Evidence map›Paper›PMID 30422362›Full record

ArticleThe European journal of neuroscience2019

Inhibition of calcium/calmodulin-dependent protein kinase kinase (CaMKK) exacerbates impairment of endothelial cell and blood-brain barrier after stroke.

Ping Sun, Fan Bu, Jia-Wei Min, Yashasvee Munshi, Matthew D Howe, Lin Liu, Edward C Koellhoffer, Li Qi, Louise D McCullough, Jun Li

Open access · greenAbstract read
In one paragraph

Article in The European journal of neuroscience, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

27 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
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  3. Article
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  6. Article
  7. Understanding the Blood-Brain Barrier: From Physiology to Pathology.Advances in experimental medicine and biology · 2025
    Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Myeloid-derived MIF drives RIPK1-mediated cerebromicrovascular endothelial cell death to exacerbate ischemic brain injury.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  14. Article
  15. Molecular Mechanisms Underlying CaInternational journal of molecular sciences · 2022
    Review
  16. Review
  17. Review
  18. Article
  19. Review
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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

10 authors at 1 institution in 1 country.

Ping SunDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas.ORCID 0000-0001-6307-3723
Fan BuDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas.
Jia-Wei MinDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas.
Yashasvee MunshiDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas.
Matthew D HoweDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas.
Lin LiuDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas.
Edward C KoellhofferDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas.
Li QiDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas.
Louise D McCulloughDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas.
Jun LiDepartment of Neurology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas.
The University of Texas Health Science Center · US

Funding

Neuronal and Astrocytic Interaction in Recovery after StrokeR01NS099628 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LI, JUN · 2016 to 2020
$1.7M
The Role of CaMK Cascade in StrokeR01NS078446 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LI, JUN · 2012 to 2016
$1.7M
NINDS NIH HHS R01 NS078446NINDS NIH HHS R01 NS099628
6 · The paper itself

Abstract

Brain microvascular endothelial cells play an essential role in maintaining blood-brain barrier (BBB) integrity, and disruption of the BBB aggravates the ischemic injury. CaMKK (α and β) is a major kinase activated by elevated intracellular calcium. Previously, we demonstrated that inhibition of CaMKK exacerbated outcomes, conversely, overexpression reduced brain injury after stroke in mice. Interestingly, CaMKK has been shown to activate a key endothelial protector, sirtuin 1 (SIRT1). We hypothesized that CaMKK protects brain endothelial cells via SIRT1 activation after stroke. In this study, Oxygen-Glucose Deprivation (OGD) was performed in human brain microvascular endothelial cells. Stroke was induced by middle cerebral artery occlusion (MCAO) in male mice. Knockdown of CaMKK β using siRNA increased cell death following OGD. Inhibition of CaMKK β by STO-609 significantly and selectively down-regulated levels of phosphorylated SIRT1 after OGD. Changes in the downstream targets of SIRT1 were observed following STO-609 treatment. The effect of STO-609 on cell viability after OGD was absent, when SIRT1 was concurrently inhibited. We also demonstrated that STO-609 increased endothelial expression of the pro-inflammatory proteins ICAM-1 and VCAM-1 and inhibition of CaMKK exacerbated OGD-induced leukocyte-endothelial adhesion. Finally, intracerebroventricular injection of STO-609 exacerbated endothelial apoptosis and reduced BBB integrity after 24-hr reperfusion following MCAO in vivo. Collectively, these results demonstrated that CaMKK inhibition reduced endothelial cell viability, exacerbated inflammatory responses and aggravated BBB impairment after ischemia. CaMKK activation may attenuate ischemic brain injury via protection of the microvascular system and a reduction in the infiltration of pro-inflammatory factors.

Indexed as

AnimalsBenzimidazolesBlood-Brain BarrierBrain IschemiaCalcium-Calmodulin-Dependent Protein Kinase KinaseCell DeathCells, CulturedEndothelial CellsHumansMaleMice, Inbred C57BLNaphthalimidesSirtuin 1StrokeBenzimidazolesCalcium-Calmodulin-Dependent Protein Kinase KinaseNaphthalimidesSIRT1 protein, humanSirtuin 1STO 609blood-brain barriercalcium/calmodulin-dependent protein kinase kinaseendothelial cellssirtuin 1stroke

Identifiers

PMID30422362
PMCPMC6590081
OpenAlexW2900880189

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.