Evidence map›Paper›PMID 30467816›Full record

ArticleTranslational stroke research2019

The Contractile Apparatus Is Essential for the Integrity of the Blood-Brain Barrier After Experimental Subarachnoid Hemorrhage.

Clara Luh, Sergej Feiler, Katrin Frauenknecht, Simon Meyer, Lubomir T Lubomirov, Axel Neulen, Serge C Thal

Open access · hybridAbstract read
In one paragraph

Article in Translational stroke research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.4field-weighted citation impact, top 8% 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, 38 citations in OpenAlex.

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  7. Endogenous FGF21 attenuates blood-brain barrier disruption in penumbra after delayed recanalization in MCAO rats through FGFR1/PI3K/Akt pathway.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
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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

7 authors at 4 institutions in 2 countries.

Clara LuhDepartment of Anesthesiology, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
Sergej FeilerDepartment of Neurosurgery, Inselspital, Bern University Hospital, Bern, Switzerland.
Katrin FrauenknechtInstitute of Neuropathology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Simon MeyerDepartment of Anesthesiology, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
Lubomir T LubomirovInstitute of Vegetative Physiology, University of Cologne, Köln, Germany.
Axel NeulenDepartment of Neurosurgery, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
Serge C ThalDepartment of Anesthesiology, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany. thal@uni-mainz.de.ORCID 0000-0002-1222-8729
Johannes Gutenberg University Mainz · DEUniversity Hospital of Bern · CHUniversity of Cologne · DEUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Development of vasogenic brain edema is a key event contributing to mortality after subarachnoid hemorrhage (SAH). The precise underlying mechanisms at the neurovascular level that lead to disruption of the blood-brain barrier (BBB) are still unknown. Activation of myosin light chain kinases (MLCK) may result in change of endothelial cell shape and opening of the intercellular gap with subsequent vascular leakage. Male C57Bl6 mice were subjected to endovascular perforation. Brain water content was determined by wet-dry ratio and BBB integrity by Evans-Blue extravasation. The specific MLCK inhibitor ML-7 was administered to the mice to determine the role of the contractile apparatus of the neurovascular unit in determining brain water content, BBB integrity, neurofunctional outcome, brain damage, and survival at 7 days after SAH. Inhibition of MLCK significantly reduced BBB permeability (Evans Blue extravasation - 28%) and significantly decreased edema formation in comparison with controls (- 2%). MLCK-treated mice showed reduced intracranial pressure (- 53%), improved neurological outcome at 24 h and 48 h after SAH, and reduced 7-day mortality. Tight junction proteins claudin-5 and zonula occludens-1 levels were not influenced by ML-7 at 24 h after insult. The effect of ML-7 on pMLC was confirmed in brain endothelial cell culture (bEnd.3 cells) subjected to 4-h oxygen-glucose deprivation. The present study indicates that MLCK contributes to blood-brain barrier dysfunction after SAH by a mechanism that does not involve modulation of tight junction protein levels, but via activation of the contractile apparatus of the endothelial cell skeleton. This underlying mechanism may be a promising target for the treatment of SAH.

Indexed as

AnimalsBlood-Brain BarrierBrain EdemaCytoskeletonEndothelial CellsMaleMice, Inbred C57BLSubarachnoid HemorrhageBlood-brain barrierBrain edemaIntracranial pressureML-7Myosin light chain kinasesSubarachnoid hemorrhage

Identifiers

PMID30467816
PMCPMC6733822
OpenAlexW2901402464

What OpenQuestion holds

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LicenceCC BY
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.