Evidence map›Paper›PMID 35642056›Full record

ArticleJournal of neuroinflammation2022

Pentoxifylline alleviates ischemic white matter injury through up-regulating Mertk-mediated myelin clearance.

Lili Zheng, Junqiu Jia, Yan Chen, Renyuan Liu, Runjing Cao, Manlin Duan, Meijuan Zhang, Yun Xu

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  14. 3D-bioprinted adipose-derived stem cell-secreted GAS6Journal of nanobiotechnology · 2026
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  18. 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
  19. Article
  20. 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

8 authors at 5 institutions in 1 country.

Lili ZhengDepartment of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, Nanjing University Medical School, 321 ZhongShan Road, Nanjing, 210008, Jiangsu, China.
Junqiu JiaDepartment of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, Nanjing University Medical School, 321 ZhongShan Road, Nanjing, 210008, Jiangsu, China.
Yan ChenDepartment of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, Nanjing University Medical School, 321 ZhongShan Road, Nanjing, 210008, Jiangsu, China.
Renyuan LiuDepartment of Radiology, The Affiliated Drum Tower Hospital, Nanjing University Medical School, Nanjing, China.
Runjing CaoDepartment of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, Nanjing University Medical School, 321 ZhongShan Road, Nanjing, 210008, Jiangsu, China.
Manlin DuanDepartment of Anesthesiology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China. dml1200@126.com.
Meijuan ZhangDepartment of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, Nanjing University Medical School, 321 ZhongShan Road, Nanjing, 210008, Jiangsu, China. juanzi1986126@163.com.ORCID http://orcid.org/0000-0002-5375-5349
Yun XuDepartment of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, Nanjing University Medical School, 321 ZhongShan Road, Nanjing, 210008, Jiangsu, China. xuyun20042001@aliyun.com.ORCID http://orcid.org/0000-0001-5288-0319
Nanjing Drum Tower Hospital · CNJiangsu Province Blood Center · CNJiangsu Second Normal University · CNNanjing Brain Hospital · CNNanjing General Hospital of Nanjing Military Command · CN

Funding

Key Research and Development Program of Jiangxi Province BE2020620National Natural Science Foundation of China 81671884National Natural Science Foundation of China 81801147National Natural Science Foundation of China 81920208017National Natural Science Foundation of China 81971112National Natural Science Foundation of China 82130036Natural Science Foundation of Jiangsu Province BK20191116the Jiangsu Province Key Medical Discipline ZDXKA2016020
6 · The paper itself

Abstract

backgroundVascular dementia (VAD) is the second most common type of dementia lacking effective treatments. Pentoxifylline (PTX), a nonselective phosphodiesterase inhibitor, displays protective effects in multiple cerebral diseases. In this study, we aimed to investigate the therapeutic effects and potential mechanisms of PTX in VAD.

methodsBilateral common carotid artery stenosis (BCAS) mouse model was established to mimic VAD. Mouse behavior was tested by open field test, novel object recognition test, Y-maze and Morris water maze (MWM) tests. Histological staining, magnetic resonance imaging (MRI) and electron microscopy were used to define white matter integrity. The impact of PTX on microglia phagocytosis, peroxisome proliferator-activated receptors-γ (PPAR-γ) activation and Mer receptor tyrosine kinase (Mertk) expression was assessed by immunofluorescence, western blotting and flow cytometry with the application of microglia-specific Mertk knockout mice, Mertk inhibitor and PPAR-γ inhibitor.

resultsHere, we found that PTX treatment alleviated cognitive impairment in novel object recognition test, Y-maze and Morris water maze tests. Furthermore, PTX alleviated white matter injury in corpus callosum (CC) and internal capsule (IC) areas as shown by histological staining and MRI analysis. PTX-treatment group presented thicker myelin sheath than vehicle group by electron microscopy. Mechanistically, PTX facilitated microglial phagocytosis of myelin debris by up-regulating the expression of Mertk in BCAS model and primary cultured microglia. Importantly, microglia-specific Mertk knockout blocked the therapeutic effects of PTX in BCAS model. Moreover, Mertk expression was regulated by the nuclear translocation of PPAR-γ. Through modulating PPAR-γ, PTX enhanced Mertk expression.

conclusionsCollectively, our results demonstrated that PTX showed therapeutic potentials in VAD and alleviated ischemic white matter injury via modulating Mertk-mediated myelin clearance in microglia.

Indexed as

Brain Ischemiac-Mer Tyrosine KinaseDementia, VascularPentoxifyllineWhite MatterAnimalsCarotid StenosisMiceMicrogliaMyelin SheathPeroxisome Proliferator-Activated Receptorsc-Mer Tyrosine KinaseMertk protein, mousePentoxifyllinePeroxisome Proliferator-Activated ReceptorsMertkMicrogliaPentoxifyllinePhagocytosisPPAR-γVascular dementia

Identifiers

PMID35642056
PMCPMC9153105
OpenAlexW4281762717

What OpenQuestion holds

Textmetadata
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.