Evidence map›Paper›PMID 34148071›Full record

ArticleBrain : a journal of neurology2021

Annexin A1 restores cerebrovascular integrity concomitant with reduced amyloid-β and tau pathology.

Miriam Ries, Helena Watts, Bibiana C Mota, Maria Yanez Lopez, Cornelius K Donat, Nicoleta Baxan, James A Pickering, Tsz Wing Chau, Annika Semmler, Brinda Gurung and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
4.3field-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, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  15. The interaction between dysfunction of vasculature and tauopathy in Alzheimer's disease and related dementias.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  16. Article
  17. Article
  18. Plasma membrane repair defect in Alzheimer's disease neurons is driven by the reduced dysferlin expression.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Article
  19. 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

22 authors at 5 institutions in 4 countries.

Miriam RiesDepartment of Brain Sciences, Imperial College London, London, UK.
Helena WattsDepartment of Brain Sciences, Imperial College London, London, UK.
Bibiana C MotaDepartment of Brain Sciences, Imperial College London, London, UK.ORCID 0000-0003-3074-4812
Maria Yanez LopezDepartment of Brain Sciences, Imperial College London, London, UK.
Cornelius K DonatDepartment of Brain Sciences, Imperial College London, London, UK.
Nicoleta BaxanBiological Imaging Centre, Imperial College London, London, UK.ORCID 0000-0002-5165-4691
James A PickeringDepartment of Brain Sciences, Imperial College London, London, UK.ORCID 0000-0001-8961-7784
Tsz Wing ChauDepartment of Brain Sciences, Imperial College London, London, UK.
Annika SemmlerDepartment of Brain Sciences, Imperial College London, London, UK.
Brinda GurungDepartment of Brain Sciences, Imperial College London, London, UK.
Robertas AleksynasDepartment of Brain Sciences, Imperial College London, London, UK.
Laura Abelleira-HervasDepartment of Brain Sciences, Imperial College London, London, UK.ORCID 0000-0003-2423-8307
Soha Jamshed IqbalDepartment of Brain Sciences, Imperial College London, London, UK.
Carmen Romero-MolinaDepartment of Brain Sciences, Imperial College London, London, UK.
Gerard Hernandez-MirDepartment of Brain Sciences, Imperial College London, London, UK.
Antonio d'AmatiWilliam Harvey Research Institute, Queen Mary University London SMD, London, UK.
Chris ReutelingspergerDepartment of Biochemistry, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands.
Marc H GoldfingerDepartment of Brain Sciences, Imperial College London, London, UK.
Steve M GentlemanDepartment of Brain Sciences, Imperial College London, London, UK.
Fred Van LeuvenExperimental Genetics Group-LEGTEGG, Department of Human Genetics, KU Leuven, Leuven, Belgium.
Egle SolitoWilliam Harvey Research Institute, Queen Mary University London SMD, London, UK.ORCID 0000-0001-5279-0049
Magdalena SastreDepartment of Brain Sciences, Imperial College London, London, UK.
Imperial College London · GBWilliam Harvey Research Institute · GBKU Leuven · BEMaastricht University · NLNIHR Imperial Biomedical Research Centre · GB

Funding

The Dunhill Medical Trust R591/0717
6 · The paper itself

Abstract

Alzheimer's disease, characterized by brain deposits of amyloid-β plaques and neurofibrillary tangles, is also linked to neurovascular dysfunction and blood-brain barrier breakdown, affecting the passage of substances into and out of the brain. We hypothesized that treatment of neurovascular alterations could be beneficial in Alzheimer's disease. Annexin A1 (ANXA1) is a mediator of glucocorticoid anti-inflammatory action that can suppress microglial activation and reduce blood-brain barrier leakage. We have reported recently that treatment with recombinant human ANXA1 (hrANXA1) reduced amyloid-β levels by increased degradation in neuroblastoma cells and phagocytosis by microglia. Here, we show the beneficial effects of hrANXA1 in vivo by restoring efficient blood-brain barrier function and decreasing amyloid-β and tau pathology in 5xFAD mice and Tau-P301L mice. We demonstrate that young 5xFAD mice already suffer cerebrovascular damage, while acute pre-administration of hrANXA1 rescued the vascular defects. Interestingly, the ameliorated blood-brain barrier permeability in young 5xFAD mice by hrANXA1 correlated with reduced brain amyloid-β load, due to increased clearance and degradation of amyloid-β by insulin degrading enzyme (IDE). The systemic anti-inflammatory properties of hrANXA1 were also observed in 5xFAD mice, increasing IL-10 and reducing TNF-α expression. Additionally, the prolonged treatment with hrANXA1 reduced the memory deficits and increased synaptic density in young 5xFAD mice. Similarly, in Tau-P301L mice, acute hrANXA1 administration restored vascular architecture integrity, affecting the distribution of tight junctions, and reduced tau phosphorylation. The combined data support the hypothesis that blood-brain barrier breakdown early in Alzheimer's disease can be restored by hrANXA1 as a potential therapeutic approach.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesAnimalsAnnexin A1Blood-Brain BarrierBrainCapillary PermeabilityFemaleHumansMaleMiceMice, TransgenicAmyloid beta-PeptidesAnnexin A1ANXA1AβBBBIDEtau

Identifiers

PMID34148071
PMCPMC8262982
OpenAlexW3177111805

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.