Evidence map›Paper›PMID 25834040›Full record

ArticleThe Journal of neuroscience : the official journal of the Society for Neuroscience2015

Delayed inhibition of VEGF signaling after stroke attenuates blood-brain barrier breakdown and improves functional recovery in a comorbidity-dependent manner.

Patrick Reeson, Kelly A Tennant, Kim Gerrow, Josh Wang, Sammy Weiser Novak, Kelsey Thompson, Krista-Linn Lockhart, Andrew Holmes, Patrick C Nahirney, Craig E Brown

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of neuroscience : the official journal of the Society for Neuroscience, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed
11.3field-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.

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

78 citing papers in PubMed, 136 citations in OpenAlex.

  1. Review
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  7. The age-dependent immune response to ischemic stroke.Current opinion in neurobiology · 2023
    Review
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  20. Microvascular changes associated with epilepsy: A narrative review.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Review

18 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

10 authors at 1 institution in 1 country.

Patrick ReesonDivision of Medical Sciences and.
Kelly A TennantDivision of Medical Sciences and.
Kim GerrowDivision of Medical Sciences and.
Josh WangDivision of Medical Sciences and.
Sammy Weiser NovakDivision of Medical Sciences and.
Kelsey ThompsonDivision of Medical Sciences and.
Krista-Linn LockhartDivision of Medical Sciences and.
Andrew HolmesDivision of Medical Sciences and.
Patrick C NahirneyDivision of Medical Sciences and Department of Biology, University of Victoria, Victoria, British Columbia V8P 5C2, Canada, Department of Cellular and Physiological Sciences and.
Craig E BrownDivision of Medical Sciences and Department of Biology, University of Victoria, Victoria, British Columbia V8P 5C2, Canada, Department of Psychiatry, University of British Columbia, Vancouver, British Columbia V6T 1Z3, Canada brownc@uvic.ca.
University of Victoria · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

Diabetes is a common comorbidity in stroke patients and a strong predictor of poor functional outcome. To provide a more mechanistic understanding of this clinically relevant problem, we focused on how diabetes affects blood-brain barrier (BBB) function after stroke. Because the BBB can be compromised for days after stroke and thus further exacerbate ischemic injury, manipulating its function presents a unique opportunity for enhancing stroke recovery long after the window for thrombolytics has passed. Using a mouse model of Type 1 diabetes, we discovered that ischemic stroke leads to an abnormal and persistent increase in vascular endothelial growth factor receptor 2 (VEGF-R2) expression in peri-infarct vascular networks. Correlating with this, BBB permeability was markedly increased in diabetic mice, which could not be prevented with insulin treatment after stroke. Imaging of capillary ultrastructure revealed that BBB permeability was associated with an increase in endothelial transcytosis rather than a loss of tight junctions. Pharmacological inhibition (initiated 2.5 d after stroke) or vascular-specific knockdown of VEGF-R2 after stroke attenuated BBB permeability, loss of synaptic structure in peri-infarct regions, and improved recovery of forepaw function. However, the beneficial effects of VEGF-R2 inhibition on stroke recovery were restricted to diabetic mice and appeared to worsen BBB permeability in nondiabetic mice. Collectively, these results suggest that aberrant VEGF signaling and BBB dysfunction after stroke plays a crucial role in limiting functional recovery in an experimental model of diabetes. Furthermore, our data highlight the need to develop more personalized stroke treatments for a heterogeneous clinical population.

Indexed as

AnimalsBlood-Brain BarrierBrainCapillariesDendritic SpinesDiabetes Mellitus, ExperimentalDisease Models, AnimalEndothelial CellsGene ExpressionIndolesInfarctionInsulinMicePermeabilityPyrrolesRecovery of FunctionIndolesInsulinPyrrolesSemaxinibVascular Endothelial Growth Factor Receptor-2blood–brain barrierdendritic spinesdiabetesimagingstrokevascular endothelial growth factor

Identifiers

PMID25834040
PMCPMC6705411
OpenAlexW2083900005

What OpenQuestion holds

Textmetadata
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.