Evidence map›Paper›PMID 35193620›Full record

ArticleFluids and barriers of the CNS2022

Acquired hydrocephalus is associated with neuroinflammation, progenitor loss, and cellular changes in the subventricular zone and periventricular white matter.

Maria Garcia-Bonilla, Leandro Castaneyra-Ruiz, Sarah Zwick, Michael Talcott, Ayodamola Otun, Albert M Isaacs, Diego M Morales, David D Limbrick, James P McAllister

Open access · goldAbstract read
In one paragraph

Article in Fluids and barriers of the CNS, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  4. Frontiers in genetics · 2026
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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

9 authors at 2 institutions in 2 countries.

Maria Garcia-BonillaDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA. mariag@wustl.edu.
Leandro Castaneyra-RuizDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
Sarah ZwickDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
Michael TalcottDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
Ayodamola OtunDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
Albert M IsaacsDivision of Neurosurgery, Department of Clinical Neurosciences, University of Calgary, Alberta, T2N 2T9, Canada.
Diego M MoralesDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
David D LimbrickDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
James P McAllisterDepartment of Neurosurgery, Washington University in St. Louis School of Medicine, St. Louis, MO, 63110, USA.
Washington University in St. Louis · USUniversity of Calgary · CA

Funding

Experimental Studies of Endoscopic Third Ventriculostomy and Choroid Plexus Cauterization in HydrocephalusR01NS130103 · NINDS · WASHINGTON UNIVERSITY · PI Maria Garcia Bonilla, David Delmar Limbrick · 2022 to 2026
$3.0M
Experimental endoscopic third ventriculostomy with choroid plexus cauterization and its effects on brain developmentR21NS111249 · NINDS · WASHINGTON UNIVERSITY · PI LIMBRICK, DAVID DELMAR, MCALLISTER, JAMES PATTERSON · 2020 to 2021
$438k
Reducing infections and blockage associated with long-term implantation of ventriculoperitoneal and related shuntsR44NS139774 · NINDS · WYNNVISION, LLC · PI HARRIS, CAROLYN A, MCALLISTER, JAMES PATTERSON · 2025 to 2025
$306k
NINDS NIH HHS 5R21NS111249-02NINDS NIH HHS R01 NS130103NINDS NIH HHS R21 NS111249NINDS NIH HHS R44 NS139774
6 · The paper itself

Abstract

backgroundHydrocephalus is a neurological disease with an incidence of 80-125 per 100,000 births in the United States. Neuropathology comprises ventriculomegaly, periventricular white matter (PVWM) alterations, inflammation, and gliosis. We hypothesized that hydrocephalus in a pig model is associated with subventricular and PVWM cellular alterations and neuroinflammation that could mimic the neuropathology described in hydrocephalic infants.

methodsHydrocephalus was induced by intracisternal kaolin injections in 35-day old female pigs (n = 7 for tissue analysis, n = 10 for CSF analysis). Age-matched sham controls received saline injections (n = 6). After 19-40 days, MRI scanning was performed to measure the ventricular volume. Stem cell proliferation was studied in the Subventricular Zone (SVZ), and cell death and oligodendrocytes were examined in the PVWM. The neuroinflammatory reaction was studied by quantifying astrocytes and microglial cells in the PVWM, and inflammatory cytokines in the CSF.

resultsThe expansion of the ventricles was especially pronounced in the body of the lateral ventricle, where ependymal disruption occurred. PVWM showed a 44% increase in cell death and a 67% reduction of oligodendrocytes. In the SVZ, the number of proliferative cells and oligodendrocyte decreased by 75% and 57% respectively. The decrease of the SVZ area correlated significantly with ventricular volume increase. Neuroinflammation occurred in the hydrocephalic pigs with a significant increase of astrocytes and microglia in the PVWM, and high levels of inflammatory interleukins IL-6 and IL-8 in the CSF.

conclusionThe induction of acquired hydrocephalus produced alterations in the PVWM, reduced cell proliferation in the SVZ, and neuroinflammation.

Indexed as

HydrocephalusWhite MatterAnimalsCerebral VentriclesFemaleLateral VentriclesNeuroinflammatory DiseasesSwineKaolin-induced hydrocephalusNeuroinflammationPig modelSubventricular zone reductionVentriculomegalyWhite matter alteration

Identifiers

PMID35193620
PMCPMC8864805
OpenAlexW4212946754

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.