Evidence map›Paper›PMID 40833219›Full record

ArticleAnnals of neurology2026

Brain Endothelial Soluble ST2 Production and Cerebral Edema in a Rat Model of Ischemic Stroke.

Matthew B Bevers, Jiaqi An, Arum Yoo, Elle Fietsam, Caroline Booraem, Divya Reddy, Karen Li, Cristina Sastre, Animesh Acharjee, Kazutaka Sugimoto and 6 more

Abstract read
In one paragraph

Article in Annals of neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

16 authors.

Matthew B Bevers *Division of Neurocritical Care, Department of Neurology, Brigham and Women's Hospital, Boston, MA.ORCID 0000-0003-0878-8464
Jiaqi An *Division of Neurocritical Care, Department of Neurology, Massachusetts General Hospital, Boston, MA.
Arum YooDivision of Neurocritical Care, Department of Neurology, Massachusetts General Hospital, Boston, MA.
Elle FietsamDivision of Neurocritical Care, Department of Neurology, Brigham and Women's Hospital, Boston, MA.
Caroline BooraemDivision of Neurocritical Care, Department of Neurology, Brigham and Women's Hospital, Boston, MA.
Divya ReddyDivision of Neurocritical Care, Department of Neurology, Brigham and Women's Hospital, Boston, MA.
Karen LiDivision of Neurocritical Care, Department of Neurology, Brigham and Women's Hospital, Boston, MA.
Cristina SastreDivision of Neurocritical Care, Department of Neurology, Massachusetts General Hospital, Boston, MA.
Animesh AcharjeeCollege of Medical and Health, Cancer and Genomic Sciences, Centre for Health Data Research, University of Birmingham, Birmingham, United Kingdom.
Kazutaka SugimotoDepartment of Neurosurgery, Yamaguchi University School of Medicine, Yamaguchi, Japan.ORCID 0000-0002-7666-2620
David ChungDivision of Neurocritical Care, Department of Neurology, Massachusetts General Hospital, Boston, MA.
Kellianne D AlexanderAnn Romney Center for Neurologic Diseases, Department of Neurology, Brigham and Women's Hospital, Boston, MA.
Brian L EdlowDivision of Neurocritical Care, Department of Neurology, Massachusetts General Hospital, Boston, MA.ORCID 0000-0001-7235-8456
Cenk AyataNeurovascular Research Unit, Department of Radiology, Massachusetts General Hospital, Charlestown, MA.ORCID 0000-0002-3644-6042
Tracy Young-PearseAnn Romney Center for Neurologic Diseases, Department of Neurology, Brigham and Women's Hospital, Boston, MA.
W Taylor KimberlyDivision of Neurocritical Care, Department of Neurology, Massachusetts General Hospital, Boston, MA.ORCID 0000-0002-2519-8530

Funding

Gut microbiome-related metabolites and cognitive impairmentR01AG089361 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI William Taylor Kimberly · 2024 to 2026
$3.9M
Metabolomic predictors of stroke in REGARDSR01NS099209 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI KIMBERLY, WILLIAM TAYLOR · 2017 to 2021
$2.4M
Role of Soluble ST2 in Immune Cell Regulation and Secondary Neurologic Injury After Intracerebral HemorrhageK23NS112474 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI BEVERS, MATTHEW BRADFORD · 2020 to 2024
$1.1M
Brain endothelium and innate immune responses after strokeR21NS120002 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI KIMBERLY, WILLIAM TAYLOR · 2021 to 2021
$451k
JSPS KAKENHINControl TherapeuticsNIA NIH HHS R01 AG089361NIH HHSNINDS NIH HHS K23 NS112474NINDS NIH HHS R01 NS099209NINDS NIH HHS R21 NS120002
6 · The paper itself

Abstract

objectiveNo current therapy prevents swelling after ischemic stroke, and pathways leading to edema formation are not completely understood. We have found the immune regulator soluble ST2 (sST2) to be a candidate mediator of edema formation. In the current study, we sought to identify a mechanistic relationship between sST2 and edema in ischemic stroke.

methodsWe conducted a proteomics survey for plasma biomarkers of edema in patients with large ischemic stroke and verified associations with outcome. We performed middle-cerebral artery occlusion (MCAO) in rats and measured sST2 expression. We used both in vitro and in vivo techniques to determine the cellular source of sST2. We generated a sST2 knockout rat line and performed MCAO to determine the effect of knockout on brain edema, endothelial and microglial gene expression, and blood-brain barrier integrity.

resultsWe found sST2 to be associated with edema, outcome and mortality after large ischemic stroke. We replicated the elevation in plasma sST2 in a rat model of stroke and found brain endothelium as the cell type with highest expression. Knockout of sST2 did not alter lesion volume but was associated with reduced swelling and increased staining for the tight junction protein zona occludens 1 (ZO-1).

interpretationPlasma sST2 level is associated with edema, functional outcome, and mortality after ischemic stroke. Knockout of sST2 reduced post-stroke cerebral edema and was associated with increased staining for the tight junction protein ZO-1. These findings establish a mechanistic link between sST2 and brain edema and highlight its potential as a future therapeutic target. ANN NEUROL 2026;99:134-147.

Indexed as

BrainBrain EdemaInterleukin-1 Receptor-Like 1 ProteinIschemic StrokeAnimalsBiomarkersBlood-Brain BarrierDisease Models, AnimalEndothelial CellsHumansInfarction, Middle Cerebral ArteryMaleRatsRats, Sprague-DawleyBiomarkersInterleukin-1 Receptor-Like 1 Protein

Identifiers

PMID40833219
PMCPMC12676997

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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.