Evidence map›Paper›PMID 30778120›Full record

ArticleScientific reports2019

Tumour Necrosis Factor-α Inhibition Improves Stroke Outcome in a Mouse Model of Rheumatoid Arthritis.

N R Bonetti, C Diaz-Cañestro, L Liberale, M Crucet, A Akhmedov, M Merlini, M F Reiner, S Gobbato, S Stivala, G Kollias and 4 more

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
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

34 citing papers in PubMed.

  1. Review
  2. The Role of TNF-α in Ischemic Stroke.International journal of molecular sciences · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Inflammatory biomarkers of ischemic stroke.Internal and emergency medicine · 2023
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article
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

14 authors.

N R BonettiCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
C Diaz-CañestroCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
L LiberaleCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
M CrucetCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
A AkhmedovCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
M MerliniGladstone Institute of Neurological Disease; UCSF, San Francisco, CA, USA.
M F ReinerCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
S GobbatoCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
S StivalaCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.ORCID 0000-0003-1549-8932
G KolliasBiomedical Sciences Research Center, Varkiza, Greece.
F RuschitzkaUniversity Heart Center, University Hospital Zurich, Zurich, Switzerland.
T F LüscherCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
J H BeerCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
G G CamiciCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland. giovanni.camici@uzh.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatoid Arthritis (RA) is a chronic inflammatory disorder where incidence and severity of myocardial infarction are increased. Data on the incidence and outcome of stroke are conflicting. Thus, we investigated outcome after Ischemia/Reperfusion (I/R) brain injury in a mouse model of RA and assessed for the role of the tumour necrosis factor-α (TNF-α) inhibitor Infliximab herein. We used a TNF-α reliant mouse model of RA. RA and wildtype (WT) animals were treated with vehicle (RA/WT) or Infliximab (RA Infliximab) for 4 weeks, before undergoing I/R brain injury. RA-animals displayed larger strokes and poorer neurological performance. Immunohistochemistry on brain sections revealed increased numbers of resident and peripheral innate immune cells (microglia and macrophages); increased Blood-Brain-Barrier (BBB)-disruption; decreased levels of the tight junction proteins (TJPs) claudin-5 and occludin; increased expression of matrix-metalloproteinases (MMP)-3 and -9 and enhanced lipid peroxidation. Treatment with Infliximab corrected these alterations. We show that RA associates to worse stroke-outcome via exacerbated BBB degradation by decrease of the TJPs claudin-5 and occludin. We identified MMPs-3 and -9 and increased oxidative stress as potential mediators thereof. Increased numbers of resident and peripheral innate immune cells (microglia and macrophages) may in turn contribute to all these effects. Infliximab-treatment restored the phenotype of RA-mice to baseline. Our data provide evidence clearly linking RA to adverse stroke-outcome in mice and indicate an approved TNF-α inhibitor as a potential strategy to reduce stroke-burden in this setting.

Indexed as

AnimalsAntirheumatic AgentsArthritis, ExperimentalArthritis, RheumatoidBlood-Brain BarrierBrain InjuriesFemaleHumansInfliximabLipid PeroxidationMacrophage ActivationMaleMiceMice, Inbred C57BLMice, Inbred CBAMice, TransgenicAntirheumatic AgentsInfliximabTumor Necrosis Factor-alpha

Identifiers

PMID30778120
PMCPMC6379411

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.