Evidence map›Paper›PMID 40143813›Full record

ReviewArteriosclerosis, thrombosis, and vascular biology2025

PA System in the Pathogenesis of Ischemic Stroke.

Boxin Zhang, Lisa Leung, Enming J Su, Daniel A Lawrence

Abstract readReview
In one paragraph

Review in Arteriosclerosis, thrombosis, and vascular biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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.

Boxin ZhangDepartment of Internal Medicine, Division of Cardiovascular Medicine (B.Z., E.J.S., D.A.L.), University of Michigan Medical School, Ann Arbor.ORCID 0009-0005-2836-2403
Lisa LeungDepartment of Molecular and Integrative Physiology (L.L., D.A.L.), University of Michigan Medical School, Ann Arbor.ORCID 0000-0001-8973-7006
Enming J SuDepartment of Internal Medicine, Division of Cardiovascular Medicine (B.Z., E.J.S., D.A.L.), University of Michigan Medical School, Ann Arbor.ORCID 0000-0002-7781-5924
Daniel A LawrenceDepartment of Internal Medicine, Division of Cardiovascular Medicine (B.Z., E.J.S., D.A.L.), University of Michigan Medical School, Ann Arbor.ORCID 0000-0003-3126-1935

Funding

Unraveling the role of tPA in the neurovascular unitR01HL055374 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Antonetti, Daniel A Lawrence · 1995 to 2026
$8.6M
The Role of PAI-1 in Cerebral Microvascular Dysfunction and the Development of Alzheimer’s Disease NeuropathologyR01AG074552 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LAWRENCE, DANIEL A, MURPHY, GEOFFREY G · 2021 to 2025
$3.4M
Training Program in Translational Cardiovascular Research and EntrepreneurshipT32HL125242 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MICHELE, DANIEL E · 2015 to 2024
$1.9M
NHLBI NIH HHS R01 HL055374NHLBI NIH HHS T32 HL125242NIA NIH HHS R01 AG074552
6 · The paper itself

Abstract

Ischemic stroke remains a leading cause of morbidity and mortality worldwide, driven by complex pathophysiological mechanisms that make finding effective treatments challenging. PAs (plasminogen activators) play a critical role in fibrinolysis and vascular homeostasis and as such are important factors affecting stroke outcome. This review examines the complex relationships between ischemic stroke and PAs, highlighting their physiological, pathological, and therapeutic effects on ischemic stroke. We focus on recombinant tissue-type PA as the only Food and Drug Administration-approved thrombolytic agent, describing its clinical impact and associated obstacles impacting its wide-scale use, such as blood-brain barrier disruption and inflammation. Furthermore, emerging PA-based therapies and combination strategies are explored to address the limitations of recombinant tissue-type PA. By integrating mechanistic information with clinical developments, this review aims to provide insights for the advancement of PA-centered approaches to improve the safety and efficacy of stroke treatments.

Indexed as

Brain IschemiaFibrinolysisFibrinolytic AgentsIschemic StrokePlasminogen ActivatorsTissue Plasminogen ActivatorAnimalsBlood-Brain BarrierHumansThrombolytic TherapyFibrinolytic AgentsPlasminogen ActivatorsTissue Plasminogen Activatorblood-brain barrierhomeostasisinflammationischemic strokemorbidity

Identifiers

PMID40143813
PMCPMC12037151

What Socratic holds

Textmetadata
LicenceTDM
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.