Evidence map›Paper›PMID 26861815›Full record

ArticleJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2017

Deletion of the WNK3-SPAK kinase complex in mice improves radiographic and clinical outcomes in malignant cerebral edema after ischemic stroke.

Hanshu Zhao, Rachel Nepomuceno, Xin Gao, Lesley M Foley, Shaoxia Wang, Gulnaz Begum, Wen Zhu, Victoria M Pigott, Lindsay M Falgoust, Kristopher T Kahle and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 43 citations in OpenAlex.

  1. Review
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  10. High glucose-induced effects on NaAmerican journal of physiology. Cell physiology · 2021
    Article
  11. Galectin-3 protects against ischemic stroke by promoting neuro-angiogenesis via apoptosis inhibition and Akt/Caspase regulation.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Article
  12. Article
  13. Review
  14. Modulation of brain cation-ClNature communications · 2020
    Article
  15. Review
  16. Review
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  20. WNK-Cab39-NKCC1 signaling increases the susceptibility to ischemic brain damage in hypertensive rats.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2017
    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

17 authors at 7 institutions in 3 countries.

Hanshu Zhao1 Department of Neurology, the First Affiliated Hospital of the Harbin Medical University, Harbin, China.
Rachel Nepomuceno2 Department of Neurology, University of Pittsburgh, Pittsburgh, USA.
Xin Gao2 Department of Neurology, University of Pittsburgh, Pittsburgh, USA.
Lesley M Foley4 Animal Imaging Center, University of Pittsburgh, Pittsburgh, USA.
Shaoxia Wang2 Department of Neurology, University of Pittsburgh, Pittsburgh, USA.
Gulnaz Begum2 Department of Neurology, University of Pittsburgh, Pittsburgh, USA.
Wen Zhu2 Department of Neurology, University of Pittsburgh, Pittsburgh, USA.
Victoria M Pigott2 Department of Neurology, University of Pittsburgh, Pittsburgh, USA.
Lindsay M Falgoust2 Department of Neurology, University of Pittsburgh, Pittsburgh, USA.
Kristopher T Kahle6 Department of Neurosurgery, Yale School of Medicine, New Haven, USA.
Sung-Sen Yang9 Division of Nephrology, Department of Medicine, Tri-Service General Hospital, Taipei, Taiwan.
Shih-Hua Lin9 Division of Nephrology, Department of Medicine, Tri-Service General Hospital, Taipei, Taiwan.
Seth L Alper11 Division of Nephrology, Beth Israel Deaconess Medical Center, Boston, USA.
T Kevin Hitchens4 Animal Imaging Center, University of Pittsburgh, Pittsburgh, USA.
Shaoshan Hu3 Department of Neurological Surgery, the Second Affiliated Hospital of the Harbin Medical University, Harbin, China.
Zhongling Zhang1 Department of Neurology, the First Affiliated Hospital of the Harbin Medical University, Harbin, China.
Dandan Sun2 Department of Neurology, University of Pittsburgh, Pittsburgh, USA.
University of Pittsburgh · USHarbin Medical University · CNTri-Service General Hospital · TWFirst Affiliated Hospital of Harbin Medical University · CNHarvard University · USImaging Center · USYale University · US

Funding

Na-K-Cl Contransporter in Cerebral IschemiaR01NS038118 · NINDS · UNIVERSITY OF WISCONSIN-MADISON · PI SUN, DANDAN · 2000 to 2018
$5.0M
Na-K-Cl cotransporter in Glioblastoma MultiformeR01NS075995 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SUN, DANDAN · 2011 to 2015
$1.8M
NINDS NIH HHS R01 NS038118NINDS NIH HHS R01 NS075995
6 · The paper itself

Abstract

The WNK-SPAK kinase signaling pathway controls renal NaCl reabsorption and systemic blood pressure by regulating ion transporters and channels. A WNK3-SPAK complex is highly expressed in brain, but its function in this organ remains unclear. Here, we investigated the role of this kinase complex in brain edema and white matter injury after ischemic stroke. Wild-type, WNK3 knockout, and SPAK heterozygous or knockout mice underwent transient middle cerebral artery occlusion. One cohort of mice underwent magnetic resonance imaging. Ex-vivo brains three days post-ischemia were imaged by slice-selective spin-echo diffusion tensor imaging magnetic resonance imaging, after which the same brain tissues were subjected to immunofluorescence staining. A second cohort of mice underwent neurological deficit analysis up to 14 days post-transient middle cerebral artery occlusion. Relative to wild-type mice, WNK3 knockout, SPAK heterozygous, and SPAK knockout mice each exhibited a >50% reduction in infarct size and associated cerebral edema, significantly less demyelination, and improved neurological outcomes. We conclude that WNK3-SPAK signaling regulates brain swelling, gray matter injury, and demyelination after ischemic stroke, and that WNK3-SPAK inhibition has therapeutic potential for treating malignant cerebral edema in the setting of middle cerebral artery stroke.

Indexed as

Gene DeletionAnimalsBrainBrain EdemaFemaleInfarction, Middle Cerebral ArteryMaleMice, Inbred C57BLMice, KnockoutMyelin SheathProtein Serine-Threonine KinasesWhite MatterProtein Serine-Threonine KinasesStk39 protein, mouseWnk3 protein, mousedemyelinationedemafractional anisotropymagnetic resonance imagingWNK3-SPAK

Identifiers

PMID26861815
PMCPMC5381450
OpenAlexW2258077270

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.