Evidence map›Paper›PMID 39575766›Full record

SynthesisJournal of the American Heart Association2024

Vascular Endothelial Growth Factor and the Pathogenesis of Intracranial Aneurysms: A Systematic Review on the Missing Link in a Complex Pathway.

Peyton L Nisson, Michael T Lawton, Oscar Cisneros, Takuma Maeda, Nestor R Gonzalez, Juhana Frösen, Tomoki Hashimoto

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Peyton L NissonDepartments of Neurosurgery, Barrow Aneurysm and AVM Research Center, and Translational Neuroscience, Barrow Neurological Institute St. Joseph's Hospital and Medical Center Phoenix AZ USA.ORCID 0000-0003-1988-278X
Michael T LawtonDepartments of Neurosurgery, Barrow Aneurysm and AVM Research Center, and Translational Neuroscience, Barrow Neurological Institute St. Joseph's Hospital and Medical Center Phoenix AZ USA.ORCID 0000-0002-1887-3980
Oscar CisnerosDepartments of Neurosurgery, Barrow Aneurysm and AVM Research Center, and Translational Neuroscience, Barrow Neurological Institute St. Joseph's Hospital and Medical Center Phoenix AZ USA.
Takuma MaedaDepartments of Neurosurgery, Barrow Aneurysm and AVM Research Center, and Translational Neuroscience, Barrow Neurological Institute St. Joseph's Hospital and Medical Center Phoenix AZ USA.ORCID 0000-0002-8852-0208
Nestor R GonzalezDepartment of Neurosurgery Cedars Sinai Medical Center Los Angeles CA USA.ORCID 0000-0002-8277-6317
Juhana FrösenDepartment of Neurosurgery Tampere University and Tampere University Hospital Tampere Finland.ORCID 0000-0003-4677-950X
Tomoki HashimotoDepartments of Neurosurgery, Barrow Aneurysm and AVM Research Center, and Translational Neuroscience, Barrow Neurological Institute St. Joseph's Hospital and Medical Center Phoenix AZ USA.ORCID 0000-0002-6046-9148

Funding

Roles of aging and cellular senescence in the development of intracranial aneurysm ruptureR01AG077780 · NIA · ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER · PI SATORU EGUCHI, TOMOKI HASHIMOTO · 2023 to 2026
$2.4M
EGF-ADAM17 axis in the pathophysiology of intracranial aneurysmR01NS109382 · NINDS · ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER · PI EGUCHI, SATORU, HASHIMOTO, TOMOKI · 2019 to 2023
$2.2M
Mechanisms for intracranial aneurysm ruptureR01NS109584 · NINDS · ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER · PI HASHIMOTO, TOMOKI · 2020 to 2024
$1.9M
NIA NIH HHS R01 AG077780NINDS NIH HHS R01 NS109382NINDS NIH HHS R01 NS109584
6 · The paper itself

Abstract

backgroundAneurysms are one of the most common and yet devastating cerebrovascular diseases after rupture. Despite several decades of scientific advancements including the expansion of the endovascular capabilities and noninvasive imaging modalities, no medical treatment exists to date. This failure is likely largely attributed to the complex and multifactorial nature of aneurysm pathophysiology. Recent research has increasingly implicated vascular endothelial growth factor (VEGF) in the development and rupture of intracranial aneurysms. Regarded as one of the most potent inducers of angiogenesis, it is a key factor in vascular wall maintenance, inflammation, and regulation of vascular permeability. Whether abnormal VEGF expression is directly related to aneurysm development or acting merely as an acute phase reactant remains uncertain. No review of the current-state-of-evidence on this topic exists yet. METHODS AND

resultsA systematic literature search was performed following PRISMA guidelines May 2024 that queried PubMed (1946-2024), Wiley Cochrane Library: Central Register of Controlled Trials (1898-2024), Thompson Reuters Web of Science: Citation Index (1900-2024), and Google Scholar (1946-2024). Inclusion criteria encompassed human and animal studies that investigated the relationship of intracranial aneurysm and VEGF. Several human and animal models revealed significantly elevated expression of VEGF in intracranial aneurysm tissue, along with greater levels in the cerebrospinal fluid and systemically. Overexpression has been shown to inhibit endothelial cell migration, proliferation, and induce cell apoptosis. Recently, genetic polymorphisms of VEGF have also been shown to significantly correlate with the presence of intracranial aneurysms, establishing the first genetic link between the two.

conclusionsDespite lacking definitive evidence of a causal relationship, the wealth of supporting data substantiates VEGF as a promising topic for future investigation into aneurysm pathophysiology and as a potential therapeutic target.

Indexed as

Intracranial AneurysmVascular Endothelial Growth Factor AAneurysm, RupturedAnimalsHumansNeovascularization, PathologicSignal TransductionVascular Endothelial Growth Factor AVEGFA protein, humanbrain aneurysmcerebral aneurysmintracranial aneurysmpathophysiologysystematic reviewvascular endothelial growth factor

Identifiers

PMID39575766
PMCPMC11681557

What OpenQuestion holds

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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.