Evidence map›Paper›PMID 33573677›Full record

ArticleJournal of neuroinflammation2021

Cell-free oxidized hemoglobin drives reactive oxygen species production and pro-inflammation in an immature primary rat mixed glial cell culture.

Alex Adusei Agyemang, Suvi Vallius Kvist, Nathan Brinkman, Thomas Gentinetta, Miriam Illa, Niklas Ortenlöf, Bo Holmqvist, David Ley, Magnus Gram

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2021. 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
5.7field-weighted citation impact, top 4% 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, 23 citations in OpenAlex.

  1. Article
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  3. Acellular Hemoglobin Impairs Cardiomyocyte Excitation-Contraction Coupling.ASAIO journal (American Society for Artificial Internal Organs : 1992) · 2026
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  17. Cerebellar development after preterm birth.Frontiers in cell and developmental biology · 2022
    Review
  18. 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

9 authors at 4 institutions in 3 countries.

Alex Adusei AgyemangLund University, Department of Clinical Sciences Lund, Pediatrics, Lund, Sweden.
Suvi Vallius KvistLund University, Department of Clinical Sciences Lund, Pediatrics, Lund, Sweden.
Nathan BrinkmanR&D, CSL Behring, Kankakee, IL, USA.
Thomas GentinettaResearch Bern, CSL Behring, Bern, Switzerland.
Miriam IllaFetal i+D Fetal Medicine Research Center, BCNatal-Barcelona Center for Maternal-Fetal and Neonatal Medicine (Hospital Clínic and Hospital Sant Joan de Deu), Institut Clínic de Ginecologia, Obstetricia i Neonatologia, Universitat de Barcelona, Barcelona, Spain.
Niklas OrtenlöfLund University, Department of Clinical Sciences Lund, Pediatrics, Lund, Sweden.
Bo HolmqvistImaGene-iT AB, Medicon Village, Lund, Sweden.
David LeyLund University, Department of Clinical Sciences Lund, Pediatrics, Lund, Sweden.
Magnus GramLund University, Department of Clinical Sciences Lund, Pediatrics, Lund, Sweden. magnus.gram@med.lu.se.ORCID http://orcid.org/0000-0002-5880-2925
Lund University · SECSL (Switzerland) · CHHospital Sant Joan de Déu Barcelona · ESMedicon Village · SE

Funding

Vetenskapsrådet 2017-02112
6 · The paper itself

Abstract

backgroundGerminal matrix intraventricular hemorrhage (GM-IVH) is associated with deposition of redox active cell-free hemoglobin (Hb), derived from hemorrhagic cerebrospinal fluid (CSF), in the cerebrum and cerebellum. In a recent study, using a preterm rabbit pup model of IVH, intraventricularly administered haptoglobin (Hp), a cell-free Hb scavenger, partially reversed the damaging effects observed following IVH. Together, this suggests that cell-free Hb is central in the pathophysiology of the injury to the immature brain following GM-IVH. An increased understanding of the causal pathways and metabolites involved in eliciting the damaging response following hemorrhage is essential for the continued development and implementation of neuroprotective treatments of GM-IVH in preterm infant.

methodsWe exposed immature primary rat mixed glial cells to hemorrhagic CSF obtained from preterm human infants with IVH (containing a mixture of Hb-metabolites) or to a range of pure Hb-metabolites, incl. oxidized Hb (mainly metHb with iron in Fe

resultsExposure of the glial cells to hemorrhagic CSF as well as oxidized Hb, but not oxyHb, resulted in a significantly increased rate of ROS production that positively correlated with the rate of production of pro-inflammatory and oxidative markers. Congruently, exposure to oxidized Hb caused a disintegration of the polygonal cytoskeletal structure of the glial cells in addition to upregulation of F-actin proteins in microglial cells. Co-administration of Hp partially reversed the damaging response of hemorrhagic CSF and oxidized Hb.

conclusionExposure of mixed glial cells to oxidized Hb initiates a pro-inflammatory and oxidative response with cytoskeletal disintegration. Early administration of Hp, aiming to minimize the spontaneous autoxidation of cell-free oxyHb and liberation of heme, may provide a therapeutic benefit in preterm infant with GM-IVH.

Indexed as

AnimalsAnimals, NewbornCell Culture TechniquesCell-Free SystemCerebral HemorrhageCerebrospinal FluidCoculture TechniquesDose-Response Relationship, DrugHemoglobinsHumansInfant, NewbornInflammation MediatorsNeurogliaOxygenRatsRats, Sprague-DawleyHemoglobinsInflammation MediatorsOxygenReactive Oxygen SpeciesHaptoglobinHemoglobin metabolitesHemorrhagic cerebrospinal fluidIntraventricular hemorrhageMixed glial cellsRedox

Identifiers

PMID33573677
PMCPMC7879625
OpenAlexW3126536575

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.