Evidence map›Paper›PMID 26274818›Full record

ArticlePloS one2015

Multiple Antenatal Dexamethasone Treatment Alters Brain Vessel Differentiation in Newborn Mouse Pups.

Winfried Neuhaus, Marian Schlundt, Markus Fehrholz, Alexander Ehrke, Steffen Kunzmann, Stefan Liebner, Christian P Speer, Carola Y Förster

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Prednisolone Targets Claudins in Mouse Brain Blood Vessels.International journal of molecular sciences · 2023
    Article
  3. Article
  4. Article
  5. Death or resolution: the "natural history" of pulmonary hypertension in bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  6. Efficacy and safety of antenatal steroids.American journal of physiology. Regulatory, integrative and comparative physiology · 2018
    Review
  7. Brain endothelial cell junctions after cerebral hemorrhage: Changes, mechanisms and therapeutic targets.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2018
    Review
  8. Review
  9. 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

8 authors at 3 institutions in 2 countries.

Winfried NeuhausDepartment of Anaesthesia and Critical Care, University of Wuerzburg, Wuerzburg, Germany; Department of Pharmaceutical Chemistry, University of Vienna, Vienna, Austria; Institute of Medical Genetics, Medical University of Vienna, Vienna, Austria.
Marian SchlundtDepartment of Anaesthesia and Critical Care, University of Wuerzburg, Wuerzburg, Germany.
Markus FehrholzUniversity Children's Hospital Wuerzburg, Wuerzburg, Germany.
Alexander EhrkeInstitute of Neurology (Edinger Institute), Johann Wolfgang Goethe University, Frankfurt, Germany.
Steffen KunzmannUniversity Children's Hospital Wuerzburg, Wuerzburg, Germany.
Stefan LiebnerInstitute of Neurology (Edinger Institute), Johann Wolfgang Goethe University, Frankfurt, Germany.
Christian P SpeerUniversity Children's Hospital Wuerzburg, Wuerzburg, Germany.
Carola Y FörsterDepartment of Anaesthesia and Critical Care, University of Wuerzburg, Wuerzburg, Germany.
Goethe University Frankfurt · DEUniversity of Würzburg · DEMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antenatal steroid treatment decreases morbidity and mortality in premature infants through the maturation of lung tissue, which enables sufficient breathing performance. However, clinical and animal studies have shown that repeated doses of glucocorticoids such as dexamethasone and betamethasone lead to long-term adverse effects on brain development. Therefore, we established a mouse model for antenatal dexamethasone treatment to investigate the effects of dexamethasone on brain vessel differentiation towards the blood-brain barrier (BBB) phenotype, focusing on molecular marker analysis. The major findings were that in total brains on postnatal day (PN) 4 triple antenatal dexamethasone treatment significantly downregulated the tight junction protein claudin-5, the endothelial marker Pecam-1/CD31, the glucocorticoid receptor, the NR1 subunit of the N-methyl-D-aspartate receptor, and Abc transporters (Abcb1a, Abcg2 Abcc4). Less pronounced effects were found after single antenatal dexamethasone treatment and in PN10 samples. Comparisons of total brain samples with isolated brain endothelial cells together with the stainings for Pecam-1/CD31 and claudin-5 led to the assumption that the morphology of brain vessels is affected by antenatal dexamethasone treatment at PN4. On the mRNA level markers for angiogenesis, the sonic hedgehog and the Wnt pathway were downregulated in PN4 samples, suggesting fundamental changes in brain vascularization and/or differentiation. In conclusion, we provided a first comprehensive molecular basis for the adverse effects of multiple antenatal dexamethasone treatment on brain vessel differentiation.

Indexed as

BrainCerebrovascular DisordersEndothelial CellsAnimalsAnimals, NewbornAntigens, DifferentiationDexamethasoneMiceWnt Signaling PathwayAntigens, DifferentiationDexamethasone

Identifiers

PMID26274818
PMCPMC4537167
OpenAlexW1148640725

What OpenQuestion holds

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LicenceCC BY
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.