Evidence map›Paper›PMID 32771063›Full record

ArticleActa neuropathologica communications2020

Demonstrating a reduced capacity for removal of fluid from cerebral white matter and hypoxia in areas of white matter hyperintensity associated with age and dementia.

Matthew MacGregor Sharp, Satoshi Saito, Abby Keable, Maureen Gatherer, Roxana Aldea, Nivedita Agarwal, Julie E Simpson, Stephen B Wharton, Roy O Weller, Roxana O Carare

Open access · goldAbstract read
In one paragraph

Article in Acta neuropathologica communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 29 citations in OpenAlex.

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  7. More severe initial manifestations and worse short-term functional outcome of intracerebral hemorrhage in the plateau than in the plain.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  8. Article
  9. Q-VAT: Quantitative Vascular Analysis Tool.Frontiers in cardiovascular medicine · 2023
    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

10 authors at 4 institutions in 3 countries.

Matthew MacGregor SharpFaculty of Medicine, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK.ORCID 0000-0002-6623-5078
Satoshi SaitoFaculty of Medicine, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK.
Abby KeableFaculty of Medicine, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK.
Maureen GathererFaculty of Medicine, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK.
Roxana AldeaFaculty of Medicine, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK.
Nivedita AgarwalHospital Santa Maria del Carmine, Rovereto, Italy.
Julie E SimpsonSheffield Institute for Translational Neurosciences, University of Sheffield, Sheffield, UK.
Stephen B WhartonSheffield Institute for Translational Neurosciences, University of Sheffield, Sheffield, UK.
Roy O WellerFaculty of Medicine, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK.
Roxana O CarareFaculty of Medicine, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK. rcn@soton.ac.uk.
University of Southampton · GBUniversity of Sheffield · GBOspedale Santa Maria · ITRoche (Switzerland) · CH

Funding

Medical Research Council G0601022Medical Research Council G1000691Medical Research Council G9901400Medical Research Council MR/L022656/1MRC CFAS MRC/G9901400MRC CFAS MRC U.1052.00.0013
6 · The paper itself

Abstract

White matter hyperintensities (WMH) occur in association with dementia but the aetiology is unclear. Here we test the hypothesis that there is a combination of impaired elimination of interstitial fluid from the white matter together with a degree of hypoxia in WMH. One of the mechanisms for the elimination of amyloid-β (Aβ) from the brain is along the basement membranes in the walls of capillaries and arteries (Intramural Peri-Arterial Drainage - IPAD). We compared the dynamics of IPAD in the grey matter of the hippocampus and in the white matter of the corpus callosum in 10 week old C57/B16 mice by injecting soluble Aβ as a tracer. The dynamics of IPAD in the white matter were significantly slower compared with the grey matter and this was associated with a lower density of capillaries in the white matter. Exposing cultures of smooth muscle cells to hypercapnia as a model of cerebral hypoperfusion resulted in a reduction in fibronectin and an increase in laminin in the extracellular matrix. Similar changes were detected in the white matter in human WMH suggesting that hypercapnia/hypoxia may play a role in WMH. Employing therapies to enhance both IPAD and blood flow in the white matter may reduce WMH in patients with dementia.

Indexed as

AgedAged, 80 and overAgingAmyloid beta-PeptidesAnimalsDementiaExtracellular FluidFemaleFibronectinsGlymphatic SystemHumansHypoxia, BrainLamininMaleMiceMice, Inbred C57BLAmyloid beta-PeptidesFibronectinsLamininFibronectinIntramural periarterial drainageLamininWhite matter hyperintensities

Identifiers

PMID32771063
PMCPMC7414710
OpenAlexW3047636168

What OpenQuestion holds

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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.