Evidence map›Paper›PMID 33796111›Full record

ArticleFrontiers in immunology2021

Monomeric C-Reactive Protein Localized in the Cerebral Tissue of Damaged Vascular Brain Regions Is Associated With Neuro-Inflammation and Neurodegeneration-An Immunohistochemical Study.

Raid S Al-Baradie, Shuang Pu, Donghui Liu, Yasmin Zeinolabediny, Glenn Ferris, Coral Sanfeli, Ruben Corpas, Elisa Garcia-Lara, Suliman A Alsagaby, Bader M Alshehri and 5 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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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

15 authors at 5 institutions in 5 countries.

Raid S Al-BaradieDepartment of Medical Laboratory Sciences, College of Applied Medical Sciences, Majmaah University, Al Majma'ah, Saudi Arabia.
Shuang PuNational Natural Science foundation of China, Beijing, China.
Donghui LiuSchool of Healthcare Science, John Dalton Building, Manchester Metropolitan University, Manchester, United Kingdom.
Yasmin ZeinolabedinySchool of Healthcare Science, John Dalton Building, Manchester Metropolitan University, Manchester, United Kingdom.
Glenn FerrisSchool of Healthcare Science, John Dalton Building, Manchester Metropolitan University, Manchester, United Kingdom.
Coral SanfeliInstituto De Investigaciones Biomedicas De Barcelona, CSIC, Barcelona, Spain.
Ruben CorpasInstituto De Investigaciones Biomedicas De Barcelona, CSIC, Barcelona, Spain.
Elisa Garcia-LaraDepartment of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al Majma'ah, Saudi Arabia.
Suliman A AlsagabyDepartment of Medical Laboratory Sciences, College of Applied Medical Sciences, Majmaah University, Al Majma'ah, Saudi Arabia.
Bader M AlshehriDepartment of Medical Laboratory Sciences, College of Applied Medical Sciences, Majmaah University, Al Majma'ah, Saudi Arabia.
Ahmed M Abdel-HadiDepartment of Medical Laboratory Sciences, College of Applied Medical Sciences, Majmaah University, Al Majma'ah, Saudi Arabia.
Fuzail AhmadDepartment of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al Majma'ah, Saudi Arabia.
Psalm MoatariSalford Royal NHS Foundation Trust, Manchester, United Kingdom.
Nima HeidariThe Regenerative Clinic, London, United Kingdom.
Mark SlevinNational Natural Science foundation of China, Beijing, China.
Majmaah University · SAManchester Metropolitan University · GBInstitut d'Investigacions Biomèdiques de Barcelona · ESSalford Royal NHS Foundation Trust · GBUniversitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Monomeric C-reactive protein (mCRP) is now accepted as having a key role in modulating inflammation and in particular, has been strongly associated with atherosclerotic arterial plaque progression and instability and neuroinflammation after stroke where a build-up of the mCRP protein within the brain parenchyma appears to be connected to vascular damage, neurodegenerative pathophysiology and possibly Alzheimer's Disease (AD) and dementia. Here, using immunohistochemical analysis, we wanted to confirm mCRP localization and overall distribution within a cohort of AD patients showing evidence of previous infarction and then focus on its co-localization with inflammatory active regions in order to provide further evidence of its functional and direct impact. We showed that mCRP was particularly seen in large amounts within brain vessels of all sizes and that the immediate micro-environment surrounding these had become laden with mCRP positive cells and extra cellular matrix. This suggested possible leakage and transport into the local tissue. The mCRP-positive regions were almost always associated with neurodegenerative, damaged tissue as hallmarked by co-positivity with pTau and β-amyloid staining. Where this occurred, cells with the morphology of neurons, macrophages and glia, as well as smaller microvessels became mCRP-positive in regions staining for the inflammatory markers CD68 (macrophage), interleukin-1 beta (IL-1β) and nuclear factor kappa B (NFκB), showing evidence of a perpetuation of inflammation. Positive staining for mCRP was seen even in distant hypothalamic regions. In conclusion, brain injury or inflammatory neurodegenerative processes are strongly associated with mCRP localization within the tissue and given our knowledge of its biological properties, it is likely that this protein plays a direct role in promoting tissue damage and supporting progression of AD after injury.

Indexed as

Alzheimer DiseaseBrainC-Reactive ProteinEndothelial CellsAgedAged, 80 and overAmyloid beta-PeptidesBiomarkersFemaleHumansImmunohistochemistryInflammationInterleukin-1betaMacrophagesMaletau ProteinsAmyloid beta-PeptidesBiomarkersC-Reactive ProteinIL1B protein, humanInterleukin-1betaMAPT protein, humantau ProteinsC-reactive proteininflammationneurodegenerationstrokevascular

Identifiers

PMID33796111
PMCPMC8007856
OpenAlexW3138197738

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.