Evidence map›Paper›PMID 32867797›Full record

ArticleJournal of neuroinflammation2020

MCC950, a selective NLPR3 inflammasome inhibitor, improves neurologic function and survival after cardiac arrest and resuscitation.

Maorong Jiang, Ran Li, Jingjun Lyu, Xuan Li, Wei Wang, Zhuoran Wang, Huaxin Sheng, Weiguo Zhang, Jörn Karhausen, Wei Yang

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

30 citing papers in PubMed, 46 citations in OpenAlex.

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  18. Macrophage-NLRP3 Activation Promotes Right Ventricle Failure in Pulmonary Arterial Hypertension.American journal of respiratory and critical care medicine · 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

10 authors at 2 institutions in 2 countries.

Maorong JiangDepartment of Anesthesiology, Center for Perioperative Organ Protection, Duke University Medical Center, Durham, NC, USA.
Ran LiDepartment of Anesthesiology, Center for Perioperative Organ Protection, Duke University Medical Center, Durham, NC, USA.
Jingjun LyuDepartment of Anesthesiology, Center for Perioperative Organ Protection, Duke University Medical Center, Durham, NC, USA.
Xuan LiDepartment of Anesthesiology, Center for Perioperative Organ Protection, Duke University Medical Center, Durham, NC, USA.
Wei WangDepartment of Anesthesiology, Center for Perioperative Organ Protection, Duke University Medical Center, Durham, NC, USA.
Zhuoran WangDepartment of Anesthesiology, Center for Perioperative Organ Protection, Duke University Medical Center, Durham, NC, USA.
Huaxin ShengDepartment of Anesthesiology, Center for Perioperative Organ Protection, Duke University Medical Center, Durham, NC, USA.
Weiguo ZhangDepartment of Immunology, Duke University Medical Center, Durham, NC, USA.
Jörn KarhausenDepartment of Anesthesiology, Center for Perioperative Organ Protection, Duke University Medical Center, Durham, NC, USA.
Wei YangDepartment of Anesthesiology, Center for Perioperative Organ Protection, Duke University Medical Center, Durham, NC, USA. wei.yang@duke.edu.ORCID http://orcid.org/0000-0001-5719-4393
Duke University · USDuke Medical Center · US

Funding

American Heart Association 16GRNT30270003American Heart Association 18CSA34080277
6 · The paper itself

Abstract

backgroundCardiac arrest (CA) is associated with high morbidity and mortality, even after spontaneous circulation is re-established. This dire situation is partly due to post-CA syndrome for which no specific and effective intervention is available. One key component of post-CA syndrome is sterile inflammation, which affects various organs including the brain. A major effector of sterile inflammation is activated NLRP3 inflammasome, which leads to increased release of interleukin (IL)-1β. However, how NLRP3 inflammasome impacts neuroinflammation and neurologic outcome after CA is largely undefined.

methodsMice were subjected to a potassium-based murine CA and cardiopulmonary resuscitation (CPR) model. MCC950 was used to suppress activation of NLRP3 inflammasome after CA/CPR. Levels of protein and mRNA were examined by Western blotting and quantitative PCR, respectively. Immunologic changes were assessed by measuring cytokine expression and immune cell compositions. CA outcomes, including neurologic deficits, bacterial load in the lung, and survival rate, were evaluated.

resultsUsing our CA/CPR model, we found that NLRP3 inflammasome was activated in the post-CA brain, and that pro-inflammatory cytokine levels, including IL-1β, were increased. After treatment with MCC950, a potent and selective NLRP3 inflammasome inhibitor, mice exhibited improved functional recovery and survival rate during the 14-day observational period after CA/CPR. In line with these findings, IL-1β mRNA levels in the post-CA brain were significantly suppressed after MCC950 treatment. Interestingly, we also found that in MCC950- vs. vehicle-treated CA mice, immune homeostasis in the spleen was better preserved and bacterial load in the lung was significantly reduced.

conclusionsOur data demonstrate that activation of NLRP3 inflammasome could be a key event shaping the post-CA immuno- and neuro-pathology, and identify this pathway as a unique and promising therapeutic target to improve outcomes after CA/CPR.

Indexed as

AnimalsCardiopulmonary ResuscitationDisease Models, AnimalFuransHeart ArrestIndenesInflammasomesInterleukin-1betaMiceMice, Inbred C57BLNLR Family, Pyrin Domain-Containing 3 ProteinRecovery of FunctionSulfonamidesSurvival RateFuransIndenesInflammasomesInterleukin-1betaN-(1,2,3,5,6,7-hexahydro-S-indacen-4-ylcarbamoyl)-4-(2-hydroxy-2-propanyl)-2-furansulfonamideNLR Family, Pyrin Domain-Containing 3 ProteinSulfonamidesCPRImmunosuppressionInflammasomeIschemia/reperfusionNeuroinflammationNLRP3Sterile inflammation

Identifiers

PMID32867797
PMCPMC7457538
OpenAlexW3082878083

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.