Evidence map›Paper›PMID 33248237›Full record

ArticleNeurobiology of disease2021

Brain-targeted hypoxia-inducible factor stabilization reduces neonatal hypoxic-ischemic brain injury.

Chia-Yi Kuan, Hong-Ru Chen, Ning Gao, Yi-Min Kuo, Ching-Wen Chen, Dianer Yang, Melissa M Kinkaid, Erding Hu, Yu-Yo Sun

Open access · goldAbstract read
In one paragraph

Article in Neurobiology of disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
0.8field-weighted citation impact, top 33% 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

18 citing papers in PubMed, 27 citations in OpenAlex.

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  4. Neurological Effects ofNutrients · 2026
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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 2 countries.

Chia-Yi KuanDepartment of Neuroscience, Center for Brain Immunology and Glia (BIG), University of Virginia School of Medicine, Charlottesville, VA 22908, United States of America. Electronic address: alex.kuan@virginia.edu.
Hong-Ru ChenDepartment of Neuroscience, Center for Brain Immunology and Glia (BIG), University of Virginia School of Medicine, Charlottesville, VA 22908, United States of America.
Ning GaoDivision of Neurology, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322, United States of America.
Yi-Min KuoDepartment of Anesthesiology, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan.
Ching-Wen ChenDepartment of Neuroscience, Center for Brain Immunology and Glia (BIG), University of Virginia School of Medicine, Charlottesville, VA 22908, United States of America.
Dianer YangDivision of Neurology, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322, United States of America.
Melissa M KinkaidDepartment of Neuroscience, Center for Brain Immunology and Glia (BIG), University of Virginia School of Medicine, Charlottesville, VA 22908, United States of America.
Erding HuCardiac Biology, Heart Failure Discovery Performance Unit, GlaxoSmithKline Pharmaceuticals, King of Prussia, PA 19406, United States of America.
Yu-Yo SunDepartment of Neuroscience, Center for Brain Immunology and Glia (BIG), University of Virginia School of Medicine, Charlottesville, VA 22908, United States of America. Electronic address: yuyosun42@virginia.edu.
University of Virginia · USEmory University · USGlaxoSmithKline (United States) · USNational Yang Ming Chiao Tung University · TW

Funding

Creatine Transporter Deficiency and Brain EnergeticsR01NS108763 · NINDS · UNIVERSITY OF VIRGINIA · PI KUAN, CHIA-YI · 2018 to 2022
$2.3M
Crosstalk of Innate and Adaptive Immunity in Infection-Sensitized Neonatal HIER01NS095064 · NINDS · UNIVERSITY OF VIRGINIA · PI KUAN, CHIA-YI · 2016 to 2020
$1.7M
Thrombolytic Stroke Therapy in Humanized Sickle MiceR21NS106592 · NINDS · UNIVERSITY OF VIRGINIA · PI SUN, YU-YO · 2018 to 2019
$457k
Monocyte-Derived Microglia after Maternal Immune Activation and Neonatal BrainInjuryR21NS100419 · NINDS · UNIVERSITY OF VIRGINIA · PI KUAN, CHIA-YI · 2017 to 2018
$429k
NINDS NIH HHS R01 NS095064NINDS NIH HHS R01 NS108763NINDS NIH HHS R21 NS100419NINDS NIH HHS R21 NS106592
6 · The paper itself

Abstract

Hypoxia-inducible factor-1α (HIF1α) is a major regulator of cellular adaptation to hypoxia and oxidative stress, and recent advances of prolyl-4-hydroxylase (P4H) inhibitors have produced powerful tools to stabilize HIF1α for clinical applications. However, whether HIF1α provokes or resists neonatal hypoxic-ischemic (HI) brain injury has not been established in previous studies. We hypothesize that systemic and brain-targeted HIF1α stabilization may have divergent effects. To test this notion, herein we compared the effects of GSK360A, a potent P4H inhibitor, in in-vitro oxygen-glucose deprivation (OGD) and in in-vivo neonatal HI via intracerebroventricular (ICV), intraperitoneal (IP), and intranasal (IN) drug-application routes. We found that GSK360A increased the erythropoietin (EPO), heme oxygenase-1 (HO1) and glucose transporter 1 (Glut1) transcripts, all HIF1α target-genes, and promoted the survival of neurons and oligodendrocytes after OGD. Neonatal HI insult stabilized HIF1α in the ipsilateral hemisphere for up to 24 h, and either ICV or IN delivery of GSK360A after HI increased the HIF1α target-gene transcripts and decreased brain damage. In contrast, IP-injection of GSK360A failed to reduce HI brain damage, but elevated the risk of mortality at high doses, which may relate to an increase of the kidney and plasma EPO, leukocytosis, and abundant vascular endothelial growth factor (VEGF) mRNAs in the brain. These results suggest that brain-targeted HIF1α-stabilization is a potential treatment of neonatal HI brain injury, while systemic P4H-inhibition may provoke unwanted adverse effects.

Indexed as

Administration, IntranasalAnimalsAnimals, NewbornCell SurvivalEnzyme InhibitorsErythropoietinGlucose Transporter Type 1GlycineHeme Oxygenase (Decyclizing)Hypoxia-Inducible Factor 1, alpha SubunitHypoxia-Inducible Factor-Proline DioxygenasesHypoxia-Ischemia, BrainInjections, IntraperitonealInjections, IntraventricularNeuronsOligodendrogliaEnzyme InhibitorsErythropoietinerythropoietin, ratGlucose Transporter Type 1GlycineHeme Oxygenase (Decyclizing)Hif1a protein, ratHmox1 protein, ratHypoxia-Inducible Factor 1, alpha SubunitHypoxia-Inducible Factor-Proline DioxygenasesN-((1-(cyclopropylethyl)-6-fluoro-4-hydroxy-2-oxo-1,2-dihydro-3-quinolinyl)carbonyl)glycineQuinolonesSlc2a1 protein, ratBirth asphyxiaErythropoietinHypoxic-ischemic encephalopathyIntranasalProlyl-hydroxylase

Identifiers

PMID33248237
PMCPMC10111204
OpenAlexW3108220335

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.