Evidence map›Paper›PMID 34846535›Full record

ArticleThe Journal of experimental medicine2022

Protection of ischemic white matter and oligodendrocytes in mice by 3K3A-activated protein C.

Mikko T Huuskonen, Yaoming Wang, Angeliki Maria Nikolakopoulou, Axel Montagne, Zhonghua Dai, Divna Lazic, Abhay P Sagare, Zhen Zhao, Jose A Fernandez, John H Griffin and 1 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Targeting angiogenesis and white matter repair for enhanced functional recovery after acute ischemic stroke: A focus on the roles of glial cells.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  3. Review
  4. Article
  5. Abolishing UCHL1's hydrolase activity exacerbates ischemia-induced axonal injury and functional deficits in mice.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  6. Platelets at the intersection of inflammation and coagulation in the APC-mediated response to myocardial ischemia/reperfusion injury.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Activated protein C in epilepsy pathophysiology.Frontiers in neuroscience · 2023
    Review
  13. The Ties That Bind: Glial Transplantation in White Matter Ischemia and Vascular Dementia.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. 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

11 authors at 2 institutions in 1 country.

Mikko T Huuskonen *Department of Physiology and Neuroscience, Keck School of Medicine of the University of Southern California, Los Angeles, CA.ORCID 0000-0002-7170-3016
Yaoming Wang *Department of Physiology and Neuroscience, Keck School of Medicine of the University of Southern California, Los Angeles, CA.ORCID 0000-0002-6416-3445
Angeliki Maria Nikolakopoulou *Department of Physiology and Neuroscience, Keck School of Medicine of the University of Southern California, Los Angeles, CA.ORCID 0000-0002-1621-4965
Axel Montagne *Department of Physiology and Neuroscience, Keck School of Medicine of the University of Southern California, Los Angeles, CA.ORCID 0000-0001-5564-985X
Zhonghua DaiDepartment of Physiology and Neuroscience, Keck School of Medicine of the University of Southern California, Los Angeles, CA.ORCID 0000-0001-5610-5037
Divna LazicDepartment of Physiology and Neuroscience, Keck School of Medicine of the University of Southern California, Los Angeles, CA.ORCID 0000-0002-7434-8507
Abhay P SagareDepartment of Physiology and Neuroscience, Keck School of Medicine of the University of Southern California, Los Angeles, CA.ORCID 0000-0002-8178-3785
Zhen ZhaoDepartment of Physiology and Neuroscience, Keck School of Medicine of the University of Southern California, Los Angeles, CA.ORCID 0000-0001-8967-5570
Jose A FernandezDepartment of Molecular Medicine, The Scripps Research Institute, La Jolla, CA.ORCID 0000-0002-0804-1865
John H GriffinDepartment of Molecular Medicine, The Scripps Research Institute, La Jolla, CA.ORCID 0000-0002-4302-2547
Berislav V ZlokovicThe Zilkha Neurogenetic Institute, Keck School of Medicine of the University of Southern California, Los Angeles, CA.ORCID 0000-0002-6802-8232
University of Southern California · USScripps Research Institute · US

Funding

USCADRC Diversity Supplement PachicanoP30AG066530 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HELENA Chang CHUI, ARTHUR W TOGA · 2020 to 2026
$27.8M
Regulation of Protein C PathwaysR01HL142975 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI GRIFFIN, JOHN H, MOSNIER, LAURENT OLIVIER · 2018 to 2025
$7.3M
The role of pericytes in white matter diseaseR01NS100459 · NINDS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ZLOKOVIC, BERISLAV V · 2016 to 2020
$3.6M
Activated protein C mechanisms of brain white matter protection and new therapies for brain white matter ischemic injuryR01NS117827 · NINDS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MACK, WILLIAM J · 2020 to 2025
$3.4M
Activated protein C system in stroke modelsR01NS090904 · NINDS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ZLOKOVIC, BERISLAV V · 2014 to 2018
$3.2M
NHLBI NIH HHS R01 HL142975NIA NIH HHS P30 AG066530NIH HHS R01NS117827NINDS NIH HHS R01 NS090904NINDS NIH HHS R01 NS100459NINDS NIH HHS R01 NS117827
6 · The paper itself

Abstract

Subcortical white matter (WM) stroke accounts for 25% of all strokes and is the second leading cause of dementia. Despite such clinical importance, we still do not have an effective treatment for ischemic WM stroke, and the mechanisms of WM postischemic neuroprotection remain elusive. 3K3A-activated protein C (APC) is a signaling-selective analogue of endogenous blood protease APC that is currently in development as a neuroprotectant for ischemic stroke patients. Here, we show that 3K3A-APC protects WM tracts and oligodendrocytes from ischemic injury in the corpus callosum in middle-aged mice by activating protease-activated receptor 1 (PAR1) and PAR3. We show that PAR1 and PAR3 were also required for 3K3A-APC's suppression of post-WM stroke microglia and astrocyte responses and overall improvement in neuropathologic and functional outcomes. Our data provide new insights into the neuroprotective APC pathway in the WM and illustrate 3K3A-APC's potential for treating WM stroke in humans, possibly including multiple WM strokes that result in vascular dementia.

Indexed as

AnimalsBlood-Brain BarrierChenodeoxycholic AcidCorpus CallosumDisease Models, AnimalEnzyme ActivationFibrinolytic AgentsHumansIschemiaMaleMiceMice, Inbred C57BLNeuroprotective AgentsOligodendrogliaProtein CReceptor, PAR-17alpha,12alpha-dihydroxy-5alpha-cholan-3-one 24-oic acidChenodeoxycholic AcidFibrinolytic AgentsNeuroprotective Agentsprotease-activated receptor 3Protein CReceptor, PAR-1Receptors, Thrombin

Identifiers

PMID34846535
PMCPMC8635278
OpenAlexW3215729057

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.