Evidence map›Paper›PMID 30118341›Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2018

Poststroke cognitive impairment and hippocampal neurovascular remodeling: the impact of diabetes and sex.

Rebecca Ward, John Paul Valenzuela, Weiguo Li, Guangkuo Dong, Susan C Fagan, Adviye Ergul

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in American journal of physiology. Heart and circulatory physiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.4field-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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  11. Rodent Models of Post-Stroke Dementia.International journal of molecular sciences · 2022
    Review
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  14. Article
  15. More than motor impairment: A spatiotemporal analysis of cognitive impairment and associated neuropathological changes following cortical photothrombotic stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Article
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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

6 authors at 2 institutions in 1 country.

Rebecca WardDepartments of Neuroscience and Regenerative Medicine, Augusta University , Augusta, Georgia.ORCID 0000-0001-6752-5600
John Paul ValenzuelaDepartment of Physiology, Augusta University , Augusta, Georgia.
Weiguo LiDepartment of Physiology, Augusta University , Augusta, Georgia.
Guangkuo DongDepartment of Physiology, Augusta University , Augusta, Georgia.
Susan C FaganCharlie Norwood Veterans Administration Medical Center , Augusta, Georgia.
Adviye ErgulDepartment of Physiology, Augusta University , Augusta, Georgia.
Augusta University · USUniversity of Georgia · US

Funding

Vascular Injury and Recovery in Diabetic Ischemic StrokeR01NS083559 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ERGUL, ADVIYE · 2014 to 2018
$1.9M
Mechanisms of Vascular Protection after Acute StrokeR01NS063965 · NINDS · UNIVERSITY OF GEORGIA · PI FAGAN, SUSAN C · 2009 to 2013
$1.4M
Angiotensin receptor agonism to promote recovery after strokeR21NS088016 · NINDS · UNIVERSITY OF GEORGIA · PI FAGAN, SUSAN C · 2014 to 2015
$645k
Cerebral Arteriole Structure/Function in Diabetic Ischemic Brain InjuryI01BX000347 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI ERGUL, ADVIYE · 2009 to 2025
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BLRD VA I01 BX000347BLRD VA I01 BX000891NINDS NIH HHS R01 NS063965NINDS NIH HHS R01 NS083559NINDS NIH HHS R21 NS088016
6 · The paper itself

Abstract

Diabetes increases the risk and severity of cognitive impairment, especially after ischemic stroke. Pathological remodeling of the cerebrovasculature has been postulated to contribute to poor neuronal repair and worsened cognitive deficits in diabetes. However, little is known about the effect of diabetes on the vascularization of hippocampus, a domain critical to memory and learning. Therefore, we had two aims for this study: 1) to determine the impact of diabetes on hippocampal neurovascular remodeling and the resulting cognitive impairment after stroke using two models with varying disease severity, and 2) to compare the effects of ischemia on hippocampal neurovascular injury in diabetic male and female animals. Stroke was induced by middle cerebral artery occlusion (MCAO) by either the suture or embolic method in control and diabetic age-matched male and female Wistar rats. Hippocampal neuronal density, vascular architecture, and microglial activation as well as cognitive outcomes were measured. Embolic MCAO induced greater neuronal degeneration, pathological vascularization, microglial activation, and cognitive impairment in diabetes as compared with control animals or 60-min MCAO. Although diabetic males had lower neuronal density at baseline, diabetic females had more neurodegeneration after stroke. Control animals recovered cognitive function by day 14 after stroke; diabetic animals showed deficits regardless of sex. These results suggest that mechanisms underlying cognitive decline in diabetes may differ in males and females and provide further insight to the impact of diabetes on stroke severity and poststroke cognitive impairment. NEW & NOTEWORTHY The present study is the first to provide comparative information on the effects of diabetes and ischemia on cognitive outcomes in both sexes while also evaluating the neurovascular structure in the hippocampus, a critical region for cognitive and memory-related tasks.

Indexed as

Behavior, AnimalCognitionNeovascularization, PathologicNerve DegenerationAnimalsCognition DisordersDiabetes Mellitus, ExperimentalDiet, High-FatFemaleHippocampusInfarction, Middle Cerebral ArteryMaleMicrogliaNeuronsRats, WistarRecovery of FunctionStreptozocinblood vesselscognitionmemoryneurodegenerationtype 2 diabetes

Identifiers

PMID30118341
PMCPMC6297815
OpenAlexW2886501614

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.