Evidence map›Paper›PMID 36482445›Full record

ArticleJournal of neuroinflammation2022

MyD88-TLR4-dependent choroid plexus activation precedes perilesional inflammation and secondary brain edema in a mouse model of intracerebral hemorrhage.

Kevin Akeret, Raphael M Buzzi, Bart R Thomson, Nina Schwendinger, Jan Klohs, Nadja Schulthess-Lutz, Livio Baselgia, Kerstin Hansen, Luca Regli, Florence Vallelian and 2 more

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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.9field-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

14 citing papers in PubMed, 16 citations in OpenAlex.

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  12. Paclitaxel triggers molecular and cellular changes in the choroid plexus.Frontiers in pain research (Lausanne, Switzerland) · 2024
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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

12 authors at 3 institutions in 1 country.

Kevin Akeret *Department of Neurosurgery, Clinical Neuroscience Center, Universitätsspital and University of Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland.
Raphael M Buzzi *Division of Internal Medicine, Universitätsspital and University of Zurich, Zurich, Switzerland.
Bart R ThomsonDepartment of Neurosurgery, Clinical Neuroscience Center, Universitätsspital and University of Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland.
Nina SchwendingerDepartment of Neurosurgery, Clinical Neuroscience Center, Universitätsspital and University of Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland.
Jan KlohsInstitute for Biomedical Engineering, University of Zurich and ETH Zurich, Zurich, Switzerland.
Nadja Schulthess-LutzDivision of Internal Medicine, Universitätsspital and University of Zurich, Zurich, Switzerland.
Livio BaselgiaDivision of Internal Medicine, Universitätsspital and University of Zurich, Zurich, Switzerland.
Kerstin HansenDivision of Internal Medicine, Universitätsspital and University of Zurich, Zurich, Switzerland.
Luca RegliDepartment of Neurosurgery, Clinical Neuroscience Center, Universitätsspital and University of Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland.
Florence VallelianDivision of Internal Medicine, Universitätsspital and University of Zurich, Zurich, Switzerland.
Michael Hugelshofer *Department of Neurosurgery, Clinical Neuroscience Center, Universitätsspital and University of Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland. michael.hugelshofer@usz.ch.
Dominik J Schaer *Division of Internal Medicine, Universitätsspital and University of Zurich, Zurich, Switzerland.
University of Zurich · CHUniversity Hospital of Zurich · CHInstitute for Biomedical Engineering · CH

Funding

Candoc of the University of Zurich 20-025Candoc of the University of Zurich 21-021Innosuisse - Schweizerische Agentur für Innovationsförderung 36361 IP-LSSchweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 310030_197823Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 310030_201202/1Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 4221-06-2017
6 · The paper itself

Abstract

backgroundThe functional neurological outcome of patients with intracerebral hemorrhage (ICH) strongly relates to the degree of secondary brain injury (ICH-SBI) evolving within days after the initial bleeding. Different mechanisms including the incitement of inflammatory pathways, dysfunction of the blood-brain barrier (BBB), activation of resident microglia, and an influx of blood-borne immune cells, have been hypothesized to contribute to ICH-SBI. Yet, the spatiotemporal interplay of specific inflammatory processes within different brain compartments has not been sufficiently characterized, limiting potential therapeutic interventions to prevent and treat ICH-SBI.

methodsWe used a whole-blood injection model in mice, to systematically characterized the spatial and temporal dynamics of inflammatory processes after ICH using 7-Tesla magnetic resonance imaging (MRI), spatial RNA sequencing (spRNAseq), functional BBB assessment, and immunofluorescence average-intensity-mapping.

resultsWe identified a pronounced early response of the choroid plexus (CP) peaking at 12-24 h that was characterized by inflammatory cytokine expression, epithelial and endothelial expression of leukocyte adhesion molecules, and the accumulation of leukocytes. In contrast, we observed a delayed secondary reaction pattern at the injection site (striatum) peaking at 96 h, defined by gene expression corresponding to perilesional leukocyte infiltration and correlating to the delayed signal alteration seen on MRI. Pathway analysis revealed a dependence of the early inflammatory reaction in the CP on toll-like receptor 4 (TLR4) signaling via myeloid differentiation factor 88 (MyD88). TLR4 and MyD88 knockout mice corroborated this observation, lacking the early upregulation of adhesion molecules and leukocyte infiltration within the CP 24 h after whole-blood injection.

conclusionsWe report a biphasic brain reaction pattern after ICH with a MyD88-TLR4-dependent early inflammatory response of the CP, preceding inflammation, edema and leukocyte infiltration at the lesion site. Pharmacological targeting of the early CP activation might harbor the potential to modulate the development of ICH-SBI.

Indexed as

Brain EdemaAnimalsCerebral HemorrhageChoroid PlexusMiceMyeloid Differentiation Factor 88Toll-Like Receptor 4Myd88 protein, mouseMyeloid Differentiation Factor 88Tlr4 protein, mouseToll-Like Receptor 4GlymphaticsNeuroinflammationQuantitative histologySecondary brain injurySpatial RNA sequencing

Identifiers

PMID36482445
PMCPMC9730653
OpenAlexW4311583709

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.