Evidence map›Paper›PMID 39474691›Full record

ArticleStroke2024

Perivascular Neutrophil Extracellular Traps Exacerbate Microvasospasm After Experimental Subarachnoid Hemorrhage.

Ryota Nakagawa, Takahide Itokazu, Nao Shibuya, Haruhiko Kishima, Toshihide Yamashita

Abstract read
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Article in Stroke, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Haemorrhage, hypercoagulability and ischaemia: Evolution of brain injury after aneurysmal subarachnoid haemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
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  4. Microthrombi and hypercoagulability's contribution to delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
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  8. The role of neutrophils in vasospasm and delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage: Is it time for a SAH clinical trial targeting neutrophils?Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Ryota NakagawaDepartment of Molecular Neuroscience (R.N., T.I., N.S., T.Y.), Graduate School of Medicine, Osaka University, Suita, Japan.ORCID 0000-0003-1886-6905
Takahide ItokazuDepartment of Molecular Neuroscience (R.N., T.I., N.S., T.Y.), Graduate School of Medicine, Osaka University, Suita, Japan.ORCID 0000-0003-2977-7190
Nao ShibuyaDepartment of Molecular Neuroscience (R.N., T.I., N.S., T.Y.), Graduate School of Medicine, Osaka University, Suita, Japan.
Haruhiko KishimaDepartment of Neurosurgery (R.N., H.K.), Graduate School of Medicine, Osaka University, Suita, Japan.ORCID 0000-0002-9041-2337
Toshihide YamashitaDepartment of Molecular Neuroscience (R.N., T.I., N.S., T.Y.), Graduate School of Medicine, Osaka University, Suita, Japan.ORCID 0000-0003-4559-7018

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubarachnoid hemorrhage (SAH) can lead to acute or delayed cerebral ischemia. Recent findings have revealed that spasm of microvessels, called microvasospasm, may contribute to SAH-related cerebral ischemia, and perivascular inflammation is considered important in the development of microvasospasms. However, owing to the difficulty in investigating the dynamics of vascular and perivascular events, little is known about the mechanisms underlying microvasospasms.

methodsWe established an experimental system aiming to investigate the vascular and perivascular pathology of SAH by combining a SAH mouse model with intravital 2-photon imaging. SAH was induced by intracisternal blood injection, and the distribution of erythrocytes, neutrophil behavior, and morphological changes in the pial arterioles were analyzed over time by 2-photon microscopy imaging. To further explore the role of neutrophils and neutrophil extracellular traps (NETs) in microvasospasm, we performed neutrophil depletion by intraperitoneal administration of neutrophil-specific antibody or NETs removal by intracisternal administration of DNase.

resultsErythrocytes were immediately distributed in the perivascular space of the arterioles after SAH induction; neutrophils intensively infiltrated the perivascular space within 2 days and subsequently showed NETosis; and pial arterioles in the same region developed pearl-string-like microvasospasms in the subacute phase. Neutrophil depletion significantly reduced the number of microvasospasms. Furthermore, the removal of perivascular NETs drastically reduced microvasospasms.

conclusionsBy establishing a unique experimental system, we demonstrated that perivascular NETs could be a new therapeutic target for microvasospasms.

Indexed as

Disease Models, AnimalExtracellular TrapsNeutrophilsSubarachnoid HemorrhageVasospasm, IntracranialAnimalsArteriolesErythrocytesMaleMiceMice, Inbred C57BLarteriolesbrain ischemiadeoxyribonucleasespasmsubarachnoid hemorrhage

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Registered trials

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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.