Evidence map›Paper›PMID 37539567›Full record

ArticleZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences2023

Endogenous FGF21 attenuates blood-brain barrier disruption in penumbra after delayed recanalization in MCAO rats through FGFR1/PI3K/Akt pathway.

Wen Zheng, Wenjun Li, Yini Zeng, Hui Yuan, Heng Yang, Ru Chen, Anding Zhu, Jinze Wu, Zhi Song, Wenguang Yan

Open access · greenAbstract read
In one paragraph

Article in Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. 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

10 authors at 1 institution in 1 country.

Wen ZhengDepartment of Neurology, Third Xiangya Hospital, Central South University, Changsha 410013. zhengwen5309@163.com.
Wenjun LiDepartment of Neurology, Third Xiangya Hospital, Central South University, Changsha 410013.
Yini ZengDepartment of Neurology, Third Xiangya Hospital, Central South University, Changsha 410013.
Hui YuanDepartment of Neurology, Third Xiangya Hospital, Central South University, Changsha 410013.
Heng YangDepartment of Neurology, Third Xiangya Hospital, Central South University, Changsha 410013.
Ru ChenDepartment of Neurology, Third Xiangya Hospital, Central South University, Changsha 410013.
Anding ZhuDepartment of Neurology, Third Xiangya Hospital, Central South University, Changsha 410013.
Jinze WuDepartment of Neurology, Third Xiangya Hospital, Central South University, Changsha 410013.
Zhi SongDepartment of Neurology, Third Xiangya Hospital, Central South University, Changsha 410013.
Wenguang YanDepartment of Rihabilitation Medicine, Third Xiangya Hospital, Central South University, Changsha 410013, China. 2402632247@qq.com.
Central South University · CN

Funding

the Hunan Provincial Clinical Medical Technology Innovation Guidance Project 2020SK53612the Natural Science Foundation of Hunan Province 2020JJ4865 and S2021JJMSXM2689
6 · The paper itself

Abstract

objectivesRestoration of blood circulation within "time window" is the principal treating goal for treating acute ischemic stroke. Previous studies revealed that delayed recanalization might cause serious ischemia/reperfusion injury. However, plenty of evidences showed delayed recanalization improved neurological outcomes in acute ischemic stroke. This study aims to explore the role of delayed recanalization on blood-brain barrier (BBB) in the penumbra (surrounding ischemic core) and neurological outcomes after middle cerebral artery occlusion (MCAO).

methodsRecanalization was performed on the 3rd day after MCAO. BBB disruption was tested by Western blotting, Evans blue dye, and immunofluorescence staining. Infarct volume and neurological outcomes were evaluated on the 7th day after MCAO. The expression of fibroblast growth factor 21 (FGF21), fibroblast growth factor receptor 1 (FGFR1), phosphatidylinositol-3-kinase (PI3K), and serine/threonine kinase (Akt) in the penumbra were observed by immunofluorescence staining and/or Western blotting.

resultsThe extraversion of Evans blue, IgG, and albumin increased surrounding ischemic core after MCAO, but significantly decreased after recanalization. The expression of Claudin-5, Occludin, and zona occludens 1 (ZO-1) decreased surrounding ischemic core after MCAO, but significantly increased after recanalization. Infarct volume reduced and neurological outcomes improved following recanalization (on the 7th day after MCAO). The expressions of Claudin-5, Occludin, and ZO-1 decreased surrounding ischemic core following MCAO, which were up-regulated corresponding to the increases of FGF21, p-FGFR1, PI3K, and p-Akt after recanalization. Intra-cerebroventricular injection of FGFR1 inhibitor SU5402 down-regulated the expression of PI3K, p-Akt, Occludin, Claudin-5, and ZO-1 in the penumbra, which weakened the beneficial effects of recanalization on neurological outcomes after MCAO.

conclusionsDelayed recanalization on the 3rd day after MCAO increases endogenous FGF21 in the penumbra and activates FGFR1/PI3K/Akt pathway, which attenuates BBB disruption in the penumbra and improves neurobehavior in MCAO rats.

Indexed as

Brain IschemiaIschemic StrokeReperfusion InjuryAnimalsBlood-Brain BarrierClaudin-5Fibroblast Growth FactorsInfarction, Middle Cerebral ArteryOccludinPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktRatsRats, Sprague-DawleyReceptor, Fibroblast Growth Factor, Type 1Claudin-5fibroblast growth factor 21Fibroblast Growth FactorsOccludinPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktReceptor, Fibroblast Growth Factor, Type 1blood-brain barrier disruptiondelayed recanalizationfibroblast growth factor 21ischemia/reperfusion injurymiddle cerebral artery occlusion

Identifiers

PMID37539567
PMCPMC10930414
OpenAlexW4385564006

What OpenQuestion holds

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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.