Evidence map›Paper›PMID 25540800›Full record

ArticleAnnals of clinical and translational neurology2014

Calcium-sensing receptor (CaSR) as a novel target for ischemic neuroprotection.

Jong Youl Kim, Hanson Ho, Nuri Kim, Jialing Liu, Chia-Ling Tu, Midori A Yenari, Wenhan Chang

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Pathological changes of brain oscillations following ischemic stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2022
    Review
  8. Article
  9. Experimental cortical stroke induces aberrant increase of sharp-wave-associated ripples in the hippocampus and disrupts cortico-hippocampal communication.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2020
    Article
  10. Review
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  16. Article
  17. Review
  18. Review
  19. Article
  20. Black Rice (Experimental neurobiology · 2018
    Article
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

7 authors.

Jong Youl KimEndocrine Unit, University of California San Francisco and Veterans Affairs Medical Center San Francisco, California, 94121 ; Department of Neurology, University of California San Francisco and Veterans Affairs Medical Center San Francisco, California, 94121.
Hanson HoEndocrine Unit, University of California San Francisco and Veterans Affairs Medical Center San Francisco, California, 94121.
Nuri KimDepartment of Neurology, University of California San Francisco and Veterans Affairs Medical Center San Francisco, California, 94121.
Jialing LiuNeurological Surgery, University of California San Francisco and Veterans Affairs Medical Center San Francisco, California, 94121.
Chia-Ling TuEndocrine Unit, University of California San Francisco and Veterans Affairs Medical Center San Francisco, California, 94121.
Midori A YenariDepartment of Neurology, University of California San Francisco and Veterans Affairs Medical Center San Francisco, California, 94121.
Wenhan ChangEndocrine Unit, University of California San Francisco and Veterans Affairs Medical Center San Francisco, California, 94121.

Funding

CALCIUM-SENSING RECEPTORS AND GROWTH PLATE DEVELOPMENTR01AG021353 · NIA · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI CHANG, WENHAN · 2002 to 2012
$2.5M
INTERACTIONS BETWEEN GABA B AND CA2+-SENSING RECEPTORSR21AR054441 · NIAMS · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI CHANG, WENHAN · 2007 to 2008
$387k
The Role of CaSR and GABA-B-R in Neuronal Responses to Ischemic Brain InjuryI01BX001960 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI CHANG, WENHAN · 2013 to 2016
–
BLRD VA I01 BX001960NIAMS NIH HHS R21 AR054441NIA NIH HHS R01 AG021353
6 · The paper itself

Abstract

objectIschemic brain injury is the leading cause for death and long-term disability in patients who suffer cardiac arrest and embolic stroke. Excitotoxicity and subsequent Ca(2+)-overload lead to ischemic neuron death. We explore a novel mechanism concerning the role of the excitatory extracellular calcium-sensing receptor (CaSR) in the induction of ischemic brain injury.

methodMice were exposed to forebrain ischemia and the actions of CaSR were determined after its genes were ablated specifically in hippocampal neurons or its activities were inhibited pharmacologically. Since the CaSR forms a heteromeric complex with the inhibitory type B γ-aminobutyric acid receptor 1 (GABABR1), we compared neuronal responses to ischemia in mice deficient in CaSR, GABABR1, or both, and in mice injected locally or systemically with a specific CaSR antagonist (or calcilytic) in the presence or absence of a GABABR1 agonist (baclofen).

resultsBoth global and focal brain ischemia led to CaSR overexpression and GABABR1 downregulation in injured neurons. Genetic ablation of Casr genes or blocking CaSR activities by calcilytics rendered robust neuroprotection and preserved learning and memory functions in ischemic mice, partly by restoring GABABR1 expression. Concurrent ablation of Gabbr1 gene blocked the neuroprotection caused by the Casr gene knockout. Coinjection of calcilytics with baclofen synergistically enhanced neuroprotection. This combined therapy remained robust when given 6 h after ischemia.

interpretationOur study demonstrates a novel receptor interaction, which contributes to ischemic neuron death through CaSR upregulation and GABABR1 downregulation, and feasibility of neuroprotection by concurrently targeting these two receptors.

Identifiers

PMID25540800
PMCPMC4265057

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Registered trials

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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.