Evidence map›Paper›PMID 39028413›Full record

ArticleTranslational stroke research2025

CCN1 Is a Therapeutic Target for Reperfused Ischemic Brain Injury.

Gilbert Aaron Lee, Yu-Wei Chang, Jing-Huei Lai, Tzu-Hao Chang, Shiu-Wen Huang, Chih-Hao Yang, Ting-An Shen, Wan-Li Lin, Ying-Chieh Wu, Li-Wen Tseng and 4 more

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Article in Translational stroke research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
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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

14 authors.

Gilbert Aaron LeeDepartment of Medical Research, Taipei Medical University Hospital, Taipei, Taiwan.
Yu-Wei ChangDepartment of Medical Research, Taipei Medical University Hospital, Taipei, Taiwan.
Jing-Huei LaiCore Laboratory of Neuroscience, Office of R&D, Taipei Medical University, Taipei, Taiwan.
Tzu-Hao ChangGraduate Institute of Biomedical Informatics, Taipei Medical University, Taipei, Taiwan.
Shiu-Wen HuangDepartment of Medical Research, Taipei Medical University Hospital, Taipei, Taiwan.
Chih-Hao YangDepartment of Pharmacology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Ting-An ShenBioinformatics Center, Office of Data Science, Taipei Medical University, Taipei, Taiwan.
Wan-Li LinDepartment of Medical Research, Taipei Medical University Hospital, Taipei, Taiwan.
Ying-Chieh WuDepartment of Medical Research, Taipei Medical University Hospital, Taipei, Taiwan.
Li-Wen TsengDepartment of Medical Research, Taipei Medical University Hospital, Taipei, Taiwan.
Sung-Hui TsengDepartment of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Yung-Chieh ChenDepartment of Medical Imaging, Taipei Medical University Hospital, Taipei, Taiwan.
Yung-Hsiao ChiangCore Laboratory of Neuroscience, Office of R&D, Taipei Medical University, Taipei, Taiwan.
Cheng-Yu ChenDepartment of Medical Imaging, Taipei Medical University Hospital, Taipei, Taiwan. sandy0932@gmail.com.

Funding

MOST 110-2320-B-038-047Taipei Medical University TMU109-AE1-B19Taipei Medical University Hospital 111TMUH-MOST-12, 109TMUH-SP-03
6 · The paper itself

Abstract

Ischemic stroke can lead to systemic inflammation, which can activate peripheral immune cells, causing neuroinflammation and brain injury. Meningeal lymphatics play a crucial role in transporting solutes and immune cells out of the brain and draining them into cervical lymph nodes (CLNs). However, the role of meningeal lymphatics in regulating systemic inflammation during the reperfusion stage after ischemia is not well understood. In this study, we demonstrated that brain infarct size, neuronal loss, and the effector function of inflammatory macrophage subsets were reduced after ischemia-reperfusion and disruption of meningeal lymphatics. Spatial memory function was improved in the late stage of ischemic stroke following meningeal lymphatic disruption. Brain-infiltrating immune cells, including neutrophils, monocytes, and T and natural killer cells, were reduced after cerebral ischemia-reperfusion and meningeal lymphatic disruption. Single-cell RNA sequencing analysis revealed that meningeal lymphatic disruption reprogrammed the transcriptome profile related to chemotaxis and leukocyte migration in CLN lymphatic endothelial cells (LECs), and it also decreased chemotactic CCN1 expression in floor LECs. Replenishment of CCN1 through intraventricular injection increased brain infarct size and neuronal loss, while restoring numbers of macrophages/microglia in the brains of meningeal lymphatic-disrupted mice after ischemic stroke. Blocking CCN1 in cerebrospinal fluid reduced brain infarcts and improves spatial memory function after ischemia-reperfusion injury. In summary, this study indicates that CCN1-mediated detrimental inflammation was alleviated after cerebral ischemia-reperfusion injury and meningeal lymphatic disruption. CCN1 represents a novel therapeutic target for inhibiting systemic inflammation in the brain-CLN axis after ischemia-reperfusion injury.

Indexed as

Brain IschemiaCysteine-Rich Protein 61Ischemic StrokeReperfusion InjuryAnimalsMaleMeningesMiceMice, Inbred C57BLCCN1 protein, mouseCysteine-Rich Protein 61CCN1Ischemic strokeLymphatic endothelial cellMacrophageMeningeal lymphatics

Identifiers

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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 Socratic graph.