Evidence map›Paper›PMID 31472680›Full record

ArticleJournal of neuroinflammation2019

All trans-retinoic acid protects against acute ischemic stroke by modulating neutrophil functions through STAT1 signaling.

Wei Cai, Julie Wang, Mengyan Hu, Xiao Chen, Zhengqi Lu, Joseph A Bellanti, Song Guo Zheng

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
4.5field-weighted citation impact, top 4% of its field
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

62 citing papers in PubMed, 89 citations in OpenAlex.

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  9. Neuromelanin-induced cellular stress and neurotoxicity in the pathogenesis of Parkinson's disease.Apoptosis : an international journal on programmed cell death · 2025
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2 more citing papers are in PubMed but not listed here.

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 at 4 institutions in 2 countries.

Wei CaiCenter of Clinical Immunology, Center for Mental and Neurological Disorders and Diseases, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Julie WangDepartment of Internal Medicine, Ohio State University College of Medicine and Wexner Medical Center, Columbus, OH, 43201, USA.
Mengyan HuDepartment of Neurology, Center for Mental and Neurological Disorders and Diseases, the Third Affiliated Hospital of Sun Yat-sen University, 600 Tianhe Road, Guangzhou, 510630, Guangdong, China.
Xiao ChenDivision of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Zhengqi LuDepartment of Neurology, Center for Mental and Neurological Disorders and Diseases, the Third Affiliated Hospital of Sun Yat-sen University, 600 Tianhe Road, Guangzhou, 510630, Guangdong, China. luzhq@mail.sysu.edu.cn.
Joseph A BellantiDepartment of Pediatrics and Microbiology-Immunology, Georgetown University Medical Center, Washington, DC, 20057, USA.
Song Guo ZhengDepartment of Internal Medicine, Ohio State University College of Medicine and Wexner Medical Center, Columbus, OH, 43201, USA. SongGuo.Zheng@osumc.edu.ORCID http://orcid.org/0000-0003-4059-4627
Sun Yat-sen University · CNThe Ohio State University Wexner Medical Center · USGeorgetown University · USMedical College of Wisconsin · US

Funding

Therapeutic immunoregulation mediated by TGF-??-induced iTregs in autoimmune arthR01AR059103 · NIAMS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JARJOUR, WAEL N · 2010 to 2020
$3.9M
General Program of National Natural Science Foundation of China 81671611Guangdong Natural Science Foundation 2014A030308005National Key R&D Program of China 2017YFA0105801NIAMS NIH HHS R01 AR059103Postdoctoral Research Foundation of China 2018M643332Program for Guangdong Introducing Innovative and Entrepreneurial Teams 2016ZT06S252
6 · The paper itself

Abstract

background and purposeRegulation of neural inflammation is considered as a vital therapeutic target in ischemic stroke. All-trans retinoic acid (atRA), a potent immune modulator, has raised interest in the field of stroke therapy. However, the immunological mechanisms for atRA-mediated neuroprotection remain elusive. The current study evaluated the impact of atRA on post-stroke neural inflammation and elucidated the mechanisms involved in the regulation of related neutrophil functions.

methodsatRA was prophylactically administered to mice 1 day before transient middle cerebral artery occlusion (tMCAO, 1 h) and repeated daily immediately after reperfusion for 3 days. Stroke outcomes, neutrophil polarization, and formation of neutrophil extracellular traps (NETs) in the stroke lesion were assessed. Neutrophil depletion was induced with anti-Ly6G antibodies. Primary neutrophil cultures were used to explore the mechanisms of atRA treatment.

resultsProphylactic atRA treatment reduced infarct volumes and neurological deficits at 1 day after tMCAO. Post-stroke neural inflammation was attenuated and neutrophil accumulation in lesion was downregulated. atRA treatment skewed neutrophil toward N2 phenotype which facilitated its clearance by macrophage and inhibited NETs formation. The functions of neutrophil were indispensable in the protective effects of atRA and were associated with suppression to STAT1 signaling by atRA. Administration of atRA after stroke still provided efficient protection to cerebral ischemia.

conclusionatRA displays potent therapeutic efficacy in ischemic stroke by attenuating neural inflammation. Treatment of atRA impeded neutrophil accumulation, favored N2 polarization, and forbade NETs formation in ischemic lesion. STAT1 signaling played a decisive role in the mechanisms of atRA-afforded regulation to neutrophil.

Indexed as

AnimalsBrain IschemiaCells, CulturedFemaleMaleMiceMice, Inbred C57BLNeuroprotective AgentsNeutrophilsSignal TransductionSTAT1 Transcription FactorStrokeTretinoinNeuroprotective AgentsStat1 protein, mouseSTAT1 Transcription FactorTretinoinAll trans-retinoic acidCerebral ischemiaNeural inflammationNeuroprotectionNeutrophil

Identifiers

PMID31472680
PMCPMC6717357
OpenAlexW2970660635

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.