Evidence map›Paper›PMID 27049383›Full record

ReviewInternational journal of molecular sciences2016

Aneurysmal Subarachnoid Hemorrhage and Neuroinflammation: A Comprehensive Review.

Brandon P Lucke-Wold, Aric F Logsdon, Branavan Manoranjan, Ryan C Turner, Evan McConnell, George Edward Vates, Jason D Huber, Charles L Rosen, J Marc Simard

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 184 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
184citing papers in PubMed, 2 pooled it
14.6field-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

184 citing papers in PubMed, 2 syntheses or guidelines pooled it, 307 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Observational
  8. Toll like receptor 4 (TLR4) in neuroinflammation: From acute hemorrhagic stroke to chronic neurodegeneration.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  9. Article
  10. Article
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  12. Observational
  13. Article
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  15. Observational
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  18. Article
  19. Early changes in inflammation-related proteins in the cerebrospinal fluid and plasma of patients with aneurysmal subarachnoid hemorrhage.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2025
    Article
  20. Article

124 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

9 authors at 3 institutions in 1 country.

Brandon P Lucke-WoldDepartment of Neurosurgery, West Virginia University School of Medicine, Morgantown, WV 26505, USA. Bwold@mix.wvu.edu.
Aric F LogsdonDepartment of Basic Pharmaceutical Sciences, West Virginia University School of Pharmacy, Morgantown, WV 26505, USA. logsdoa@gmail.com.
Branavan ManoranjanMcMaster Stem Cell and Cancer Research Institute, Michael G. DeGroote School of Medicine, Hamilton, ON L8S 4K1, Canada. branavan.manoranjan@medportal.ca.
Ryan C TurnerDepartment of Neurosurgery, West Virginia University School of Medicine, Morgantown, WV 26505, USA. rcturner@hsc.wvu.edu.
Evan McConnellDepartment of Neurobiology and Anatomy, University of Rochester Medical Center, Rochester, NY 14642, USA. evan_mcconnell@urmc.rochester.edu.
George Edward VatesDepartment of Neurobiology and Anatomy, University of Rochester Medical Center, Rochester, NY 14642, USA. edward_vates@urmc.rochester.edu.
Jason D HuberDepartment of Basic Pharmaceutical Sciences, West Virginia University School of Pharmacy, Morgantown, WV 26505, USA. jdhuber@hsc.wvu.edu.
Charles L RosenDepartment of Neurosurgery, West Virginia University School of Medicine, Morgantown, WV 26505, USA. crosen@hsc.wvu.edu.
J Marc SimardDepartments of Neurosurgery, Pathology, and Physiology, University of Maryland School of Medicine, Baltimore, MD 21201, USA. msimard@smail.umaryland.edu.
West Virginia University · USUniversity of Rochester Medical Center · USUniversity of Maryland, Baltimore · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

Aneurysmal subarachnoid hemorrhage (SAH) can lead to devastating outcomes including vasospasm, cognitive decline, and even death. Currently, treatment options are limited for this potentially life threatening injury. Recent evidence suggests that neuroinflammation plays a critical role in injury expansion and brain damage. Red blood cell breakdown products can lead to the release of inflammatory cytokines that trigger vasospasm and tissue injury. Preclinical models have been used successfully to improve understanding about neuroinflammation following aneurysmal rupture. The focus of this review is to provide an overview of how neuroinflammation relates to secondary outcomes such as vasospasm after aneurysmal rupture and to critically discuss pharmaceutical agents that warrant further investigation for the treatment of subarachnoid hemorrhage. We provide a concise overview of the neuroinflammatory pathways that are upregulated following aneurysmal rupture and how these pathways correlate to long-term outcomes. Treatment of aneurysm rupture is limited and few pharmaceutical drugs are available. Through improved understanding of biochemical mechanisms of injury, novel treatment solutions are being developed that target neuroinflammation. In the final sections of this review, we highlight a few of these novel treatment approaches and emphasize why targeting neuroinflammation following aneurysmal subarachnoid hemorrhage may improve patient care. We encourage ongoing research into the pathophysiology of aneurysmal subarachnoid hemorrhage, especially in regards to neuroinflammatory cascades and the translation to randomized clinical trials.

Indexed as

AnimalsBrainCytokinesHumansInflammationPeptide HydrolasesSubarachnoid HemorrhageVasoconstrictionCytokinesPeptide Hydrolasesaneurysmal subarachnoid hemorrhagecerebral vasospasmneuroinflammationnovel treatments

Identifiers

PMID27049383
PMCPMC4848953
OpenAlexW2314523849

What OpenQuestion holds

Textmetadata
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.