Evidence map›Paper›PMID 36453416›Full record

ArticleNeural regeneration research2023

Withaferin A inhibits ferroptosis and protects against intracerebral hemorrhage.

Zi-Xian Zhou, Qi Cui, Ying-Mei Zhang, Jia-Xin Yang, Wen-Jing Xiang, Ning Tian, Yan-Lin Jiang, Mei-Ling Chen, Bin Yang, Qing-Hua Li and 1 more

Open access · goldAbstract read
In one paragraph

Article in Neural regeneration research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
5.8field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Review
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  4. Article
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  8. Ferroptosis inhibitors: mechanisms of action and therapeutic potential.Cellular and molecular life sciences : CMLS · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Baicalin plays a protective role by regulating ferroptosis in multiple diseases.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Review
  13. Article
  14. Article
  15. New targets in spontaneous intracerebral hemorrhage.Current opinion in neurology · 2025
    Review
  16. Review
  17. Review
  18. Review
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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

11 authors at 2 institutions in 2 countries.

Zi-Xian ZhouLaboratory of Neuroscience; Department of Neurology, Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi Zhuang Autonomous Region, China.
Qi CuiLaboratory of Neuroscience; Department of Neurology, Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi Zhuang Autonomous Region, China.
Ying-Mei ZhangLaboratory of Neuroscience; Department of Neurology, Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi Zhuang Autonomous Region, China.
Jia-Xin YangLaboratory of Neuroscience; Department of Neurology, Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi Zhuang Autonomous Region, China.
Wen-Jing XiangLaboratory of Neuroscience; Department of Neurology, Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi Zhuang Autonomous Region, China.
Ning TianLaboratory of Neuroscience; Guangxi Clinical Research Center for Neurological Diseases, Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi Zhuang Autonomous Region, China.
Yan-Lin JiangDepartment of Pharmacology, Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi Zhuang Autonomous Region, China.
Mei-Ling ChenDepartment of Neurology, Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi Zhuang Autonomous Region, China.
Bin YangGuangxi Clinical Research Center for Neurological Diseases, Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi Zhuang Autonomous Region, China.
Qing-Hua LiLaboratory of Neuroscience; Department of Neurology; Guangxi Clinical Research Center for Neurological Diseases, Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi Zhuang Autonomous Region, China.
Ru-Jia LiaoLaboratory of Neuroscience; Department of Neurology; Guangxi Clinical Research Center for Neurological Diseases, Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi Zhuang Autonomous Region, China.
Guilin Medical University · CNZero to Three · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent studies have indicated that suppressing oxidative stress and ferroptosis can considerably improve the prognosis of intracerebral hemorrhage (ICH). Withaferin A (WFA), a natural compound, exhibits a positive effect on a number of neurological diseases. However, the effects of WFA on oxidative stress and ferroptosis-mediated signaling pathways to ICH remain unknown. In this study, we investigated the neuroprotective effects and underlying mechanism for WFA in the regulation of ICH-induced oxidative stress and ferroptosis. We established a mouse model of ICH by injection of autologous tail artery blood into the caudate nucleus and an in vitro cell model of hemin-induced ICH. WFA was injected intracerebroventricularly at 0.1, 1 or 5 µg/kg once daily for 7 days, starting immediately after ICH operation. WFA markedly reduced brain tissue injury and iron deposition and improved neurological function in a dose-dependent manner 7 days after cerebral hemorrhage. Through in vitro experiments, cell viability test showed that WFA protected SH-SY5Y neuronal cells against hemin-induced cell injury. Enzyme-linked immunosorbent assays in vitro and in vivo showed that WFA markedly decreased the level of malondialdehyde, an oxidative stress marker, and increased the activities of anti-oxidative stress markers superoxide dismutase and glutathione peroxidase after ICH. Western blot assay, quantitative polymerase chain reaction and immunofluorescence results demonstrated that WFA activated the nuclear factor E2-related factor 2 (Nrf2)/heme oxygenase-1 (HO-1) signaling axis, promoted translocation of Nrf2 from the cytoplasm to nucleus, and increased HO-1 expression. Silencing Nrf2 with siRNA completely reversed HO-1 expression, oxidative stress and protective effects of WFA. Furthermore, WFA reduced hemin-induced ferroptosis. However, after treatment with an HO-1 inhibitor, the neuroprotective effects of WFA against hemin-induced ferroptosis were weakened. MTT test results showed that WFA combined with ferrostatin-1 reduced hemin-induced SH-SY5Y neuronal cell injury. Our findings reveal that WFA treatment alleviated ICH injury-induced ferroptosis and oxidative stress through activating the Nrf2/HO-1 pathway, which may highlight a potential role of WFA for the treatment of ICH.

Indexed as

behaviorbrain injuriesferroptosisheme oxygenase-1hemorrhagic strokeneuroprotectionnuclear factor E2-related factor 2nuclear translocatoroxidative stressstroke

Identifiers

PMID36453416
PMCPMC9838153
OpenAlexW4310023402

What OpenQuestion holds

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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.