Evidence map›Paper›PMID 39953583›Full record

ArticleEuropean journal of medical research2025

Rosuvastatin mitigates blood-brain barrier disruption in sepsis-associated encephalopathy by restoring occludin levels.

Qin Shen, Qian Yu, Taojiang Chen, Lijuan Zhang

Abstract read
In one paragraph

Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

4 authors.

Qin ShenDepartment of Critical Care Medicine, Chengdu Fifth People's Hospital, Geriatric Diseases Institute of Chengdu, Cancer Prevention and Treatment Institute of Chengdu, The Second Clinical Medical College, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine, No.33, Ma Shi Street, Chengdu, 611137, Sichuan, China.
Qian YuDepartment of Cardiovascular Medicine, Chengdu Fifth People's Hospital, Geriatric Diseases Institute of Chengdu, Cancer Prevention and Treatment Institute of Chengdu, the Second Clinical Medical College, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, Sichuan, China.
Taojiang ChenDepartment of Critical Care Medicine, Chengdu Fifth People's Hospital, Geriatric Diseases Institute of Chengdu, Cancer Prevention and Treatment Institute of Chengdu, The Second Clinical Medical College, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine, No.33, Ma Shi Street, Chengdu, 611137, Sichuan, China.
Lijuan ZhangDepartment of Critical Care Medicine, Chengdu Fifth People's Hospital, Geriatric Diseases Institute of Chengdu, Cancer Prevention and Treatment Institute of Chengdu, The Second Clinical Medical College, Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine, No.33, Ma Shi Street, Chengdu, 611137, Sichuan, China. zhanglij006@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlood-brain barrier (BBB) disruption is a key pathological feature of sepsis-associated encephalopathy (SAE). Rosuvastatin, a third-generation statin, exhibits diverse pharmacological functions beyond its lipid-lowering capacity. However, its potential neuroprotective role in SAE remains unclear. MATERIALS AND

methodsSAE models were established using the cecal ligation and puncture (CLP) method. BBB integrity was evaluated using NaF, and endothelial permeability was assessed by fluorescein isothiocyanate (FITC)-dextran assays.

resultsRosuvastatin significantly attenuated neuroinflammation in the brains of septic mice by reducing the expression of the pro-inflammatory cytokines interleukin-6 (IL-6), monocyte chemoattractant protein-1 (MCP-1), and tumor necrosis factor α (TNF-α). It also ameliorated vascular injury in the brain cortex of septic mice by decreasing the levels of vascular cell adhesion molecule-1 (VCAM-1) and E-selectin. Furthermore, Rosuvastatin preserved BBB integrity in septic mice by enhancing the expression of the tight junction protein occludin. In vitro studies demonstrated that Rosuvastatin alleviated endothelial permeability and increased transendothelial electrical resistance (TEER) in lipopolysaccharide (LPS)-stimulated human brain microvascular endothelial cells (HBMECs). Additionally, Rosuvastatin prevented the LPS-induced reduction of occludin and Krüppel-like factor 2 (KLF2) in HBMECs. Importantly, silencing KLF2 abrogated Rosuvastatin's protective effects on endothelial permeability and occludin expression.

conclusionsThese findings indicate that Rosuvastatin may be a promising therapeutic candidate for mitigating BBB dysfunction associated with SAE.

Indexed as

Blood-Brain BarrierOccludinRosuvastatin CalciumSepsis-Associated EncephalopathyAnimalsDisease Models, AnimalEndothelial CellsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiceMice, Inbred C57BLHydroxymethylglutaryl-CoA Reductase InhibitorsOccludinOcln protein, mouseRosuvastatin CalciumBlood–brain barrierKLF2OccludinSepsis-associated encephalopathy

Identifiers

PMID39953583
PMCPMC11827257

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.