Evidence map›Paper›PMID 36689585›Full record

ArticleStroke2023

Worsened Stroke Outcome in a Model of Preeclampsia is Associated With Poor Collateral Flow and Oxidative Stress.

Marilyn J Cipolla, Sarah M Tremble, Nicole DeLance, Abbie C Johnson

Open access · bronzeAbstract read
In one paragraph

Article in Stroke, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Guidelines for assessing maternal cardiovascular physiology during pregnancy and postpartum.American journal of physiology. Heart and circulatory physiology · 2024
    Guideline
  2. Article
  3. Article
  4. Chronic hypertension alters the relationship between collateral blood flow cortical cerebral blood flow, and brain tissue oxygenation.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  5. Metabolic theory of preeclampsia: implications for maternal cardiovascular health.American journal of physiology. Heart and circulatory physiology · 2024
    Review
  6. 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

4 authors at 1 institution in 1 country.

Marilyn J CipollaDepartments of Neurological Sciences (M.J.C., S.M.T., A.C.J.), University of Vermont Larner College of Medicine, Burlington.ORCID 0000-0002-9172-5941
Sarah M TrembleDepartments of Neurological Sciences (M.J.C., S.M.T., A.C.J.), University of Vermont Larner College of Medicine, Burlington.ORCID 0000-0002-2153-2714
Nicole DeLancePathology (N.D.L.), University of Vermont Larner College of Medicine, Burlington.
Abbie C JohnsonDepartments of Neurological Sciences (M.J.C., S.M.T., A.C.J.), University of Vermont Larner College of Medicine, Burlington.ORCID 0000-0002-7242-1715
University of Vermont · US

Funding

Targeting Pial Collaterals for Acute Stroke TreatmentR01NS093289 · NINDS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Marilyn J Cipolla · 2015 to 2026
$3.9M
Nikon A1R-ER Confocal Microscope for the Microscopy Imaging CenterS10OD025030 · OD · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI TAATJES, DOUGLAS J. · 2018 to 2018
$557k
INVERTED LASER-SCANNING CONFOCAL MICROSCOPE: LUNG RESEARCHS10RR019246 · NCRR · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI TAATJES, DOUGLAS J. · 2004 to 2004
$473k
Stroke Outcome in Pregnancy and PreeclampsiaR21NS120419 · NINDS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI CIPOLLA, MARILYN J · 2021 to 2021
$429k
NCRR NIH HHS S10 RR019246NIH HHS S10 OD025030NINDS NIH HHS R01 NS093289NINDS NIH HHS R21 NS120419
6 · The paper itself

Abstract

backgroundPreeclampsia increases the incidence of maternal stroke, a devastating condition that is on the rise. We investigated stroke outcome in a model of experimental preeclampsia with and without treatment with clinically relevant doses of magnesium sulfate (experimental preeclampsia+MgSO

methodsTransient middle cerebral artery occlusion was used to induce focal stroke for either 1.5 or 3 hours. Infarct volume and hemorrhagic transformation were determined as measures of stroke outcome. Changes in core middle cerebral artery and collateral flow were measured by dual laser Doppler. The relationship between middle cerebral artery perfusion deficit and infarction was used as a measure of ischemic tolerance. Oxidative stress and endothelial dysfunction were measured by 3-nitrotyrosine and 8-isoprostane, in brain and serum, respectively.

resultsLate-pregnant animals had robust collateral flow and greater ischemic tolerance of brain tissue, whereas experimental preeclampsia had greater infarction that was related to poor collateral flow, endothelial dysfunction, and oxidative stress. Importantly, pregnancy appeared preventative of hemorrhagic transformation as it occurred only in nonpregnant animals. MgSO

conclusionsStroke outcome was worse in a model of preeclampsia. As preeclampsia increases the risk of future stroke and cardiovascular disease, it is worth understanding the influence of preeclampsia on the material brain and factors that might potentiate injury both during the index pregnancy and years postpartum.

Indexed as

Brain IschemiaPre-EclampsiaStrokeAnimalsBrainCerebrovascular CirculationCollateral CirculationFemaleHumansInfarction, Middle Cerebral ArteryOxidative StressPregnancyRatsbrainischemiapreeclampsiapregnancystroke

Identifiers

PMID36689585
PMCPMC9888018
OpenAlexW4317871263

What OpenQuestion holds

Textmetadata
LicenceTDM
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.