Evidence map›Paper›PMID 30014540›Full record

ArticleAnnals of neurology2018

Spreading depolarizations trigger caveolin-1-dependent endothelial transcytosis.

Homa Sadeghian, Baptiste Lacoste, Tao Qin, Xavier Toussay, Roberto Rosa, Fumiaki Oka, David Y Chung, Tsubasa Takizawa, Chenghua Gu, Cenk Ayata

Abstract read
In one paragraph

Article in Annals of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
4.7field-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

67 citing papers in PubMed, 103 citations in OpenAlex.

  1. Review
  2. Haemorrhage, hypercoagulability and ischaemia: Evolution of brain injury after aneurysmal subarachnoid haemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
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  17. The novel ROCK2 selective inhibitor NRL-1049 preserves the blood-brain barrier after acute injury.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
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7 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

10 authors at 4 institutions in 2 countries.

Homa SadeghianFrom the Neurovascular Research Laboratory, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA.
Baptiste LacosteThe Ottawa Hospital Research Institute, Neuroscience Program, Ottawa, ON, Canada.
Tao QinFrom the Neurovascular Research Laboratory, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA.
Xavier ToussayThe Ottawa Hospital Research Institute, Neuroscience Program, Ottawa, ON, Canada.
Roberto RosaDepartment of Neurobiology, Harvard Medical School, Boston, MA.
Fumiaki OkaFrom the Neurovascular Research Laboratory, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA.
David Y ChungFrom the Neurovascular Research Laboratory, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA.
Tsubasa TakizawaFrom the Neurovascular Research Laboratory, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA.
Chenghua GuDepartment of Neurobiology, Harvard Medical School, Boston, MA.
Cenk AyataFrom the Neurovascular Research Laboratory, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA.
Harvard University · USMassachusetts General Hospital · USOttawa Hospital Research InstituteUniversity of Ottawa · CA

Funding

Targeting ROCK for Neurogliovascular Plasticity & Remodeling After StrokeP01NS055104 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI LO, ENG H. · 2007 to 2018
$13.3M
Neuroscience Resident Research ProgramR25NS065743 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S, WILLIAMS, ZIV · 2009 to 2023
$11.8M
New tools for understanding the blood brain barrierDP1NS092473 · NINDS · HARVARD MEDICAL SCHOOL · PI GU, CHENGHUA · 2014 to 2018
$4.2M
Non-invasive vagus nerve stimulation targeting cortical spreading depression in migrane prophylaxisR01NS102969 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI AYATA, CENK · 2017 to 2021
$1.9M
Neural & Vascular Dysfunction As Mechanisms of Injury in Genetic Migraine ModelsR01NS061505 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI AYATA, CENK · 2008 to 2012
$1.8M
Howard Hughes Medical InstituteNINDS NIH HHS DP1 NS092473NINDS NIH HHS P01 NS055104NINDS NIH HHS P01NS055104NINDS NIH HHS R01 NS061505NINDS NIH HHS R01 NS102969NINDS NIH HHS R01NS102969NINDS NIH HHS R25 NS065743NINDS NIH HHS R25NS065743
6 · The paper itself

Abstract

objectiveCortical spreading depolarizations (CSDs) are intense and ubiquitous depolarization waves relevant for the pathophysiology of migraine and brain injury. CSDs disrupt the blood-brain barrier (BBB), but the mechanisms are unknown.

methodsA total of six CSDs were evoked over 1 hour by topical application of 300 mM of KCl or optogenetically with 470 nm (blue) LED over the right hemisphere in anesthetized mice (C57BL/6 J wild type, Thy1-ChR2-YFP line 18, and cav-1

resultsWe show that CSD-induced BBB opening to water and large molecules is mediated by increased endothelial transcytosis starting between 3 and 6 hours and lasting approximately 24 hours. Endothelial tight junctions, pericytes, and basement membrane remain preserved after CSDs. Moreover, we show that CSD-induced BBB disruption is exclusively caveolin-1-dependent and requires rho-kinase 2 activity. Importantly, hyperoxia failed to prevent CSD-induced BBB breakdown, suggesting that the latter is independent of tissue hypoxia.

interpretationOur data elucidate the mechanisms by which CSDs lead to transient BBB disruption, with diagnostic and therapeutic implications for migraine and brain injury.

Indexed as

AnimalsBlood-Brain BarrierCaveolin 1Cortical Spreading DepressionEndotheliumMaleMice, Inbred C57BLMice, TransgenicMigraine DisordersPericytesTight JunctionsTranscytosisCaveolin 1

Identifiers

PMID30014540
PMCPMC6153037
OpenAlexW2883139656

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.