Evidence map›Paper›PMID 40491058›Full record

ReviewCNS neuroscience & therapeutics2025

Dual Roles of Autophagy in Radiation-Induced Brain Injury: Mechanistic Insights and Therapeutic Implications.

Jiayu Tian, Yanna Mao, Dandan Liu, Tao Li, Lihuan Shi, Yafeng Wang, Changlian Zhu

Abstract readReview
In one paragraph

Review in CNS neuroscience & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

7 authors.

Jiayu TianHenan Neurodevelopment Engineering Research Center for Children, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, China.
Yanna MaoDepartment of Hematology and Oncology, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, China.
Dandan LiuDepartment of Electrocardiogram, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, China.
Tao LiHenan Neurodevelopment Engineering Research Center for Children, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, China.
Lihuan ShiHenan Medical Key Laboratory of Pediatric Hematology, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, China.
Yafeng WangHenan Neurodevelopment Engineering Research Center for Children, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, China.ORCID 0000-0002-8618-2671
Changlian ZhuHenan Key Laboratory of Child Brain Injury and Henan Pediatric Clinical Research Center, Institute of Neuroscience and Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China.ORCID 0000-0002-5029-6730

Funding

Adlerbert Research Foundation 2023-684Adlerbert Research Foundation 2024-822Adlerbertska Forskningsstiftellsens AF-2024-0193Edit Jacobsons Donationsfond 2023-141Edit Jacobsons Donationsfond 2024-150Henan Medical Science and Technique Foundation SBGJ202303048Henan Provincial Science and Technology Research Project 222102310431National Natural Science Foundation of China 82003396Open Project of National Children's Regional Medical Center NRMC0109Swedish Childhood Cancer foundation (2021-0020) and Cancer Fondation 20 1121PjSwedish Childhood Cancer foundation (2021-0020) and Cancer Fondation 23 3115Pj
6 · The paper itself

Abstract

backgroundCranial radiotherapy, while essential for treating brain tumors, often leads to radiation-induced brain injury, a debilitating condition marked by cognitive decline and neuronal damage. Autophagy, a key cellular process for recycling damaged organelles and proteins, has emerged as both a protective and detrimental player in radiation-induced brain injury.

methodsThis review systematically explores the dualistic role of autophagy in radiation-induced brain injury, synthesizing insights on its interplay with apoptosis, ferroptosis, neuroinflammation, oxidative stress, the blood-brain barrier, mitophagy, endoplasmic reticulum stress, and mitochondrial biogenesis.

resultsWhile autophagy supports neuronal resilience by mitigating oxidative and inflammatory stress, excessive or dysregulated autophagy can lead to autophagic cell death and exacerbate injury. Pharmacological modulators such as mTOR inhibitors, AMP-activated protein kinase activators, demonstrate therapeutic potential in preclinical settings.

conclusionBy elucidating the mechanistic underpinnings of autophagy in radiation-induced brain injury, this review underscores its dual roles and therapeutic relevance, offering a foundation for targeted interventions that optimize autophagic balance to protect brain function postradiotherapy.

Indexed as

AutophagyBrain InjuriesRadiation InjuriesAnimalsHumansOxidative Stressautophagyautophagy modulatorbrain injuryneuroinflammationradiation

Identifiers

PMID40491058
PMCPMC12149328

What OpenQuestion holds

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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.