Evidence map›Paper›PMID 29737222›Full record

ReviewJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2018

Brain endothelial cell junctions after cerebral hemorrhage: Changes, mechanisms and therapeutic targets.

Richard F Keep, Anuska V Andjelkovic, Jianming Xiang, Svetlana M Stamatovic, David A Antonetti, Ya Hua, Guohua Xi

Abstract readReview
In one paragraph

Review in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

118 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. The neurobiological regulatory mechanism of brain edema.Frontiers in cellular neuroscience · 2026
    Review
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  19. Review
  20. Profiling Tight Junction Protein Expression in Brain Vascular Malformations.International journal of molecular sciences · 2025
    Article

58 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

7 authors.

Richard F Keep1 Department of Neurosurgery, University of Michigan Ann Arbor, MI, USA.
Anuska V Andjelkovic1 Department of Neurosurgery, University of Michigan Ann Arbor, MI, USA.
Jianming Xiang1 Department of Neurosurgery, University of Michigan Ann Arbor, MI, USA.
Svetlana M Stamatovic3 Department of Pathology, University of Michigan Ann Arbor, MI, USA.
David A Antonetti2 Department of Molecular and Integrative Physiology, University of Michigan Ann Arbor, MI, USA.
Ya Hua1 Department of Neurosurgery, University of Michigan Ann Arbor, MI, USA.
Guohua Xi1 Department of Neurosurgery, University of Michigan Ann Arbor, MI, USA.

Funding

MECHANISMS OF RETINAL VASCULAR PERMEABILITY IN DIABETESR01EY012021 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ANTONETTI, DAVID · 1998 to 2024
$8.6M
Claudin Expression Profiles and Blood Brain Barrier in AgingRF1AG057928 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ANDJELKOVIC-ZOCHOWSKA, ANUSKA V. · 2017 to 2017
$2.3M
Iron, minocycline and brain injury after intracerebral hemorrhageR01NS090925 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI XI, GUOHUA · 2015 to 2019
$1.7M
Targeting CD47 to aid in clearing intracerebral hemorrhagesR01NS096917 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HUA, YA, XI, GUOHUA · 2016 to 2020
$1.7M
Mechanisms of Brain Injury after Intraventricular HemorrhageR01NS073595 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI XI, GUOHUA · 2012 to 2016
$1.7M
Mechanisms of early brain injury after subarachnoid hemmorrhageR01NS079157 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI XI, GUOHUA · 2012 to 2016
$1.7M
Lipocalin-2 and Intracerebral Hemorrhage-induced Brain InjuryR21NS091545 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HUA, YA · 2015 to 2016
$427k
Perivascular astrocyte swelling after BBB disruptionR21NS093399 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KEEP, RICHARD F · 2015 to 2016
$426k
Influence of Brain Inflammation on the Occurrence of Embolic StrokeR21NS098211 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI STAMATOVIC, SVETLANA M · 2016 to 2017
$421k
Role of Cx43 signaling in cerebral cavernous malformation type-3 lesionR21NS098066 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ANDJELKOVIC-ZOCHOWSKA, ANUSKA V. · 2016 to 2017
$413k
NEI NIH HHS R01 EY012021NINDS NIH HHS R01 NS073595NINDS NIH HHS R01 NS079157NINDS NIH HHS R01 NS090925NINDS NIH HHS R01 NS096917NINDS NIH HHS R21 NS091545NINDS NIH HHS R21 NS093399NINDS NIH HHS R21 NS098066NINDS NIH HHS R21 NS098211
6 · The paper itself

Abstract

Vascular disruption is the underlying cause of cerebral hemorrhage, including intracerebral, subarachnoid and intraventricular hemorrhage. The disease etiology also involves cerebral hemorrhage-induced blood-brain barrier (BBB) disruption, which contributes an important component to brain injury after the initial cerebral hemorrhage. BBB loss drives vasogenic edema, allows leukocyte extravasation and may lead to the entry of potentially neurotoxic and vasoactive compounds into brain. This review summarizes current information on changes in brain endothelial junction proteins in response to cerebral hemorrhage (and clot-related factors), the mechanisms underlying junction modification and potential therapeutic targets to limit BBB disruption and, potentially, hemorrhage occurrence. It also addresses advances in the tools that are now available for assessing changes in junctions after cerebral hemorrhage and the potential importance of such junction changes. Recent studies suggest post-translational modification, conformational change and intracellular trafficking of junctional proteins may alter barrier properties. Understanding how cerebral hemorrhage alters BBB properties beyond changes in tight junction protein loss may provide important therapeutic insights to prevent BBB dysfunction and restore normal function.

Indexed as

AnimalsBlood-Brain BarrierBrainCerebral HemorrhageClaudin-5Endothelial CellsHumansIntercellular JunctionsOccludinZonula Occludens-1 ProteinClaudin-5OccludinZonula Occludens-1 ProteinAdherens junctionblood–brain barrierclaudin-5gap junctionintracerebral hemorrhageintraventricular hemorrhageoccludinsubarachnoid hemorrhagetight junctionzonula occludens-1

Identifiers

PMID29737222
PMCPMC6092767

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.