Evidence map›Paper›PMID 40244012›Full record

ArticleInternational journal of molecular sciences2025

Role of Endothelin-1 and Nitric Oxide in Acute Ischemic Stroke Leptomeningeal Collateral Activation.

Marta Iacobucci, Angela Risitano, Paolo Amisano, Irene Berto, Roberto Carnevale, Vittoria Cammisotto, Francesco Biraschi, Carlo Cirelli, Maria Teresa Di Mascio, Danilo Toni and 2 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 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. Trial
  2. Article
  3. Article
  4. Article
  5. Association of Systemic Hemodynamics and Endothelial Dysfunction With Clinical Phenotypes in Sensorineural Hearing Loss With Vertigo: A Cross-Sectional Analysis.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Observational
  6. 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

12 authors.

Marta IacobucciNeuroradiology Unit, Umberto I Hospital, Department of Human Neurosciences, Sapienza University, 00185 Rome, Italy.ORCID 0000-0002-3911-3278
Angela RisitanoDepartment of Human Neurosciences, Sapienza University, 00185 Rome, Italy.
Paolo AmisanoDepartment of Human Neurosciences, Sapienza University, 00185 Rome, Italy.ORCID 0000-0003-2670-9408
Irene BertoStroke Unit, Emergency Department, Umberto I Hospital, Sapienza University, 00185 Rome, Italy.
Roberto CarnevaleDepartment of Clinical Internal Anesthesiologic and Cardiovascular Sciences, Sapienza University, 00185 Rome, Italy.ORCID 0000-0002-6216-9595
Vittoria CammisottoDepartment of Medical and Surgical Sciences and Biotechnologies, Sapienza University, 00185 Rome, Italy.ORCID 0000-0003-1966-5945
Francesco BiraschiNeuroradiology Unit, Umberto I Hospital, Department of Human Neurosciences, Sapienza University, 00185 Rome, Italy.
Carlo CirelliNeuroradiology Unit, Umberto I Hospital, Department of Human Neurosciences, Sapienza University, 00185 Rome, Italy.
Maria Teresa Di MascioStroke Unit, Emergency Department, Umberto I Hospital, Sapienza University, 00185 Rome, Italy.
Danilo ToniDepartment of Human Neurosciences, Sapienza University, 00185 Rome, Italy.
Svetlana LorenzanoDepartment of Human Neurosciences, Sapienza University, 00185 Rome, Italy.
Manuela De MicheleStroke Unit, Emergency Department, Umberto I Hospital, Sapienza University, 00185 Rome, Italy.ORCID 0000-0002-3928-4309

Funding

Sapienza University of Rome AR120172B783068D
6 · The paper itself

Abstract

Good leptomeningeal collaterals (LMCs) after large vessel occlusion (LVO) extend the time window for endovascular therapy. The mechanisms regulating LMC activation are not fully understood. The aim of this study was to investigate the potential role of two vasoactive molecules endothelin-1 (ET-1)-a vasoconstrictor agent-and nitric oxide (NO)-a vasodilator agent-in the regulation of post-stroke LMCs. Ischemic stroke patients within 6 h of LVO were included. Collateral status was assessed using the Menon scoring system based on computed tomography angiography scans. Patients were accordingly divided into three groups: poor, intermediate, and good LMCs. Recanalization was evaluated using the modified thrombolysis in cerebral infarction (mTICI) score. Serum levels of ET-1 and NO were measured at three time points: T0 (<6 h), T1 (24 h), and T2 (48 h). A total of 105 patients were enrolled (mean age 76 ± 12.8 years): 44 with good (46.2%), 36 with intermediate (37.8%), and 22 with poor LMCs (23.1%). NO values decreased, whereas ET-1 values increased from T0 to T1 in all groups of patients. No significant association was found between serum ET-1 levels and collateral status. Higher ET-1 levels at T1 correlated with poor outcome regardless of the LMC status or the degree of recanalization (

Indexed as

Brain IschemiaCollateral CirculationEndothelin-1Ischemic StrokeMeningesNitric OxideAgedAged, 80 and overFemaleHumansMaleMiddle AgedEndothelin-1Nitric Oxideacute ischemic strokeET-1leptomeningeal collateralsNOreperfusion

Identifiers

PMID40244012
PMCPMC11989326

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.