Evidence map›Paper›PMID 28900857›Full record

ArticleTranslational stroke research2018

Endovascular Biopsy: In Vivo Cerebral Aneurysm Endothelial Cell Sampling and Gene Expression Analysis.

Daniel L Cooke, David B McCoy, Van V Halbach, Steven W Hetts, Matthew R Amans, Christopher F Dowd, Randall T Higashida, Devon Lawson, Jeffrey Nelson, Chih-Yang Wang and 6 more

Abstract read
In one paragraph

Article in Translational stroke research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 26% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Endovascular biopsy in neurointerventional surgery: A systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Pooled it
  2. Gene therapy for intracranial aneurysms: systemic review.Journal of neurointerventional surgery · 2025
    Pooled it
  3. Pooled it
  4. Towards precision medicine for brain arteriovenous malformations.The Journal of clinical investigation · 2026
    Review
  5. Review
  6. Article
  7. Review
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  9. Article
  10. Spatially resolved transcriptomics for evaluation of intracranial vessels in a rabbit model: Proof of concept.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  11. Functionalized Spiral-Rolling Millirobot for Upstream Swimming in Blood Vessel.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2022
    Article
  12. Article
  13. Article
  14. Review of treatment and therapeutic targets in brain arteriovenous malformation.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Review
  15. Article
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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

16 authors at 3 institutions in 1 country.

Daniel L CookeUniversity of California San Francisco, San Francisco, CA, USA. Daniel.cooke@ucsf.edu.
David B McCoyZuckerberg San Francisco General Hospital and Trauma Center, San Francisco, CA, USA.
Van V HalbachUniversity of California San Francisco, San Francisco, CA, USA.
Steven W HettsUniversity of California San Francisco, San Francisco, CA, USA.
Matthew R AmansUniversity of California San Francisco, San Francisco, CA, USA.
Christopher F DowdUniversity of California San Francisco, San Francisco, CA, USA.
Randall T HigashidaUniversity of California San Francisco, San Francisco, CA, USA.
Devon LawsonUniversity of California Irvine, Irvine, CA, USA.
Jeffrey NelsonUniversity of California San Francisco, San Francisco, CA, USA.
Chih-Yang WangUniversity of California San Francisco, San Francisco, CA, USA.
Helen KimUniversity of California San Francisco, San Francisco, CA, USA.
Zena WerbUniversity of California San Francisco, San Francisco, CA, USA.
Charles McCullochUniversity of California San Francisco, San Francisco, CA, USA.
Tomoki HashimotoUniversity of California San Francisco, San Francisco, CA, USA.
Hua SuUniversity of California San Francisco, San Francisco, CA, USA.
Zhengda SunUniversity of California San Francisco, San Francisco, CA, USA.
University of California, San Francisco · USSan Francisco General Hospital · USUniversity of California, Irvine · US

Funding

Role of Metalloproteinases in Mammary Gland RemodelingR01CA057621 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WERB, ZENA · 1993 to 2017
$9.0M
Intracranial Aneurysm Pathogenesis-Roles of Vascular Remodeling and InflammationR01NS055876 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HASHIMOTO, TOMOKI · 2007 to 2015
$3.0M
The Role of Mast Cells in the Pathophysiology of Intracranial AneurysmR01NS082280 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HASHIMOTO, TOMOKI · 2013 to 2017
$1.7M
NCI NIH HHS R01 CA057621NINDS NIH HHS R01 NS055876NINDS NIH HHS R01 NS082280
6 · The paper itself

Abstract

There is limited data describing endothelial cell (EC) gene expression between aneurysms and arteries partly because of risks associated with surgical tissue collection. Endovascular biopsy (EB) is a lower risk alternative to conventional surgical methods, though no such efforts have been attempted for aneurysms. We sought (1) to establish the feasibility of EB to isolate viable ECs by fluorescence-activated cell sorting (FACS), (2) to characterize the differences in gene expression by anatomic location and rupture status using single-cell qPCR, and (3) to demonstrate the utility of unsupervised clustering algorithms to identify cell subpopulations. EB was performed in 10 patients (5 ruptured, 5 non-ruptured). FACS was used to isolate the ECs and single-cell qPCR was used to quantify the expression of 48 genes. Linear mixed models and exploratory multilevel component analysis (MCA) and self-organizing maps (SOMs) were performed to identify possible subpopulations of cells. ECs were collected from all aneurysms and there were no adverse events. A total of 437 ECs was collected, 94 (22%) of which were aneurysmal cells and 319 (73%) demonstrated EC-specific gene expression. Ruptured aneurysm cells, relative controls, yielded a median p value of 0.40 with five genes (10%) with p values < 0.05. The five genes (TIE1, ENG, VEGFA, MMP2, and VWF) demonstrated uniformly reduced expression relative the remaining ECs. MCA and SOM analyses identified a population of outlying cells characterized by cell marker gene expression profiles different from endothelial cells. After removal of these cells, no cell clustering based on genetic co-expressivity was found to differentiate aneurysm cells from control cells. Endovascular sampling is a reliable method for cell collection for brain aneurysm gene analysis and may serve as a technique to further vascular molecular research. There is utility in combining mixed and clustering methods, despite no specific subpopulation identified in this trial.

Indexed as

BiopsyEndoglinEndothelial CellsEndothelium, VascularEndovascular ProceduresFemaleFlow CytometryGene ExpressionHumansIntracranial AneurysmMaleMatrix Metalloproteinase 2Receptor, TIE-1Vascular Endothelial Growth Factor Avon Willebrand FactorEndoglinENG protein, humanMatrix Metalloproteinase 2MMP2 protein, humanReceptor, TIE-1Vascular Endothelial Growth Factor AVEGFA protein, humanvon Willebrand FactorCerebral aneurysmCerebrovascular proceduresEndotheliumGene expressionVascular biology

Identifiers

PMID28900857
PMCPMC6040584
OpenAlexW2755705685

What OpenQuestion holds

Textmetadata
LicenceTDM
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.