Evidence map›Paper›PMID 34580244›Full record

ArticleThe Journal of clinical investigation2021

Exogenous inter-α inhibitor proteins prevent cell death and improve ischemic stroke outcomes in mice.

Louise D McCullough, Meaghan Roy-O'Reilly, Yun-Ju Lai, Anthony Patrizz, Yan Xu, Juneyoung Lee, Aleah Holmes, Daniel C Kraushaar, Anjali Chauhan, Lauren H Sansing and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

18 citing papers in PubMed, 27 citations in OpenAlex.

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  9. Mitochondria-containing extracellular vesicles from mouse vs. human brain endothelial cells for ischemic stroke therapy.Journal of controlled release : official journal of the Controlled Release Society · 2024
    Article
  10. Article
  11. TSG-6-Mediated Extracellular Matrix Modifications Regulate Hypoxic-Ischemic Brain Injury.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  12. Article
  13. The Polyanionic Drug Suramin Neutralizes Histones and Prevents Endotheliopathy.Journal of immunology (Baltimore, Md. : 1950) · 2023
    Article
  14. 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

15 authors at 7 institutions in 1 country.

Louise D McCulloughDepartment of Neurology, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
Meaghan Roy-O'ReillyDepartment of Neurology, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
Yun-Ju LaiDepartment of Neurology, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
Anthony PatrizzDepartment of Neurology, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
Yan XuDepartment of Neurology, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
Juneyoung LeeDepartment of Neurology, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
Aleah HolmesDepartment of Neurology, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
Daniel C KraushaarGenomic and RNA Profiling Core, Baylor College of Medicine, Houston, Texas, USA.
Anjali ChauhanDepartment of Neurology, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
Lauren H SansingDepartment of Neurology, Yale University School of Medicine, New Haven, Connecticut, USA.
Barbara S StonestreetDepartment of Pediatrics, Women and Infants Hospital of Rhode Island, The Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Liang ZhuBiostatistics and Epidemiology Research Design Core, Center for Clinical and Translational Sciences, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Julia KoflerDepartment of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Yow-Pin LimProThera Biologics Inc., Providence, Rhode Island, USA.
Venugopal Reddy VennaDepartment of Neurology, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
The University of Texas Health Science Center · USBaylor College of Medicine · USBrown University · USThe University of Texas Health Science Center at Houston · USUniversity of Pittsburgh · USWomen & Infants Hospital of Rhode Island · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
TREATMENT OF DEPRESSION IN ALZHEIMER'S DISEASEP50AG005133 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAMBOH, M. ILYAS · 1985 to 2019
$43.0M
Research Education ComponentP30AG066468 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Julia K Kofler · 2020 to 2026
$29.4M
Pyschosocial Stress and the Response to StrokeR37NS096493 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCCULLOUGH, LOUISE D. · 2016 to 2022
$5.2M
Reversing Age Related InflammationR01NS094543 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCCULLOUGH, LOUISE D. · 2016 to 2020
$2.8M
Immunomodulatory effects of Inter-alpha Inhibitors in attenuating Ischemic StrokeR21NS087183 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCCULLOUGH, LOUISE D. · 2014 to 2015
$838k
Treatment of Ischemic Stroke in Aged Populations: Sex-Specific Targeting of the Neutrophil ResponseF30NS098628 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ROY-O'REILLY, MEAGHAN A. · 2017 to 2019
$108k
NCATS NIH HHS UL1 TR001863NIA NIH HHS P30 AG066468NIA NIH HHS P50 AG005133NINDS NIH HHS F30 NS098628NINDS NIH HHS R01 NS094543NINDS NIH HHS R21 NS087183NINDS NIH HHS R37 NS096493
6 · The paper itself

Abstract

Inter-α inhibitor proteins (IAIPs) are a family of endogenous plasma and extracellular matrix molecules. IAIPs suppress proinflammatory cytokines, limit excess complement activation, and bind extracellular histones to form IAIP-histone complexes, leading to neutralization of histone-associated cytotoxicity in models of sepsis. Many of these detrimental processes also play critical roles in the pathophysiology of ischemic stroke. In this study, we first assessed the clinical relevance of IAIPs in stroke and then tested the therapeutic efficacy of exogenous IAIPs in several experimental stroke models. IAIP levels were reduced in both ischemic stroke patients and in mice subjected to experimental ischemic stroke when compared with controls. Post-stroke administration of IAIP significantly improved stroke outcomes across multiple stroke models, even when given 6 hours after stroke onset. Importantly, the beneficial effects of delayed IAIP treatment were observed in both young and aged mice. Using targeted gene expression analysis, we identified a receptor for complement activation, C5aR1, that was highly suppressed in both the blood and brain of IAIP-treated animals. Subsequent experiments using C5aR1-knockout mice demonstrated that the beneficial effects of IAIPs are mediated in part by C5aR1. These results indicate that IAIP is a potential therapeutic candidate for the treatment of ischemic stroke.

Indexed as

Alpha-GlobulinsAnimalsBrain EdemaBrain InfarctionCell DeathDisease Models, AnimalFemaleHumansIschemic StrokeMaleMiceMice, Inbred C57BLMice, KnockoutReceptor, Anaphylatoxin C5aTissue Plasminogen ActivatorAlpha-GlobulinsC5ar1 protein, mouseinter-alpha-inhibitorReceptor, Anaphylatoxin C5aTissue Plasminogen ActivatorInflammationNeurological disordersNeuroscienceStroke

Identifiers

PMID34580244
PMCPMC8409590
OpenAlexW3197418860

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.