Evidence map›Paper›PMID 39042684›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2024

Fibrinogen inhibits sonic hedgehog signaling and impairs neonatal cerebellar development after blood-brain barrier disruption.

Olivia Weaver, Dawn Gano, Yungui Zhou, Hosung Kim, Reshmi Tognatta, Zhaoqi Yan, Jae Kyu Ryu, Caroline Brandt, Trisha Basu, Martin Grana and 5 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Cerebellar Development and the Burden of Prematurity.Cerebellum (London, England) · 2025
    Review
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.

Olivia WeaverDepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158.ORCID 0009-0005-5313-7734
Dawn GanoDepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158.
Yungui ZhouGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158.
Hosung KimDepartment of Neurology, Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033.ORCID 0000-0002-2269-8644
Reshmi TognattaGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158.
Zhaoqi YanGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158.
Jae Kyu RyuGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158.ORCID 0000-0002-3992-4011
Caroline BrandtDepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158.
Trisha BasuDepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158.
Martin GranaDepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158.ORCID 0000-0001-7972-0315
Belinda CabrigaGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158.
Maria Del Pilar S AlzamoraGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158.ORCID 0000-0001-8861-387X
A James BarkovichDepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158.ORCID 0000-0003-4291-7346
Katerina AkassoglouGladstone Institute of Neurological Disease, Gladstone Institutes, San Francisco, CA 94158.ORCID 0000-0002-2632-1465
Mark A PetersenDepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158.ORCID 0000-0003-1366-1353

Funding

Neurovascular Interactions: Mechanisms, imaging, therapeutic potentialR35NS097976 · NINDS · J. DAVID GLADSTONE INSTITUTES · PI AKASSOGLOU, KATERINA · 2016 to 2023
$11.1M
Overcoming the Inhibitory Neurovascular Niche in Preterm Infant Brain InjuryR01NS126498 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MARK A PETERSEN · 2023 to 2026
$1.9M
Fibrinogen-mediated mechanisms of preterm infant brain injuryK02NS110973 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PETERSEN, MARK A · 2019 to 2024
$962k
HHS | National Institutes of Health (NIH) K02NS110973HHS | National Institutes of Health (NIH) R01NS126498HHS | National Institutes of Health (NIH) R35NS097976NINDS NIH HHS K02 NS110973NINDS NIH HHS R01 NS126498NINDS NIH HHS R35 NS097976
6 · The paper itself

Abstract

Cerebellar injury in preterm infants with central nervous system (CNS) hemorrhage results in lasting neurological deficits and an increased risk of autism. The impact of blood-induced pathways on cerebellar development remains largely unknown, so no specific treatments have been developed to counteract the harmful effects of blood after neurovascular damage in preterm infants. Here, we show that fibrinogen, a blood-clotting protein, plays a central role in impairing neonatal cerebellar development. Longitudinal MRI of preterm infants revealed that cerebellar bleeds were the most critical factor associated with poor cerebellar growth. Using inflammatory and hemorrhagic mouse models of neonatal cerebellar injury, we found that fibrinogen increased innate immune activation and impeded neurogenesis in the developing cerebellum. Fibrinogen inhibited sonic hedgehog (SHH) signaling, the main mitogenic pathway in cerebellar granule neuron progenitors (CGNPs), and was sufficient to disrupt cerebellar growth. Genetic fibrinogen depletion attenuated neuroinflammation, promoted CGNP proliferation, and preserved normal cerebellar development after neurovascular damage. Our findings suggest that fibrinogen alters the balance of SHH signaling in the neurovascular niche and may serve as a therapeutic target to mitigate developmental brain injury after CNS hemorrhage.

Indexed as

Blood-Brain BarrierCerebellumFibrinogenHedgehog ProteinsSignal TransductionAnimalsAnimals, NewbornDisease Models, AnimalFemaleHumansInfant, NewbornMaleMiceNeurogenesisFibrinogenHedgehog ProteinsShh protein, mousecoagulationneurovascularpreterm Infantstem/progenitor cell

Identifiers

PMID39042684
PMCPMC11295022

What OpenQuestion holds

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LicenceCC BY
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.