Evidence map›Paper›PMID 32785181›Full record

ReviewCells2020

Preterm Brain Injury, Antenatal Triggers, and Therapeutics: Timing Is Key.

Daan R M G Ophelders, Ruth Gussenhoven, Luise Klein, Reint K Jellema, Rob J J Westerlaken, Matthias C Hütten, Jeroen Vermeulen, Guido Wassink, Alistair J Gunn, Tim G A M Wolfs

Open access · goldAbstract readReview
In one paragraph

Review in Cells, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed
21.6field-weighted citation impact, top 1% 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

76 citing papers in PubMed, 115 citations in OpenAlex.

  1. Trial
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  10. Delayed necrostatin-1s infusion attenuates cystic white matter injury in preterm fetal sheep.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  11. Article
  12. Perinatal Neuroprotection in Preterm Birth.Geburtshilfe und Frauenheilkunde · 2025
    Article
  13. Article
  14. Role of astrocytes in the pathogenesis of perinatal brain injury.Molecular medicine (Cambridge, Mass.) · 2025
    Review
  15. Article
  16. Pro-inflammatory microglia-targeted peptide therapy ameliorates neonatal hypoxic-ischemic encephalopathy in mice.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article

16 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

10 authors at 2 institutions in 3 countries.

Daan R M G OpheldersDepartment of Pediatrics, Maastricht University Medical Center, 6202 AZ Maastricht, The Netherlands.ORCID 0000-0001-7410-5102
Ruth GussenhovenDepartment of Pediatrics, Maastricht University Medical Center, 6202 AZ Maastricht, The Netherlands.
Luise KleinDepartment of Pediatrics, Maastricht University Medical Center, 6202 AZ Maastricht, The Netherlands.ORCID 0000-0002-4108-6117
Reint K JellemaDepartment of Pediatrics, Maastricht University Medical Center, 6202 AZ Maastricht, The Netherlands.
Rob J J WesterlakenDepartment of Pediatrics, Maastricht University Medical Center, 6202 AZ Maastricht, The Netherlands.
Matthias C HüttenDepartment of Pediatrics, Maastricht University Medical Center, 6202 AZ Maastricht, The Netherlands.
Jeroen VermeulenDepartment of Pediatric Neurology, Maastricht University Medical Center, 6202 AZ Maastricht, The Netherlands.
Guido WassinkDepartment of Physiology, Faculty of Medical and Health Sciences, University of Auckland, Private bag 92019, Auckland 1023, New Zealand.
Alistair J GunnDepartment of Physiology, Faculty of Medical and Health Sciences, University of Auckland, Private bag 92019, Auckland 1023, New Zealand.ORCID 0000-0003-0656-7035
Tim G A M WolfsDepartment of Pediatrics, Maastricht University Medical Center, 6202 AZ Maastricht, The Netherlands.ORCID 0000-0003-4417-4144
University Medical Center · USUniversity of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With a worldwide incidence of 15 million cases, preterm birth is a major contributor to neonatal mortality and morbidity, and concomitant social and economic burden Preterm infants are predisposed to life-long neurological disorders due to the immaturity of the brain. The risks are inversely proportional to maturity at birth. In the majority of extremely preterm infants (<28 weeks' gestation), perinatal brain injury is associated with exposure to multiple inflammatory perinatal triggers that include antenatal infection (i.e., chorioamnionitis), hypoxia-ischemia, and various postnatal injurious triggers (i.e., oxidative stress, sepsis, mechanical ventilation, hemodynamic instability). These perinatal insults cause a self-perpetuating cascade of peripheral and cerebral inflammation that plays a critical role in the etiology of diffuse white and grey matter injuries that underlies a spectrum of connectivity deficits in survivors from extremely preterm birth. This review focuses on chorioamnionitis and hypoxia-ischemia, which are two important antenatal risk factors for preterm brain injury, and highlights the latest insights on its pathophysiology, potential treatment, and future perspectives to narrow the translational gap between preclinical research and clinical applications.

Indexed as

ChorioamnionitisBrain InjuriesCell- and Tissue-Based TherapyFemaleGestational AgeHumansHypothermia, InducedHypoxia-Ischemia, BrainIncidenceInfant, NewbornInfant, PrematurePregnancyPremature BirthTime Factorsannexin A1biomarkerschorioamnionitiserythropoietinhypoxia-ischemiapreterm brain injurystem cellstherapeutic hypothermiatiming

Identifiers

PMID32785181
PMCPMC7464163
OpenAlexW3047981221

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.