Evidence map›Paper›PMID 34462350›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

PPAR-γ activation enhances myelination and neurological recovery in premature rabbits with intraventricular hemorrhage.

Sunil Krishna, Bokun Cheng, Deep R Sharma, Sunita Yadav, Erin S Stempinski, Sahil Mamtani, Elisa Shah, Anjali Deo, Trishna Acherjee, Teena Thomas and 4 more

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
8.3field-weighted citation impact, top 2% 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, 36 citations in OpenAlex.

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  17. Ratios of head circumference to ventricular size vary over time and predict eventual need for CSF diversion in intraventricular hemorrhage of prematurity.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
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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

14 authors at 2 institutions in 1 country.

Sunil KrishnaDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461.
Bokun ChengDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461.
Deep R SharmaDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461.
Sunita YadavDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461.
Erin S StempinskiMultiscale Microscopy Core, Oregon Health Science University, Portland, OR 97239.
Sahil MamtaniDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461.ORCID 0000-0002-7348-1541
Elisa ShahDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461.
Anjali DeoDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461.
Trishna AcherjeeDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461.
Teena ThomasDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461.
Xusheng ZhangComputational Genomics Core, Albert Einstein College of Medicine, Bronx, NY 10461.ORCID 0000-0002-9335-5577
Jinghang ZhangFlow Cytometry Core, Albert Einstein College of Medicine, Bronx, NY 10461.ORCID 0000-0003-1436-6460
Dumitru A IacobasDominick P. Purpura Department of Neuroscience, Albert Einstein College of Medicine, Bronx, NY 10461.
Praveen BallabhDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461; praveen.ballabh@einsteinmed.org.
Albert Einstein College of Medicine · USOregon Health & Science University · US

Funding

SUPPORT FOR THE ROSE F KENNEDY IDDRC P50P50HD105352 · NICHD · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SOPHIE MOLHOLM, Steven Upshaw Walkley · 2021 to 2026
$7.0M
Intraventricular Hemorrhage Affects Production of Cortical InterneuronsR01NS110760 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI BALLABH, PRAVEEN · 2019 to 2023
$1.8M
PPAR-gamma Activation Restores Myelination and Ventricle size after Intraventricular HemorrhageR21NS102897 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI BALLABH, PRAVEEN · 2018 to 2019
$459k
NICHD NIH HHS P50 HD105352NINDS NIH HHS R01 NS110760NINDS NIH HHS R21 NS102897
6 · The paper itself

Abstract

Intraventricular hemorrhage (IVH) results in periventricular inflammation, hypomyelination of the white matter, and hydrocephalus in premature infants. No effective therapy exists to prevent these disorders. Peroxisome proliferator activated receptor-γ (PPAR-γ) agonists reduce inflammation, alleviate free radical generation, and enhance microglial phagocytosis, promoting clearance of debris and red blood cells. We hypothesized that activation of PPAR-γ would enhance myelination, reduce hydrocephalus, and promote neurological recovery in newborns with IVH. These hypotheses were tested in a preterm rabbit model of IVH; autopsy brain samples from premature infants with and without IVH were analyzed. We found that IVH augmented PPAR-γ expression in microglia of both preterm human infants and rabbit kits. The treatment with PPAR-γ agonist or PPAR-γ overexpression by adenovirus delivery further elevated PPAR-γ levels in microglia, reduced proinflammatory cytokines, increased microglial phagocytosis, and improved oligodendrocyte progenitor cell (OPC) maturation in kits with IVH. Transcriptomic analyses of OPCs identified previously unrecognized PPAR-γ-induced genes for purinergic signaling, cyclic adenosine monophosphate generation, and antioxidant production, which would reprogram these progenitors toward promoting myelination. RNA-sequencing analyses of microglia revealed PPAR-γ-triggered down-regulation of several proinflammatory genes and transcripts having roles in Parkinson's disease and amyotrophic lateral sclerosis, contributing to neurological recovery in kits with IVH. Accordingly, PPAR-γ activation enhanced myelination and neurological function in kits with IVH. This also enhanced microglial phagocytosis of red blood cells but did not reduce hydrocephalus. Treatment with PPAR-γ agonist might enhance myelination and neurological recovery in premature infants with IVH.

Indexed as

Amino Acid Transport Systems, AcidicAnimalsAnimals, NewbornAntiportersCerebral Intraventricular HemorrhageDisease Models, AnimalHereditary Central Nervous System Demyelinating DiseasesHumansInfant, PrematureMicrogliaMitochondrial DiseasesMyelin ProteinsOligodendrogliaPPAR gammaPsychomotor DisordersRabbitsAmino Acid Transport Systems, AcidicAntiportersMyelin ProteinsPPAR gammaRosiglitazonemicrogliamyelinoligodendrocytePPAR-γ

Identifiers

PMID34462350
PMCPMC8433527
OpenAlexW3196939919

What OpenQuestion holds

Textmetadata
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.