Evidence map›Paper›PMID 32297170›Full record

ReviewMetabolic brain disease2020

Mechanisms in blood-brain barrier opening and metabolism-challenged cerebrovascular ischemia with emphasis on ischemic stroke.

Sajad Sarvari, Faezeh Moakedi, Emily Hone, James W Simpkins, Xuefang Ren

Open access · greenAbstract readReview
In one paragraph

Review in Metabolic brain disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

50 citing papers in PubMed, 76 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. BBB dynamics: the lifespan perspective.Scientific reports · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
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  10. Article
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  13. Mitochondrial-targeted therapies in traumatic brain injury: From bench to bedside.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
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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

5 authors at 2 institutions in 1 country.

Sajad SarvariDepartment of Neuroscience, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USA.
Faezeh MoakediDepartment of Biochemistry, West Virginia University, Morgantown, WV, USA.
Emily HoneDepartment of Neuroscience, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USA.
James W SimpkinsDepartment of Neuroscience, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USA.
Xuefang RenDepartment of Neuroscience, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USA. xuren@hsc.wvu.edu.
West Virginia University · USBlanchette Rockefeller Neurosciences Institute · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
West Virginia University Stroke COBREP20GM109098 · NIGMS · WEST VIRGINIA UNIVERSITY · PI HRUSKA, MARTIN · 2014 to 2024
$24.5M
NIGMS NIH HHS P20 GM109098NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

Stroke is the leading cause of disability among adults as well as the 2nd leading cause of death globally. Ischemic stroke accounts for about 85% of strokes, and currently, tissue plasminogen activator (tPA), whose therapeutic window is limited to up to 4.5 h for the appropriate population, is the only FDA approved drug in practice and medicine. After a stroke, a cascade of pathophysiological events results in the opening of the blood-brain barrier (BBB) through which further complications, disabilities, and mortality are likely to threaten the patient's health. Strikingly, tPA administration in eligible patients might cause hemorrhagic transformation and sustained damage to BBB integrity. One must, therefore, delineate upon stroke onset which cellular and molecular factors mediate BBB permeability as well as what key roles BBB rupture plays in the pathophysiology of stroke. In this review article, given our past findings of mechanisms underlying BBB opening in stroke animal models, we elucidate cellular, subcellular, and molecular factors involved in BBB permeability after ischemic stroke. The contribution of each factor to stroke severity and outcome is further discussed. Determinant factors in BBB permeability and stroke include mitochondria, miRNAs, matrix metalloproteinases (MMPs), immune cells, cytokines, chemokines, and adhesion proteins. Once these factors are interrogated and their roles in the pathophysiology of stroke are determined, novel targets for drug discovery and development can be uncovered in addition to novel therapeutic avenues for human stroke management.

Indexed as

AnimalsBlood-Brain BarrierBrain IschemiaCapillary PermeabilityHumansIschemic StrokeBlood-brain barrierCytokinesMatrix metalloproteinase(MMPs)MicroRNAsMitochondriaStroke

Identifiers

PMID32297170
PMCPMC7988906
OpenAlexW3017007612

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.