Evidence map›Paper›PMID 30525223›Full record

ArticleAnnals of neurology2019

Stroke Recovery in Rats after 24-Hour-Delayed Intramuscular Neurotrophin-3 Infusion.

Denise A Duricki, Svetlana Drndarski, Michel Bernanos, Tobias Wood, Karen Bosch, Qin Chen, H David Shine, Camilla Simmons, Steven C R Williams, Stephen B McMahon and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.2field-weighted citation impact, top 24% 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

20 citing papers in PubMed, 36 citations in OpenAlex.

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  18. NT3Stem cell research & therapy · 2019
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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

13 authors at 3 institutions in 2 countries.

Denise A DurickiNeurorestoration Group, Wolfson Centre for Age-Related Diseases, King's College London, London, United Kingdom.
Svetlana DrndarskiBlood-Brain Barrier Group, Institute of Pharmaceutical Science, King's College London, London, United Kingdom.
Michel BernanosNeuroimaging Research Group, King's College London, London, United Kingdom.
Tobias WoodNeuroimaging Research Group, King's College London, London, United Kingdom.
Karen BoschNeurorestoration Group, Wolfson Centre for Age-Related Diseases, King's College London, London, United Kingdom.
Qin ChenCenter for Cell and Gene Therapy, Department of Neuroscience, Baylor College of Medicine, Houston, TX.
H David ShineCenter for Cell and Gene Therapy, Department of Neuroscience, Baylor College of Medicine, Houston, TX.
Camilla SimmonsNeuroimaging Research Group, King's College London, London, United Kingdom.
Steven C R WilliamsNeuroimaging Research Group, King's College London, London, United Kingdom.
Stephen B McMahonNeurorestoration Group, Wolfson Centre for Age-Related Diseases, King's College London, London, United Kingdom.
David J BegleyBlood-Brain Barrier Group, Institute of Pharmaceutical Science, King's College London, London, United Kingdom.
Diana CashNeuroimaging Research Group, King's College London, London, United Kingdom.
Lawrence D F MoonNeurorestoration Group, Wolfson Centre for Age-Related Diseases, King's College London, London, United Kingdom.ORCID 0000-0001-9622-0312
King's College London · GBWellcome Centre for Human Neuroimaging · GBBaylor College of Medicine · US

Funding

Biotechnology and Biological Sciences Research Council Capacity Building Award in Integrative Mammalian BBritish Pharmacological Society Integrative Pharmacology FundDowager Countess Eleanor Peel Trust Improving arm function after strokeEuropean Research Council 309731Knowledge Transfer Partnerships Capacity Building Award in Integrative Mammalian BMedical Research Council G0600998Scottish Funding Council Capacity Building Award in Integrative Mammalian B
6 · The paper itself

Abstract

objectiveNeurotrophin-3 (NT3) plays a key role in the development and function of locomotor circuits including descending serotonergic and corticospinal tract axons and afferents from muscle and skin. We have previously shown that gene therapy delivery of human NT3 into affected forelimb muscles improves sensorimotor recovery after stroke in adult and elderly rats. Here, to move toward the clinic, we tested the hypothesis that intramuscular infusion of NT3 protein could improve sensorimotor recovery after stroke.

methodsRats received unilateral ischemic stroke in sensorimotor cortex. To simulate a clinically feasible time to treatment, 24 hours later rats were randomized to receive NT3 or vehicle by infusion into affected triceps brachii for 4 weeks using implanted catheters and minipumps.

resultsRadiolabeled NT3 crossed from the bloodstream into the brain and spinal cord in rodents with or without strokes. NT3 increased the accuracy of forelimb placement during walking on a horizontal ladder and increased use of the affected arm for lateral support during rearing. NT3 also reversed sensory impairment of the affected wrist. Functional magnetic resonance imaging during stimulation of the affected wrist showed spontaneous recovery of peri-infarct blood oxygenation level-dependent signal that NT3 did not further enhance. Rather, NT3 induced neuroplasticity of the spared corticospinal and serotonergic pathways.

interpretationOur results show that delayed, peripheral infusion of NT3 can improve sensorimotor function after ischemic stroke. Phase I and II clinical trials of NT3 (for constipation and neuropathy) have shown that peripheral high doses are safe and well tolerated, which paves the way for NT3 as a therapy for stroke. ANN NEUROL 2019;85:32-46.

Indexed as

AnimalsFemaleInjections, IntramuscularNeurotrophin 3Random AllocationRatsRecovery of FunctionSensorimotor CortexStrokeTime FactorsNeurotrophin 3

Identifiers

PMID30525223
PMCPMC6492080
OpenAlexW2904422742

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.