Evidence map›Paper›PMID 29251628›Full record

ArticleThe Journal of clinical investigation2018

Erythrocyte efferocytosis modulates macrophages towards recovery after intracerebral hemorrhage.

Che-Feng Chang, Brittany A Goods, Michael H Askenase, Matthew D Hammond, Stephen C Renfroe, Arthur F Steinschneider, Margaret J Landreneau, Youxi Ai, Hannah E Beatty, Luís Henrique Angenendt da Costa and 10 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

120 citing papers in PubMed, 227 citations in OpenAlex.

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  6. Single-cell analysis of microglia and monocyte dynamics uncovers distinct TNF-driven neuroimmune signatures in humans after intracerebral hemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Article
  7. Phagocytosis is crucial for brain repair.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Article
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60 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

20 authors at 5 institutions in 6 countries.

Che-Feng ChangDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Brittany A GoodsDepartment of Biological Engineering, Koch Institute for Integrative Cancer Research at Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Michael H AskenaseDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Matthew D HammondDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Stephen C RenfroeDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Arthur F SteinschneiderDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Margaret J LandreneauDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Youxi AiDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Hannah E BeattyDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Luís Henrique Angenendt da CostaDepartment of Neurosciences and Behavioral Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, Brazil.
Matthias MackDepartment of Internal Medicine (Nephrology), University of Regensburg, Regensburg, Germany.
Kevin N ShethDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
David M GreerDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Anita HuttnerDepartment of Pathology.
Daniel ComanDepartment of Diagnostic Radiology and Biomedical Engineering.
Fahmeed HyderDepartment of Diagnostic Radiology and Biomedical Engineering.
Sourav GhoshDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Carla V RothlinDepartment of Pharmacology, and.
J Christopher LoveChemical Engineering, Koch Institute for Integrative Cancer Research at Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Lauren H SansingDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Yale University · USCentre de Recherche en Sciences et Technologies de l'Information et de la Communication · FRMassachusetts Institute of Technology · USUniversidade de São Paulo · BRUniversity of Regensburg · DE

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NeurophysiologicP30NS052519 · NINDS · YALE UNIVERSITY · PI HYDER, DEWAN SYED FAHMEED · 2007 to 2017
$6.7M
TAM receptor tyrosine kinases in inflammatory boweldiseaseR01AI089824 · NIAID · YALE UNIVERSITY · PI ROTHLIN, CARLA · 2010 to 2018
$3.9M
An innate immune checkpoint in cancer immunotherapy.R01CA212376 · NCI · YALE UNIVERSITY · PI GHOSH, SOURAV, ROTHLIN, CARLA · 2017 to 2021
$3.1M
Efferocytosis and the resolution of inflammation after intracerebral hemorrhageR01NS095993 · NINDS · YALE UNIVERSITY · PI SANSING, LAUREN H · 2016 to 2020
$1.8M
Targeting Myeloid Populations to Reduce Injury after Intracerebral HemorrhageK08NS078110 · NINDS · YALE UNIVERSITY · PI SANSING, LAUREN H · 2012 to 2016
$938k
Modulating Monocyte Responses to Reduce Injury after Intracerebral HemorrhageR21NS088972 · NINDS · YALE UNIVERSITY · PI SANSING, LAUREN H · 2014 to 2015
$458k
NCATS NIH HHS UL1 TR001863NCI NIH HHS R01 CA212376NIAID NIH HHS R01 AI089824NINDS NIH HHS K08 NS078110NINDS NIH HHS P30 NS052519NINDS NIH HHS R01 NS095993NINDS NIH HHS R21 NS088972
6 · The paper itself

Abstract

Macrophages are a source of both proinflammatory and restorative functions in damaged tissue through complex dynamic phenotypic changes. Here, we sought to determine whether monocyte-derived macrophages (MDMs) contribute to recovery after acute sterile brain injury. By profiling the transcriptional dynamics of MDMs in the murine brain after experimental intracerebral hemorrhage (ICH), we found robust phenotypic changes in the infiltrating MDMs over time and demonstrated that MDMs are essential for optimal hematoma clearance and neurological recovery. Next, we identified the mechanism by which the engulfment of erythrocytes with exposed phosphatidylserine directly modulated the phenotype of both murine and human MDMs. In mice, loss of receptor tyrosine kinases AXL and MERTK reduced efferocytosis of eryptotic erythrocytes and hematoma clearance, worsened neurological recovery, exacerbated iron deposition, and decreased alternative activation of macrophages after ICH. Patients with higher circulating soluble AXL had poor 1-year outcomes after ICH onset, suggesting that therapeutically augmenting efferocytosis may improve functional outcomes by both reducing tissue injury and promoting the development of reparative macrophage responses. Thus, our results identify the efferocytosis of eryptotic erythrocytes through AXL/MERTK as a critical mechanism modulating macrophage phenotype and contributing to recovery from ICH.

Indexed as

AnimalsApoptosisAxl Receptor Tyrosine KinaseBrain InjuriesCerebral Hemorrhagec-Mer Tyrosine KinaseErythrocytesHematomaHumansImmunity, InnateInflammationMacrophagesMaleMiceMice, Inbred C57BLMice, TransgenicAxl Receptor Tyrosine Kinasec-Mer Tyrosine KinaseMertk protein, mouseProto-Oncogene ProteinsReceptor Protein-Tyrosine KinasesInflammationInnate immunityMacrophagesNeuroscienceStroke

Identifiers

PMID29251628
PMCPMC5785262
OpenAlexW2772514947

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.