Fergus M O'Farrell, Alastair M Buchan, Martin Lauritzen, David Attwell

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Nature, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04569604 (Impaired Quality of Life and Cognitive Function in Patients With Hypoparathyroidism Might be Explained by Disturbed Capillary Flow Patterns in the Brain), which is not on this map. Cited by 1,115 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,115citing papers in PubMed, 1 pooled it
82.3field-weighted citation impact, top 1% 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.

NCT04569604 completednot on this mapstarted 2019, after this paper: background citation

Impaired Quality of Life and Cognitive Function in Patients With Hypoparathyroidism Might be Explained by Disturbed Capillary Flow Patterns in the Brain

TypeobservationalSponsorUniversity of AarhusRan2019 to 2021Enrolled64ConditionsHypoparathyroidism, Pseudo HypoparathyroidismArmsMRI scans, Neuro cognitive tests, Questionnaires on Quality of Life, Blood samples, 24 hr urine samples
3 · Its place in the literature

Who cites it

1,115 citing papers in PubMed, 1 synthesis or guideline pooled it, 1,831 citations in OpenAlex.

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1,055 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Catherine N Hall *Department of Neuroscience, Physiology & Pharmacology University College London, Gower St., London, WC1E 6BT, UK.
Clare Reynell *Department of Neuroscience, Physiology & Pharmacology University College London, Gower St., London, WC1E 6BT, UK.
Bodil Gesslein *Department of Neuroscience & Pharmacology and Center for Healthy Aging, and Department of Clinical Neurophysiology, Glostrup Hospital, University of Copenhagen, DK-2200 Copenhagen N, Denmark.
Nicola B Hamilton *Department of Neuroscience, Physiology & Pharmacology University College London, Gower St., London, WC1E 6BT, UK.
Anusha Mishra *Department of Neuroscience, Physiology & Pharmacology University College London, Gower St., London, WC1E 6BT, UK.
Brad A SutherlandAcute Stroke Programme, Radcliffe Department of Medicine, University of Oxford, Oxford, OX3 9DU, UK.
Fergus M O'FarrellDepartment of Neuroscience, Physiology & Pharmacology University College London, Gower St., London, WC1E 6BT, UK.
Alastair M BuchanAcute Stroke Programme, Radcliffe Department of Medicine, University of Oxford, Oxford, OX3 9DU, UK.
Martin LauritzenDepartment of Neuroscience & Pharmacology and Center for Healthy Aging, and Department of Clinical Neurophysiology, Glostrup Hospital, University of Copenhagen, DK-2200 Copenhagen N, Denmark.
David AttwellDepartment of Neuroscience, Physiology & Pharmacology University College London, Gower St., London, WC1E 6BT, UK.
University College London · GBUniversity of Copenhagen · DKUniversity of Oxford · GB

Funding

Medical Research Council G0500495Wellcome Trust 075232
6 · The paper itself

Abstract

Increases in brain blood flow, evoked by neuronal activity, power neural computation and form the basis of BOLD (blood-oxygen-level-dependent) functional imaging. Whether blood flow is controlled solely by arteriole smooth muscle, or also by capillary pericytes, is controversial. We demonstrate that neuronal activity and the neurotransmitter glutamate evoke the release of messengers that dilate capillaries by actively relaxing pericytes. Dilation is mediated by prostaglandin E2, but requires nitric oxide release to suppress vasoconstricting 20-HETE synthesis. In vivo, when sensory input increases blood flow, capillaries dilate before arterioles and are estimated to produce 84% of the blood flow increase. In pathology, ischaemia evokes capillary constriction by pericytes. We show that this is followed by pericyte death in rigor, which may irreversibly constrict capillaries and damage the blood-brain barrier. Thus, pericytes are major regulators of cerebral blood flow and initiators of functional imaging signals. Prevention of pericyte constriction and death may reduce the long-lasting blood flow decrease that damages neurons after stroke.

Indexed as

AnimalsArteriolesBlood-Brain BarrierBrain IschemiaCapillariesCell DeathCerebellumCerebral CortexCerebrovascular CirculationDinoprostoneExcitatory Amino Acid AntagonistsFemaleFunctional NeuroimagingGlutamic AcidHydroxyeicosatetraenoic AcidsIn Vitro Techniques20-hydroxy-5,8,11,14-eicosatetraenoic acidDinoprostoneExcitatory Amino Acid AntagonistsGlutamic AcidHydroxyeicosatetraenoic AcidsNitric OxideReceptors, Glutamate

Identifiers

PMID24670647
PMCPMC3976267
OpenAlexW2001552996

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.