Evidence map›Paper›PMID 39256783›Full record

ArticleJournal of neuroinflammation2024

Carotid artery vascular stenosis causes the blood-CSF barrier damage and neuroinflammation.

Lin Lin, Yang Chen, Kai He, Shamseldin Metwally, Roshani Jha, Okan Capuk, Mohammad Iqbal H Bhuiyan, Gazal Singh, Guodong Cao, Yan Yin and 1 more

Abstract read
In one paragraph

Article in Journal of neuroinflammation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. A review of animal models of vascular dementia.Molecular biology reports · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Observational
  8. Article
  9. Adenosine AJournal of the American Heart Association · 2025
    Article
  10. 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

11 authors.

Lin LinDepartment of Neurology, The Second Hospital of Dalian Medical University, Dalian, 116027, Liaoning, China.
Yang ChenDepartment of Neurology, University of Pittsburgh Medical Center, 7016 Biomedical Science Tower 3, 3501 Fifth Ave., Pittsburgh, PA, 15213, USA.
Kai HeDepartment of Neurology, University of Pittsburgh Medical Center, 7016 Biomedical Science Tower 3, 3501 Fifth Ave., Pittsburgh, PA, 15213, USA.
Shamseldin MetwallyDepartment of Neurology, University of Pittsburgh Medical Center, 7016 Biomedical Science Tower 3, 3501 Fifth Ave., Pittsburgh, PA, 15213, USA.
Roshani JhaDepartment of Neurology, University of Pittsburgh Medical Center, 7016 Biomedical Science Tower 3, 3501 Fifth Ave., Pittsburgh, PA, 15213, USA.
Okan CapukDepartment of Neurology, University of Pittsburgh Medical Center, 7016 Biomedical Science Tower 3, 3501 Fifth Ave., Pittsburgh, PA, 15213, USA.
Mohammad Iqbal H BhuiyanThe University of Texas at El Paso, El Paso, TX, USA.
Gazal SinghBiomedical Masters Program, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Guodong CaoDepartment of Neurology, University of Pittsburgh Medical Center, 7016 Biomedical Science Tower 3, 3501 Fifth Ave., Pittsburgh, PA, 15213, USA.
Yan YinDepartment of Neurology, The Second Hospital of Dalian Medical University, Dalian, 116027, Liaoning, China. yanyin1208@126.com.
Dandan SunDepartment of Neurology, University of Pittsburgh Medical Center, 7016 Biomedical Science Tower 3, 3501 Fifth Ave., Pittsburgh, PA, 15213, USA. sund@upmc.edu.

Funding

Astrocytic WNK-SPAK-NKCC1 Cascade in White Matter Astrogliosis and InjuryR01NS119166 · NINDS · UNIVERSITY OF TEXAS EL PASO · PI Mohammad Iqbal Hossain Bhuiyan · 2022 to 2026
$2.3M
Reprogrammed cell therapy for white matter restoration in aged brain ischemiaI01BX003923 · VA · VETERANS HEALTH ADMINISTRATION · PI CAO, GUODONG · 2019 to 2023
–
BLRD Research Career Scientist Award ApplicationIK6BX005647 · VA · VETERANS HEALTH ADMINISTRATION · PI Dandan Sun · 2021 to 2026
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BLRD VA I01 BX003923BLRD VA I01 BX006372BLRD VA I01 BX006454BLRD VA IK6 BX005647NINDS NIH HHS R01 NS119166the National Institute Of Neurological Disorders and Stroke of the National Institutes of Health R01NS119166 (M.I.H.B.)UPMC Endowed Chair professorship for Brain Disorders Research (D.S), VA Research Career Scientist award IK6 BX005647-01 (D.S)VA merit awards I01BX003923 (G. C)VA merit awards I01BX006454 (G.C)
6 · The paper itself

Abstract

backgroundThe choroid plexus (ChP) helps maintain the homeostasis of the brain by forming the blood-CSF barrier via tight junctions (TJ) at the choroid plexus epithelial cells, and subsequently preventing neuroinflammation by restricting immune cells infiltration into the central nervous system. However, whether chronic cerebral hypoperfusion causes ChP structural damage and blood-CSF barrier impairment remains understudied.

methodsThe bilateral carotid stenosis (BCAS) model in adult male C57BL/6 J mice was used to induce cerebral hypoperfusion, a model for vascular contributions to cognitive impairment and dementia (VCID). BCAS-mediated changes of the blood-CSF barrier TJ proteins, apical secretory Na

resultsBCAS triggered dynamic changes of TJ proteins (claudin 1, claudin 5) accompanied with stimulation of SPAK-NKCC1 complex and NF-κB in the ChP epithelial cells. These changes impacted the integrity of the blood-CSF barrier, as evidenced by ChP infiltration of macrophages/microglia, neutrophils and T cells. Importantly, pharmacological blockade of SPAK with its potent inhibitor ZT1a in BCAS mice attenuated brain immune cell infiltration and improved cognitive neurological function.

conclusionsBCAS causes chronic ChP blood-CSF damage and immune cell infiltration. Our study sheds light on the SPAK-NKCC1 complex as a therapeutic target in neuroinflammation.

Indexed as

Carotid StenosisMice, Inbred C57BLNeuroinflammatory DiseasesAnimalsBlood-Brain BarrierChoroid PlexusMaleMiceChronic cerebral hypoperfusionSPAK-NKCC1 complexThe blood-CSF barrierTight junction damageVascular dementia

Identifiers

PMID39256783
PMCPMC11385148

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.