Evidence map›Paper›PMID 36617181›Full record

ArticleJournal of neuropathology and experimental neurology2023

Vascular injury is associated with repetitive head impacts and tau pathology in chronic traumatic encephalopathy.

Daniel Kirsch, Arsal Shah, Erin Dixon, Hunter Kelley, Jonathan D Cherry, Weiming Xia, Sarah Daley, Nurgul Aytan, Kerry Cormier, Carol Kubilus and 5 more

Open access · greenAbstract read
In one paragraph

Article in Journal of neuropathology and experimental neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
5.1field-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

28 citing papers in PubMed, 25 citations in OpenAlex.

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  15. Neuroinflammation in Alzheimer disease.Nature reviews. Immunology · 2025
    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

15 authors at 1 institution in 1 country.

Daniel KirschBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.ORCID 0000-0003-3366-0155
Arsal ShahBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.
Erin DixonBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.
Hunter KelleyBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.
Jonathan D CherryBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.ORCID 0000-0002-1257-981X
Weiming XiaBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.
Sarah DaleyBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.
Nurgul AytanBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.
Kerry CormierBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.
Carol KubilusBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.
Rebecca MathiasBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.
Victor E AlvarezBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.
Bertrand R HuberBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.
Ann C McKeeBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.
Thor D SteinBoston University Alzheimer's Disease and CTE Center, Boston University School of Medicine, Boston, Massachusetts, USA.ORCID 0000-0001-6954-4477
Boston University · US

Funding

TBDU19AG068753 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Lindsay A. Farrer · 2020 to 2026
$42.4M
FRAMINGHAM HEART STUDY - YEAR 5 EXAM75N92019D00031 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · 2019 to 2024
$29.8M
RL5: Research Education CoreP30AG072978 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Yorghos Tripodis · 2021 to 2026
$25.6M
Traumatic Brain Injury and Repetitive Head Impacts: Contributions to AD/ADRD and CTE Neuropathology and Resulting Clinical SyndromesU54NS115266 · NINDS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MCKEE, ANN C. · 2019 to 2023
$10.3M
CTE and Posttraumatic Neurodegeneration: Neuropathology and Ex Vivo ImagingU01NS086659 · NINDS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MCKEE, ANN C. · 2014 to 2017
$6.1M
Cerebrovascular Remodeling and Neurodegenerative Changes in Alzheimer's DiseaseR01AG075876 · NIA · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI Thor Stein, JOSEPH ZAIA · 2022 to 2026
$3.9M
Late Pathologies of Exposure to Repetitive Head Impacts from Contact Sports: White Matter and Vascular Contributions to Cognitive Impairment, Dementia, and Neuropsychiatric SymptomsRF1NS122854 · NINDS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI ALOSCO, MICHAEL, MCKEE, ANN C. · 2021 to 2021
$2.3M
Tau Pathology in Motor Regions and Parkinsonism in Chronic Traumatic Encephalopathy: A Comparison to Progressive Supranuclear Palsy and Corticobasal DegenerationF31NS127449 · NINDS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI KIRSCH, DANIEL A · 2022 to 2025
$193k
The neuropathology of mild traumatic brain injury in Alzheimer's diseaseI01BX005933 · VA · EDITH NOURSE ROGERS MEMORIAL VETERANS HOSPITAL · PI Thor Stein · 2023 to 2026
–
Genetic and environmental modifiers of pathology in amyotrophic lateral sclerosisI01BX005161 · VA · EDITH NOURSE ROGERS MEMORIAL VETERANS HOSPITAL · PI Thor Stein · 2023 to 2026
–
Identification of the neuroinflammatory signature for CTE using single nucleus RNA sequencingIK2BX004349 · VA · VA BOSTON HEALTH CARE SYSTEM · PI CHERRY, JONATHAN D · 2020 to 2024
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Alzheimer's Association NIRG-305779BLRD VA I01 BX005161BLRD VA I01 BX005933BLRD VA IK2 BX004349NHLBI NIH HHS 75N92019D00031NHLBI NIH HHS HHSN268201000011CNHLBI NIH HHS HHSN268201500001CNHLBI NIH HHS HHSN268201500001INHLBI NIH HHS HHSN268201500011CNIA NIH HHS P30 AG072978NIA NIH HHS P30AG072978NIA NIH HHS R01 AG075876NIA NIH HHS R01AG075876NIA NIH HHS U19 AG068753NINDS NIH HHS F31 NS127449NINDS NIH HHS RF1 NS122854NINDS NIH HHS RF1NS122854NINDS NIH HHS U01 NS086659NINDS NIH HHS U54 NS115266VA 5IK2BX004349VA I01BX005933
6 · The paper itself

Abstract

Chronic traumatic encephalopathy (CTE) is a neurodegenerative disease linked to repetitive head impacts (RHI) and characterized by perivascular hyperphosphorylated tau (p-tau) deposits. The role of vascular injury, blood-brain barrier leakage, and neuroinflammation in CTE pathogenesis is not well understood. We performed quantitative immunoassays for intercellular adhesion molecule 1 (ICAM1), vascular cellular adhesion molecule 1 (VCAM1), and C-reactive protein (CRP) within the postmortem dorsolateral frontal cortex of participants with and without a history of RHI and CTE (n = 156), and tested for associations with RHI, microgliosis, and tau pathology measures. Levels of vascular injury-associated markers ICAM1, VCAM1, and CRP were increased in CTE compared to RHI-exposed and -naïve controls. ICAM1 and CRP increased with RHI exposure duration (p < 0.01) and were associated with increased microglial density (p < 0.001) and tau pathology (AT8, p-tau396, p-tau202; p < 0.05). Histologically, there was significantly increased ICAM1 staining of the microvasculature, extracellular space, and astrocytes at the sulcal depths in high stage CTE compared to both low stage CTE and controls. Multifocal perivascular immunoreactivity for serum albumin was present in all RHI-exposed individuals. These findings demonstrate that vascular injury markers are associated with RHI exposure, duration, and microgliosis, are elevated in CTE, and increase with disease severity.

Indexed as

Chronic Traumatic EncephalopathyNeurodegenerative DiseasesVascular System InjuriesBlood-Brain BarrierFrontal LobeHumanstau Proteinstau ProteinsChronic traumatic encephalopathy (CTE)InflammationNeurodegenerationp-tauRHIVascular injury

Identifiers

PMID36617181
PMCPMC9852946
OpenAlexW4313706968

What OpenQuestion holds

Textmetadata
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.