Evidence map›Paper›PMID 32536660›Full record

ArticleNeurologia medico-chirurgica2020

Hemodynamic and Histopathological Changes in the Early Phase of the Development of an Intracranial Aneurysm.

Hiroharu Kataoka, Takanobu Yagi, Taichi Ikedo, Hirohiko Imai, Koichi Kawamura, Kazumichi Yoshida, Masanori Nakamura, Tomohiro Aoki, Susumu Miyamoto

Open access · goldAbstract read
In one paragraph

Article in Neurologia medico-chirurgica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.5field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 24 citations in OpenAlex.

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  14. Intracranial Aneurysms Induced byFrontiers in neurology · 2022
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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

9 authors at 4 institutions in 1 country.

Hiroharu KataokaDepartment of Neurosurgery, Kyoto University, Graduate School of Medicine.
Takanobu YagiCenter for Advanced Biomedical Science, Waseda University.
Taichi IkedoDepartment of Neurosurgery, Kyoto University, Graduate School of Medicine.
Hirohiko ImaiDepartment of Systems Science, Graduate School of Informatics, Kyoto University.
Koichi KawamuraCenter for Advanced Biomedical Science, Waseda University.
Kazumichi YoshidaDepartment of Neurosurgery, Kyoto University, Graduate School of Medicine.
Masanori NakamuraDepartment of Mechanical Engineering, Nagoya Institute of Technology.
Tomohiro AokiDepartment of molecular pharmacology, National Cerebral and Cardiovascular Center.
Susumu MiyamotoDepartment of Neurosurgery, Kyoto University, Graduate School of Medicine.
Kyoto University · JPWaseda University · JPNagoya Institute of Technology · JPNational Cerebral and Cardiovascular Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemodynamic stress and chronic inflammation are closely associated with the pathogenesis of intracranial aneurysms (IAs). However, the hemodynamic and biological mechanisms triggering IA formation remain to be elucidated. To clarify them, computational fluid dynamics (CFD) and histopathological analyses in the early phase of IA development using an experimentally induced IA model in rats were conducted. Histological changes in the early phase of IA development were observed under a scanning electron microscope (SEM) and a transmission electron microscope (TEM). Using data from 7-T magnetic resonance angiography (7T-MRA), CFD analyses were performed to determine wall shear stress (WSS) and wall pressure (WP) at the prospective site of IA. A bump-like protrusion named an "intimal pad" was located in the anterior cerebral artery (ACA) immediately distal to the apex of the bifurcation. TEM showed the degeneration of the internal elastic lamina (IEL) and longitudinally elongated smooth muscle cells (SMCs) that switched from the contractile to the proliferative phenotype and penetrated between two divided layers of the degenerated IEL in the prospective site of the IA. However, no inflammatory cells were observed. CFD analyses showed no particular pattern of WSS and WP at the prospective IA site. IEL degeneration and the phenotypic change and longitudinal elongation of SMCs were identified as the early events in IA development. CFD analyses and TEM data suggest that these biological events may be derived from increased circumferential wall stress due to increased blood pressure and increased longitudinal wall strain due to the existence of the intimal pad.

Indexed as

AnimalsDisease Models, AnimalHemodynamicsHydrodynamicsIntracranial AneurysmMaleRatsRats, Sprague-DawleyTime FactorsTunica Intimahemodynamicsinternal elastic laminaintracranial aneurysmsmooth muscle cell

Identifiers

PMID32536660
PMCPMC7358784
OpenAlexW3034433622

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.