Evidence map›Paper›PMID 24938836›Full record

ArticleStroke2014

Memantine enhances recovery from stroke.

Héctor E López-Valdés, Andrew N Clarkson, Yan Ao, Andrew C Charles, S Thomas Carmichael, Michael V Sofroniew, K C Brennan

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Stroke, 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 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
7.7field-weighted citation impact, top 2% 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

59 citing papers in PubMed, 121 citations in OpenAlex.

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  7. Therapeutic effect of memantine on patients with posttraumatic headache: A randomized double-blinded clinical trial.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025
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  16. BDNF Therapeutic Mechanisms in Neuropsychiatric Disorders.International journal of molecular sciences · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Héctor E López-Valdés *Neurology, David Geffen School of Medicine at UCLA.
Andrew N Clarkson *Neurology, David Geffen School of Medicine at UCLA.
Yan AoNeurobiology, David Geffen School of Medicine at UCLA.
Andrew C CharlesNeurology, David Geffen School of Medicine at UCLA.
S Thomas CarmichaelNeurology, David Geffen School of Medicine at UCLA.
Michael V SofroniewNeurobiology, David Geffen School of Medicine at UCLA.
K C BrennanNeurology, David Geffen School of Medicine at UCLA.
University of Otago · NZ

Funding

Molecular Dissection of Reactive Astrogliosis: STAT3R01NS057624 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SOFRONIEW, MICHAEL V · 2008 to 2012
$1.8M
Mechanisms of Neuronal Regeneration after Stroke in a Novel Neurovascular NicheR01NS053957 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CARMICHAEL, STANLEY THOMAS · 2006 to 2010
$1.8M
Sex differences in the basic pathophysiology of migraineK08NS059072 · NINDS · UNIVERSITY OF UTAH · PI BRENNAN, KEVIN CHRISTOPHER · 2007 to 2011
$859k
Investigating the basic mechanisms linking migraine and strokeR21NS070084 · NINDS · UNIVERSITY OF UTAH · PI BRENNAN, KEVIN CHRISTOPHER · 2010 to 2011
$407k
NINDS NIH HHS K08 NS059072NINDS NIH HHS L30 NS063811NINDS NIH HHS NS053957NINDS NIH HHS NS057624NINDS NIH HHS NS059072NINDS NIH HHS NS070084NINDS NIH HHS R01 NS053957NINDS NIH HHS R01 NS057624NINDS NIH HHS R21 NS070084
6 · The paper itself

Abstract

background and purposeStroke treatment is constrained by limited treatment windows and the clinical inefficacy of agents that showed preclinical promise. Yet animal and clinical data suggest considerable poststroke plasticity, which could allow treatment with recovery-modulating agents. Memantine is a well-tolerated N-methyl-D-aspartate glutamate receptor antagonist in common use for Alzheimer disease.

methodsMemantine, 30 mg/kg per day, or vehicle, was delivered chronically in drinking water beginning >2 hours after photothrombotic stroke.

resultsAlthough there was no difference in infarct size, behavior, or optical intrinsic signal maps in the first 7 days after stroke, mice treated chronically with memantine showed significant improvements in motor control, measured by cylinder test and grid-walking performance, compared with vehicle-treated animals. Optical intrinsic signal revealed an increased area of forepaw sensory maps at 28 days after stroke. There was decreased reactive astrogliosis and increased vascular density around the infarcted cortex. Peri-infarct Western blots revealed increased brain-derived neurotrophic factor and phosphorylated-tropomyosin-related kinase-B receptor expression.

conclusionsOur results suggest that memantine improves stroke outcomes in an apparently non-neuroprotective manner involving increased brain-derived neurotrophic factor signaling, reduced reactive astrogliosis, and improved vascularization, associated with improved recovery of sensory and motor cortical function. The clinical availability and tolerability of memantine make it an attractive candidate for clinical translation.

Indexed as

Cerebral CortexExcitatory Amino Acid AntagonistsMemantineRecovery of FunctionStrokeAnimalsBehavior, AnimalCerebral InfarctionDisease Models, AnimalMiceMice, Inbred C57BLRandom AllocationSingle-Blind MethodExcitatory Amino Acid AntagonistsMemantinebrain-derived neurotrophic factormemantine

Identifiers

PMID24938836
PMCPMC4142682
OpenAlexW2024130574

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.