Evidence map›Paper›PMID 32054373›Full record

ArticleJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2021

Tight junctions in the blood-brain barrier promote edema formation and infarct size in stroke - Ambivalent effects of sealing proteins.

Lars Winkler, Rosel Blasig, Olga Breitkreuz-Korff, Philipp Berndt, Sophie Dithmer, Hans C Helms, Dmytro Puchkov, Kavi Devraj, Mehmet Kaya, Zhihai Qin and 6 more

Abstract read
In one paragraph

Article in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing 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

62 citing papers in PubMed.

  1. Article
  2. CRISPR-Based Therapy for Ischemic Stroke: A Narrative Review.Cellular and molecular neurobiology · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
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  11. Review
  12. Review
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  14. Review
  15. Brain repair mechanisms after cell therapy for stroke.Brain : a journal of neurology · 2024
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

2 more citing papers are in PubMed but not listed here.

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.

Lars WinklerLeibniz-Forschungsinstitut für Molekulare Pharmakologie (FMP), Berlin-Buch, Germany.ORCID 0000-0003-3350-1189
Rosel BlasigLeibniz-Forschungsinstitut für Molekulare Pharmakologie (FMP), Berlin-Buch, Germany.
Olga Breitkreuz-KorffLeibniz-Forschungsinstitut für Molekulare Pharmakologie (FMP), Berlin-Buch, Germany.ORCID 0000-0002-7837-039X
Philipp BerndtLeibniz-Forschungsinstitut für Molekulare Pharmakologie (FMP), Berlin-Buch, Germany.
Sophie DithmerLeibniz-Forschungsinstitut für Molekulare Pharmakologie (FMP), Berlin-Buch, Germany.
Hans C HelmsLeibniz-Forschungsinstitut für Molekulare Pharmakologie (FMP), Berlin-Buch, Germany.
Dmytro PuchkovLeibniz-Forschungsinstitut für Molekulare Pharmakologie (FMP), Berlin-Buch, Germany.
Kavi DevrajInstitute of Neurology (Edinger-Institute), University Hospital, Goethe University Frankfurt am Main, Frankfurt, Germany.ORCID 0000-0002-5005-3413
Mehmet KayaSchool of Medicine, Department of Physiology & Koç University Research Center for Translational Medicine, Koç University, Istanbul, Turkey.
Zhihai QinThe First Affiliated Hospital of Zhengzhou University, Henan, China.
Stefan LiebnerInstitute of Neurology (Edinger-Institute), University Hospital, Goethe University Frankfurt am Main, Frankfurt, Germany.
Hartwig WolburgInstitute of Pathology and Neuropathology, Universität of Tübingen, Tübingen, Germany.
Anuska V AndjelkovicDepartment of Pathology, University of Michigan, Ann Arbor, MI, USA.
Andre RexCharité-Universitätsmedizin, Experimental Neurology, Berlin, Germany.
Ingolf E BlasigLeibniz-Forschungsinstitut für Molekulare Pharmakologie (FMP), Berlin-Buch, Germany.
Reiner F HaseloffLeibniz-Forschungsinstitut für Molekulare Pharmakologie (FMP), Berlin-Buch, Germany.ORCID 0000-0001-9005-5993

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The outcome of stroke is greatly influenced by the state of the blood-brain barrier (BBB). The BBB endothelium is sealed paracellularly by tight junction (TJ) proteins, i.e., claudins (Cldns) and the redox regulator occludin. Functions of Cldn3 and occludin at the BBB are largely unknown, particularly after stroke. We address the effects of Cldn3 deficiency and stress factors on the BBB and its TJs. Cldn3 tightened the BBB for small molecules and ions, limited endothelial endocytosis, strengthened the TJ structure and controlled Cldn1 expression. After middle cerebral artery occlusion (MCAO) and 3-h reperfusion or hypoxia of isolated brain capillaries, Cldn1, Cldn3 and occludin were downregulated. In Cldn3 knockout mice (C3KO), the reduction in Cldn1 was even greater and TJ ultrastructure was impaired; 48 h after MCAO of wt mice, infarct volumes were enlarged and edema developed, but endothelial TJs were preserved. In contrast, junctional localization of Cldn5 and occludin, TJ density, swelling and infarction size were reduced in affected brain areas of C3KO. Taken together, Cldn3 and occludin protect TJs in stroke, and this keeps the BBB intact. However, functional Cldn3, Cldn3-regulated TJ proteins and occludin promote edema and infarction, which suggests that TJ modulation could improve the outcome of stroke.

Indexed as

AnimalsBlood-Brain BarrierBrain IschemiaEdemaHumansMaleMiceStrokeTight Junctionsblood–brain barrierclaudinsoccludinStroketight junctions

Identifiers

PMID32054373
PMCPMC7747158

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.