Evidence map›Paper›PMID 29774054›Full record

ArticleTherapeutic advances in neurological disorders2018

Beta adrenoceptor blockade ameliorates impaired glucose tolerance and alterations of the cerebral ceramide metabolism in an experimental model of ischemic stroke.

Sebastian Luger, Annette Schwebler, Rajkumar Vutukuri, Nerea Ferreiros Bouzas, Sandra Labocha, Yannick Schreiber, Robert Brunkhorst, Helmuth Steinmetz, Josef Pfeilschifter, Waltraud Pfeilschifter

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Translatome analysis in acute ischemic stroke: Astrocytes and microglia exhibit differences in poststroke alternative splicing of expressed transcripts.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Article
  5. Article
  6. Article
  7. Ceramide in cerebrovascular diseases.Frontiers in cellular neuroscience · 2023
    Review
  8. Review
  9. Review
  10. Article
  11. Article
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 1 institution in 1 country.

Sebastian LugerDepartment of Neurology, Goethe University, Frankfurt am Main, Germany; Institute of General Pharmacology and Toxicology, Goethe University, Frankfurt am Main, Germany.
Annette SchweblerDepartment of Neurology, Goethe University, Frankfurt am Main, Germany.
Rajkumar VutukuriInstitute of General Pharmacology and Toxicology, Goethe University, Frankfurt am Main, Germany.
Nerea Ferreiros BouzasInstitute of Clinical Pharmacology, Goethe University, Frankfurt am Main, Germany.
Sandra LabochaInstitute of Clinical Pharmacology, Goethe University, Frankfurt am Main, Germany.
Yannick SchreiberInstitute of Clinical Pharmacology, Goethe University, Frankfurt am Main, Germany.
Robert BrunkhorstDepartment of Neurology, Goethe University, Frankfurt am Main, Germany; Institute of General Pharmacology and Toxicology, Goethe University, Frankfurt am Main, Germany.
Helmuth SteinmetzDepartment of Neurology, Goethe University, Frankfurt am Main, Germany.
Josef PfeilschifterInstitute of General Pharmacology and Toxicology, Goethe University, Frankfurt am Main, Germany.
Waltraud PfeilschifterDepartment of Neurology, Goethe University, Neurovascular Lipid Signalling Group (NLSG), Schleusenweg 2-16, Frankfurt am Main, 60528, Germany.ORCID https://orcid.org/0000-0001-6935-8842
Goethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSphingolipids are versatile signaling molecules derived from membrane lipids of eukaryotic cells. Ceramides regulate cellular processes such as proliferation, differentiation and apoptosis and are involved in cellular stress responses. Experimental evidence suggests a pivotal role of sphingolipids in the pathogenesis of cardiovascular diseases, including ischemic stroke. A neuroprotective effect has been shown for beta-adrenergic antagonists in rodent stroke models and supported by observational clinical data. However, the exact underlying pathophysiological mechanisms are still under investigation. We aimed to examine the influence of propranolol on the ceramide metabolism in the stroke-affected brain.

methodsMice were subjected to 60 or 180 min transient middle cerebral artery occlusion (tMCAO) and infarct size, functional neurological deficits, glucose tolerance, and brain ceramide levels were assessed after 12, 24, and 72 h to evaluate whether the latter two processes occur in a similar time frame. Next, we assessed the effects of propranolol (10 mg/kg bw) at 0, 4 and 8 h after tMCAO and FTY720 (fingolimod; 1 mg/kg) on infarct size, functional outcome, immune cell counts and brain ceramide levels at 24 h after 60 min tMCAO.

resultsWe found a temporal coincidence between stroke-associated impaired glucose tolerance and brain ceramide accumulation. Whereas propranolol reduced ischemic lesion size, improved functional outcome and reduced brain ceramide accumulation without an effect on circulating immune cells, FTY720 showed the known neuroprotective effect and strong reduction of circulating immune cells without affecting brain ceramide accumulation.

conclusionsPropranolol ameliorates both stroke-associated impairment of glucose tolerance and brain ceramide accumulation which are temporally linked, strengthening the evidence for a role of the sympathetic nervous system in regulating post-stroke glucose metabolism and its metabolic consequences in the brain.

Indexed as

beta blockadeceramidesFTY720glucose metabolismhyperglycemiasphingolipidsstroke

Identifiers

PMID29774054
PMCPMC5949927
OpenAlexW2800777808

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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.