Evidence map›Paper›PMID 34576055›Full record

ArticleInternational journal of molecular sciences2021

Treatment with Edoxaban Attenuates Acute Stroke Severity in Mice by Reducing Blood-Brain Barrier Damage and Inflammation.

Michael Bieber, Kathrin I Foerster, Walter E Haefeli, Mirko Pham, Michael K Schuhmann, Peter Kraft

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Observational
  5. Review
  6. Article
  7. Review
  8. Review
  9. Cellular and Molecular Targets in Acute Ischemic Stroke.International journal of molecular sciences · 2022
    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

6 authors at 2 institutions in 1 country.

Michael BieberDepartment of Neurology, University Hospital Würzburg, 97080 Würzburg, Germany.ORCID 0000-0002-5535-6480
Kathrin I FoersterDepartment of Clinical Pharmacology and Pharmacoepidemiology, Heidelberg University Hospital, 69120 Heidelberg, Germany.ORCID 0000-0001-8583-7181
Walter E HaefeliDepartment of Clinical Pharmacology and Pharmacoepidemiology, Heidelberg University Hospital, 69120 Heidelberg, Germany.ORCID 0000-0003-0672-6876
Mirko PhamDepartment of Neuroradiology, University Hospital Würzburg, 97080 Würzburg, Germany.
Michael K SchuhmannDepartment of Neurology, University Hospital Würzburg, 97080 Würzburg, Germany.
Peter KraftDepartment of Neurology, University Hospital Würzburg, 97080 Würzburg, Germany.
Universitätsklinikum Würzburg · DEHeidelberg University · DE

Funding

Daiichi Sankyo Company no number
6 · The paper itself

Abstract

Patients with atrial fibrillation and previous ischemic stroke (IS) are at increased risk of cerebrovascular events despite anticoagulation. In these patients, treatment with non-vitamin K oral anticoagulants (NOAC) such as edoxaban reduced the probability and severity of further IS without increasing the risk of major bleeding. However, the detailed protective mechanism of edoxaban has not yet been investigated in a model of ischemia/reperfusion injury. Therefore, in the current study we aimed to assess in a clinically relevant setting whether treatment with edoxaban attenuates stroke severity, and whether edoxaban has an impact on the local cerebral inflammatory response and blood-brain barrier (BBB) function after experimental IS in mice. Focal cerebral ischemia was induced by transient middle cerebral artery occlusion in male mice receiving edoxaban, phenprocoumon or vehicle. Infarct volumes, functional outcome and the occurrence of intracerebral hemorrhage were assessed. BBB damage and the extent of local inflammatory response were determined. Treatment with edoxaban significantly reduced infarct volumes and improved neurological outcome and BBB function on day 1 and attenuated brain tissue inflammation. In summary, our study provides evidence that edoxaban might exert its protective effect in human IS by modulating different key steps of IS pathophysiology, but further studies are warranted.

Indexed as

AnimalsBlood-Brain BarrierBrain IschemiaDisease Models, AnimalHumansInfarction, Middle Cerebral ArteryInflammationMicePyridinesSeverity of Illness IndexStrokeThiazolesedoxabanPyridinesThiazolesblood–brain barrieredoxabanexperimental strokehemorrhagic transformationNOACthrombo-inflammationtMCAO

Identifiers

PMID34576055
PMCPMC8464921
OpenAlexW3199469818

What OpenQuestion holds

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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.