Evidence map›Paper›PMID 29295526›Full record

ArticleInternational journal of molecular sciences2017

Inhibition of Aquaporin-4 Improves the Outcome of Ischaemic Stroke and Modulates Brain Paravascular Drainage Pathways.

Ionica Pirici, Tudor Adrian Balsanu, Catalin Bogdan, Claudiu Margaritescu, Tamir Divan, Vacaras Vitalie, Laurentiu Mogoanta, Daniel Pirici, Roxana Octavia Carare, Dafin Fior Muresanu

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

58 citing papers in PubMed, 90 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Glymphatic system: a self-purification circulation in brain.Frontiers in cellular neuroscience · 2025
    Review
  14. Channels and Transporters in Ischemic Brain Edema.Journal of inflammation research · 2025
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review
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

10 authors at 3 institutions in 2 countries.

Ionica PiriciDepartment of Human Anatomy, University of Medicine and Pharmacy of Craiova, Craiova 200349, Romania. danapirici@yahoo.com.
Tudor Adrian BalsanuDepartment of Physiology, University of Medicine and Pharmacy of Craiova, Craiova 200349, Romania. adibalseanu@yahoo.com.
Catalin BogdanDepartment of Physiology, University of Medicine and Pharmacy of Craiova, Craiova 200349, Romania. bogdan.catalin@yahoo.co.uk.ORCID 0000-0002-5706-8722
Claudiu MargaritescuDepartment of Pathology, University of Medicine and Pharmacy of Craiova, Craiova 200349, Romania. c_margaritescu2000@yahoo.com.
Tamir DivanDepartment of Research Methodology, University of Medicine and Pharmacy of Craiova, Petru Rares Street 2, Craiova 200349, Romania. divantamir@gmail.com.
Vacaras VitalieDepartment of Clinical Neurosciences, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca 400000, Romania. vvacaras@umfcluj.ro.
Laurentiu MogoantaDepartment of Histology, University of Medicine and Pharmacy of Craiova, Craiova 200349, Romania. laurentiu_mogoanta@yahoo.com.
Daniel PiriciDepartment of Research Methodology, University of Medicine and Pharmacy of Craiova, Petru Rares Street 2, Craiova 200349, Romania. danielpirici@yahoo.com.
Roxana Octavia CarareFaculty of Medicine, University of Southampton, Southampton SO17 1BJ, UK. r.o.carare@soton.ac.uk.
Dafin Fior MuresanuDepartment of Clinical Neurosciences, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca 400000, Romania. dafinm@ssnn.ro.
University of Medicine and Pharmacy of Craiova · ROIuliu Hațieganu University of Medicine and Pharmacy · ROUniversity of Southampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aquaporin-4 (AQP4) is the most abundant water channel in the brain, and its inhibition before inducing focal ischemia, using the AQP4 inhibitor TGN-020, has been showed to reduce oedema in imaging studies. Here, we aimed to evaluate, for the first time, the histopathological effects of a single dose of TGN-020 administered after the occlusion of the medial cerebral artery (MCAO). On a rat model of non-reperfusion ischemia, we have assessed vascular densities, albumin extravasation, gliosis, and apoptosis at 3 and 7 days after MCAO. TGN-020 significantly reduced oedema, glial scar, albumin effusion, and apoptosis, at both 3 and 7 days after MCAO. The area of GFAP-positive gliotic rim decreased, and 3D fractal analysis of astrocytic processes revealed a less complex architecture, possibly indicating water accumulating in the cytoplasm. Evaluation of the blood vessels revealed thicker basement membranes colocalizing with exudated albumin in the treated animals, suggesting that inhibition of AQP4 blocks fluid flow towards the parenchyma in the paravascular drainage pathways of the interstitial fluid. These findings suggest that a single dose of an AQP4 inhibitor can reduce brain oedema, even if administered after the onset of ischemia, and AQP4 agonists/antagonists might be effective modulators of the paravascular drainage flow.

Indexed as

DrainageAlbuminsAnimalsApoptosisAquaporin 4ArteriesBrainBrain IschemiaCaspase 3Disease Models, AnimalEdemaExtravasation of Diagnostic and Therapeutic MaterialsGliosisInfarction, Middle Cerebral ArteryMotor ActivityNiacinamide2-(nicotinamide)-1,3,4-thiadiazoleAlbuminsAquaporin 4Caspase 3NiacinamideThiadiazolesaquaporin-4 inhibitionbasement membranesischemic strokenon-reperfusion ischemiaparavascular drainage

Identifiers

PMID29295526
PMCPMC5795996
OpenAlexW2779234199

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.