Evidence map›Paper›PMID 33830504›Full record

ArticleBritish journal of pharmacology2021

TLR4 pathway impairs synaptic number and cerebrovascular functions through astrocyte activation following traumatic brain injury.

Juliana M Rosa, Víctor Farré-Alins, María Cristina Ortega, Marta Navarrete, Ana Belen Lopez-Rodriguez, Alejandra Palomino-Antolín, Elena Fernández-López, Virginia Vila-Del Sol, Céline Decouty, Paloma Narros-Fernández and 2 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
5.1field-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

42 citing papers in PubMed, 72 citations in OpenAlex.

  1. Toll like receptor 4 (TLR4) in neuroinflammation: From acute hemorrhagic stroke to chronic neurodegeneration.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  2. Glial Cells in Behavioral and Psychological Symptoms of Alzheimer's Disease.International journal of molecular sciences · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Flavonoids fromFoods (Basel, Switzerland) · 2025
    Article
  8. Article
  9. Review
  10. Revisiting the critical roles of reactive microglia in traumatic brain injury.International journal of surgery (London, England) · 2025
    Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Immune Response in Traumatic Brain Injury.Current neurology and neuroscience reports · 2024
    Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article
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

12 authors at 3 institutions in 1 country.

Juliana M RosaExperimental Neurophysiology and Neuronal Circuits Group, Hospital Nacional de Parapléjicos, Servicio de Salud de Castilla-La Mancha, SESCAM, Toledo, Spain.ORCID 0000-0003-0857-3746
Víctor Farré-AlinsInstituto Teófilo Hernando, Departamento de Farmacología y Terapéutica, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain.
María Cristina OrtegaNeuroinmune-Repair Group, Hospital Nacional de Parapléjicos, Servicio de Salud de Castilla-La Mancha, SESCAM, Toledo, Spain.
Marta NavarreteInstituto Cajal, Consejo Superior de Investigaciones Científicas, Madrid, Spain.
Ana Belen Lopez-RodriguezInstituto Teófilo Hernando, Departamento de Farmacología y Terapéutica, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain.
Alejandra Palomino-AntolínInstituto Teófilo Hernando, Departamento de Farmacología y Terapéutica, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain.
Elena Fernández-LópezExperimental Neurophysiology and Neuronal Circuits Group, Hospital Nacional de Parapléjicos, Servicio de Salud de Castilla-La Mancha, SESCAM, Toledo, Spain.
Virginia Vila-Del SolFlow Cytometry Service, Hospital Nacional de Parapléjicos, Servicio de Salud de Castilla-La Mancha, SESCAM, Toledo, Spain.
Céline DecoutyInstituto Teófilo Hernando, Departamento de Farmacología y Terapéutica, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain.
Paloma Narros-FernándezInstituto Teófilo Hernando, Departamento de Farmacología y Terapéutica, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain.
Diego ClementeNeuroinmune-Repair Group, Hospital Nacional de Parapléjicos, Servicio de Salud de Castilla-La Mancha, SESCAM, Toledo, Spain.
Javier EgeaInstituto Teófilo Hernando, Departamento de Farmacología y Terapéutica, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain.ORCID 0000-0003-4704-3019
Hospital Universitario Santa Cristina · ESServicio de Salud de Castilla La Mancha · ESConsejo Superior de Investigaciones Científicas · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeActivation of astrocytes contributes to synaptic remodelling, tissue repair and neuronal survival following traumatic brain injury (TBI). The mechanisms by which these cells interact to resident/infiltrated inflammatory cells to rewire neuronal networks and repair brain functions remain poorly understood. Here, we explored how TLR4-induced astrocyte activation modified synapses and cerebrovascular integrity following TBI. EXPERIMENTAL APPROACH: To determine how functional astrocyte alterations induced by activation of TLR4 pathway in inflammatory cells regulate synapses and neurovascular integrity after TBI, we used pharmacology, genetic approaches, live calcium imaging, immunofluorescence, flow cytometry, blood-brain barrier (BBB) integrity assessment and molecular and behavioural methods. KEY

resultsShortly after a TBI, there is a recruitment of excitable and reactive astrocytes mediated by TLR4 pathway activation with detrimental effects on post-synaptic density-95 (PSD-95)/vesicular glutamate transporter 1 (VGLUT1) synaptic puncta, BBB integrity and neurological outcome. Pharmacological blockage of the TLR4 pathway with resatorvid (TAK-242) partially reversed many of the observed effects. Synapses and BBB recovery after resatorvid administration were not observed in IP CONCLUSIONS AND IMPLICATIONS: Our data demonstrate that TLR4-mediated signalling, most probably through microglia and/or infiltrated monocyte-astrocyte communication, plays a crucial role in the TBI pathophysiology and that its inhibition prevents synaptic loss and BBB damage accelerating tissue recovery/repair, which might represent a therapeutic potential in CNS injuries and disorders.

Indexed as

AstrocytesBrain Injuries, TraumaticAnimalsBlood-Brain BarrierMiceMicrogliaNeuronsToll-Like Receptor 4Tlr4 protein, mouseToll-Like Receptor 4astrocytesBBB breakdownmicroglia/infiltrated monocytessynaptic remodellingTLR4 antagonismtraumatic brain injury

Identifiers

PMID33830504
PMCPMC8453872
OpenAlexW3145847907

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.