Evidence map›Paper›PMID 30559188›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2019

Plasma kallikrein modulates immune cell trafficking during neuroinflammation via PAR2 and bradykinin release.

Kerstin Göbel, Chloi-Magdalini Asaridou, Monika Merker, Susann Eichler, Alexander M Herrmann, Eva Geuß, Tobias Ruck, Lisa Schüngel, Linda Groeneweg, Venu Narayanan and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

39 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Article
  3. The kallikrein-kinin system modulates CD4Journal of neuroinflammation · 2026
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  16. PARting Neuroinflammation with Protease-Activated Receptor 2 Pepducins.The Journal of pharmacology and experimental therapeutics · 2024
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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

16 authors at 3 institutions in 1 country.

Kerstin GöbelClinic of Neurology, Institute of Translational Neurology, University of Münster, 48149 Münster, Germany; kerstin.goebel@ukmuenster.de.
Chloi-Magdalini AsaridouClinic of Neurology, Institute of Translational Neurology, University of Münster, 48149 Münster, Germany.
Monika MerkerClinic of Neurology, Institute of Translational Neurology, University of Münster, 48149 Münster, Germany.
Susann EichlerClinic of Neurology, Institute of Translational Neurology, University of Münster, 48149 Münster, Germany.
Alexander M HerrmannClinic of Neurology, Institute of Translational Neurology, University of Münster, 48149 Münster, Germany.ORCID 0000-0001-7029-1032
Eva GeußDepartment of Neurology, University Hospital Würzburg, 97080 Würzburg, Germany.
Tobias RuckClinic of Neurology, Institute of Translational Neurology, University of Münster, 48149 Münster, Germany.
Lisa SchüngelClinic of Neurology, Institute of Translational Neurology, University of Münster, 48149 Münster, Germany.
Linda GroenewegClinic of Neurology, Institute of Translational Neurology, University of Münster, 48149 Münster, Germany.
Venu NarayananClinic of Neurology, Institute of Translational Neurology, University of Münster, 48149 Münster, Germany.
Tilman Schneider-HohendorfClinic of Neurology, Institute of Translational Neurology, University of Münster, 48149 Münster, Germany.ORCID 0000-0002-3717-5176
Catharina C GrossClinic of Neurology, Institute of Translational Neurology, University of Münster, 48149 Münster, Germany.
Heinz WiendlClinic of Neurology, Institute of Translational Neurology, University of Münster, 48149 Münster, Germany.
Beate E KehrelClinic of Anesthesiology, Intensive Care and Pain Medicine, Experimental and Clinical Haemostasis, University of Münster, 48149 Münster, Germany.
Christoph KleinschnitzDepartment of Neurology, University Hospital Essen, 45147 Essen, Germany.
Sven G MeuthClinic of Neurology, Institute of Translational Neurology, University of Münster, 48149 Münster, Germany.
University of Münster · DEEssen University Hospital · DEUniversitätsklinikum Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blood-brain barrier (BBB) disruption and transendothelial trafficking of immune cells into the central nervous system (CNS) are pathophysiological hallmarks of neuroinflammatory disorders like multiple sclerosis (MS). Recent evidence suggests that the kallikrein-kinin and coagulation system might participate in this process. Here, we identify plasma kallikrein (KK) as a specific direct modulator of BBB integrity. Levels of plasma prekallikrein (PK), the precursor of KK, were markedly enhanced in active CNS lesions of MS patients. Deficiency or pharmacologic blockade of PK renders mice less susceptible to experimental autoimmune encephalomyelitis (a model of MS) and is accompanied by a remarkable reduction of BBB disruption and CNS inflammation. In vitro analysis revealed that KK modulates endothelial cell function in a protease-activated receptor-2-dependent manner, leading to an up-regulation of the cellular adhesion molecules Intercellular Adhesion Molecule 1 and Vascular Cell Adhesion Molecule 1, thereby amplifying leukocyte trafficking. Our study demonstrates that PK is an important direct regulator of BBB integrity as a result of its protease function. Therefore, KK inhibition can decrease BBB damage and cell invasion during neuroinflammation and may offer a strategy for the treatment of MS.

Indexed as

AnimalsBlood-Brain BarrierBlotting, WesternBradykininEncephalomyelitis, Autoimmune, ExperimentalFlow CytometryGene Knockdown TechniquesHumansKallikreinsMiceMice, Inbred C57BLMice, TransgenicMultiple SclerosisReceptor, PAR-2BradykininF2rl1 protein, mouseKallikreinsReceptor, PAR-2coagulationEAEmultiple sclerosisneuroinflammationplasma kallikrein

Identifiers

PMID30559188
PMCPMC6320546
OpenAlexW2903865483

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.