Evidence map›Paper›PMID 34844502›Full record

ReviewExpert opinion on therapeutic targets2021

Emerging therapeutic targets for cerebral edema.

Ruchira M Jha, Sudhanshu P Raikwar, Sandra Mihaljevic, Amanda M Casabella, Joshua S Catapano, Anupama Rani, Shashvat Desai, Volodymyr Gerzanich, J Marc Simard

Open access · greenAbstract readReview
In one paragraph

Review in Expert opinion on therapeutic targets, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. The neurobiological regulatory mechanism of brain edema.Frontiers in cellular neuroscience · 2026
    Review
  7. Article
  8. 3,3'-Diindolylmethane improves pathology and neurological outcome following traumatic brain injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
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

9 authors at 4 institutions in 1 country.

Ruchira M JhaDepartment of Neurology, Barrow Neurological Institute and St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Sudhanshu P RaikwarDepartment of Neurobiology, Barrow Neurological Institute and St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Sandra MihaljevicDepartment of Neurobiology, Barrow Neurological Institute and St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Amanda M CasabellaDepartment of Neurological Surgery, Mayo Clinic, Rochester, MN, USA.
Joshua S CatapanoDepartment of Neurosurgery, Barrow Neurological Institute and St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Anupama RaniDepartment of Neurobiology, Barrow Neurological Institute and St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Shashvat DesaiDepartment of Neurology, Barrow Neurological Institute and St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Volodymyr GerzanichDepartment of Neurosurgery, University of Maryland School of Medicine, Baltimore MD, USA.
J Marc SimardDepartment of Neurosurgery, University of Maryland School of Medicine, Baltimore MD, USA.
St. Joseph's Hospital and Medical Center · USUniversity of Maryland, Baltimore · USBarrow Neurological Institute · USNeurological Surgery · US

Funding

TRAINING GRANT IN CLINICAL PHARMACOLOGYT32GM008685 · NIGMS · MAYO CLINIC ROCHESTER · PI Liewei Wang · 1998 to 2026
$8.2M
Sulfonylurea receptor 1 (SUR1)- A novel therapeutic target in ischemic strokeR01HL082517 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI SIMARD, J. MARC · 2006 to 2021
$5.6M
A Translational Evaluation of Sur1-Trpm4 Imaging Endophenotypes and Genetics to Direct Precision Medicine for Cerebral Edema After Traumatic Brain InjuryR01NS115815 · NINDS · ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER · PI JHA, RUCHIRA MENKA · 2021 to 2025
$2.8M
Fn14, non-canonical NF-kappaB and downstream signaling in neuropathic painR01NS105633 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI SIMARD, J. MARC · 2018 to 2022
$1.9M
Non-canonical NF-kappaB signaling and Sur1-Trpm4 in traumatic brain injuryR01NS102589 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI SIMARD, J. MARC · 2017 to 2021
$1.7M
Sur1-Trpm4 regulation of the pro-inflammatory astrocytic secretome in EAER01NS107262 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI GERZANICH, VLADIMIR · 2020 to 2024
$1.7M
Translational assessment of sulfonylurea receptor-1 as a biomarker and therapeutic target for cerebral edema in traumatic brain injuryK23NS101036 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JHA, RUCHIRA MENKA · 2017 to 2021
$944k
BLRD VA I01 BX004652NHLBI NIH HHS R01 HL082517NIGMS NIH HHS T32 GM008685NINDS NIH HHS K23 NS101036NINDS NIH HHS R01 NS102589NINDS NIH HHS R01 NS105633NINDS NIH HHS R01 NS107262NINDS NIH HHS R01 NS115815RRD VA I01 RX003060
6 · The paper itself

Abstract

introductionCerebral edema is a key contributor to death and disability in several forms of brain injury. Current treatment options are limited, reactive, and associated with significant morbidity. Targeted therapies are emerging based on a growing understanding of the molecular underpinnings of cerebral edema. AREAS COVERED: We review the pathophysiology and relationships between different cerebral edema subtypes to provide a foundation for emerging therapies. Mechanisms for promising molecular targets are discussed, with an emphasis on those advancing in clinical trials, including ion and water channels (AQP4, SUR1-TRPM4) and other proteins/lipids involved in edema signaling pathways (AVP, COX2, VEGF, and S1P). Research on novel treatment modalities for cerebral edema [including recombinant proteins and gene therapies] is presented and finally, insights on reducing secondary injury and improving clinical outcome are offered. EXPERT OPINION: Targeted molecular strategies to minimize or prevent cerebral edema are promising. Inhibition of SUR1-TRPM4 (glyburide/glibenclamide) and VEGF (bevacizumab) are currently closest to translation based on advances in clinical trials. However, the latter, tested in glioblastoma multiforme, has not demonstrated survival benefit. Research on recombinant proteins and gene therapies for cerebral edema is in its infancy, but early results are encouraging. These newer modalities may facilitate our understanding of the pathobiology underlying cerebral edema.

Indexed as

Brain EdemaTRPM Cation ChannelsGlyburideHumansSulfonylurea ReceptorsGlyburideSulfonylurea ReceptorsTRPM Cation ChannelsAQP4 (Aquaporin4)AVP (Arginine Vasopressin)bevacizumabCelecoxibCerebral edemaConivaptanCOX2 (Cyclooxygenase-2)FingolimodGlyburide / GlibenclamideS1P (sphingosine 1 phosphate)SUR1-TRPM4 (sulfonylurea receptor 1- transient receptor potential cation channel subfamily M member 4)VEGF (Vascular Endothelial Growth Factor)

Identifiers

PMID34844502
PMCPMC9196113
OpenAlexW3216357745

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.