Evidence map›Paper›PMID 31768758›Full record

ArticleNeurocritical care2020

RAR-Related Orphan Receptor Gamma T (RoRγt)-Related Cytokines Play a Role in Neutrophil Infiltration of the Central Nervous System After Subarachnoid Hemorrhage.

A P Coulibaly, W T Gartman, V Swank, J A Gomes, L Ruozhuo, J DeBacker, J J Provencio

Open access · greenAbstract read
In one paragraph

Article in Neurocritical care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. The role of neutrophils in vasospasm and delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage: Is it time for a SAH clinical trial targeting neutrophils?Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. CNS-peripheral immune interactions in hemorrhagic stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Review
  10. Article
  11. Article
  12. Review
  13. Aneurysmal Subarachnoid Hemorrhage: an Overview of Inflammation-Induced Cellular Changes.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
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 5 institutions in 2 countries.

A P Coulibaly *Department of Neurology and Neuroscience, University of Virginia, PO Box 800394, Charlottesville, VA, 22908, USA.
W T Gartman *University of North Carolina, Chapel Hill, NC, USA.
V SwankNeuroscience, Cleveland Clinic Lerner Research Institute, Cleveland, OH, USA.
J A GomesCerebrovascular Center, Cleveland Clinic, Cleveland, OH, USA.
L RuozhuoDepartment of Neurology, Chinese PLA General Hospital, Beijing, China.
J DeBackerDepartment of Anesthesiology, University of Toronto, Ontario, CA, USA.
J J ProvencioDepartment of Neurology and Neuroscience, University of Virginia, PO Box 800394, Charlottesville, VA, 22908, USA. Jp3b@virginia.edu.ORCID http://orcid.org/0000-0003-1298-1806
University of Virginia · USChinese PLA General Hospital · CNCleveland Clinic · USCleveland Clinic Lerner College of Medicine · USUniversity of North Carolina at Chapel Hill · US

Funding

Defining targets for the treatment of delayed cerebral vasospasm after SAHR01NS074997 · NINDS · UNIVERSITY OF VIRGINIA · PI PROVENCIO, JOSE JAVIER · 2012 to 2016
$1.7M
The role of neutrophils in SAHK08NS051350 · NINDS · CLEVELAND CLINIC LERNER COM-CWRU · PI PROVENCIO, JOSE JAVIER · 2007 to 2011
$848k
NINDS NIH HHS K08 NS051350NINDS NIH HHS R01 NS074997
6 · The paper itself

Abstract

backgroundHow inflammatory cells are recruited into the central nervous system is a topic of interest in a number of neurological injuries. In aneurysmal subarachnoid hemorrhage (SAH), neutrophil accumulation in the central nervous system 3 days after the hemorrhage is a critical step in the development of delayed cerebral injury (DCI). The mechanism by which neutrophils enter the central nervous system is still unclear. METHODS AND

resultsTo identify human effectors of neutrophil recruitment, cerebrospinal fluid (CSF) samples were taken from a small, selected sample of SAH patients with external ventricular drainage devices (10 patients). Among a battery of CSF cytokines tested 3 days after SAH, five cytokines were associated with poor 90-day outcome (modified Rankin Score 3-6). A parallel study in a mouse model of mild SAH showed elevation in three cytokines in the CNS compared to sham. IL-17 and IL-2 were increased in both patients and the mouse model. IL-17 was investigated further because of its known role in neutrophil recruitment. Inhibition of RAR-Related Orphan Receptor Gamma T, the master transcription factor of IL-17, with the inverse agonist GSK805 suppressed neutrophils entry into the CNS after SAH compared to control. Using an IL-17 reporter mouse, we investigated the source of IL-17 and found that myeloid cells were a common IL-17-producing cell type in the meninges after SAH, suggesting an autocrine role for neutrophil recruitment.

conclusionsTaken together, IL-17 appears to be in important factor in the recruitment of neutrophils into the meninges after SAH and could be an important target for therapies to ameliorate DCI.

Indexed as

AnimalsBlood Flow VelocityBrainChemokine CXCL2CytokinesDisease Models, AnimalHumansInterleukin-17Interleukin-1alphaInterleukin-2MeningesMiceMyeloid CellsNeutrophil InfiltrationNuclear Receptor Subfamily 1, Group F, Member 3Subarachnoid HemorrhageChemokine CXCL2Cxcl2 protein, mouseCytokinesInterleukin-17Interleukin-1alphaInterleukin-2Nuclear Receptor Subfamily 1, Group F, Member 3Triggering Receptor Expressed on Myeloid Cells-1Tumor Necrosis Factor-alphaDelayed cerebral injuryIL-17NeuroinflammationNeutrophilsSubarachnoid hemorrhage

Identifiers

PMID31768758
PMCPMC7246153
OpenAlexW2991534179

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.