Evidence map›Paper›PMID 41109658›Full record

ReviewExperimental neurology2026

White matter injury after brain ischemia.

Yujung Park, Kurt Hu, Chunli Liu, Dayalan Sampath, Bingren Hu

Abstract readReview
In one paragraph

Review in Experimental neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

5 authors.

Yujung ParkDepartments of Emergency Medicine and Neurosciences, University of California San Diego, La Jolla, CA, United States of America. Electronic address: yup019@health.ucsd.edu.
Kurt HuDepartment of Medicine, Division of Pulmonary and Critical Care, Medical College of Wisconsin, WI, United States of America. Electronic address: kuhu@mcw.edu.
Chunli LiuDepartments of Emergency Medicine and Neurosciences, University of California San Diego, La Jolla, CA, United States of America. Electronic address: chl216@health.ucsd.edu.
Dayalan SampathDepartments of Emergency Medicine and Neurosciences, University of California San Diego, La Jolla, CA, United States of America. Electronic address: dsampath@health.ucsd.edu.
Bingren HuDepartments of Emergency Medicine and Neurosciences, University of California San Diego, La Jolla, CA, United States of America; Veterans Affairs San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA, United States of America. Electronic address: bih001@health.ucsd.edu.

Funding

Testing Cerebroprotective Interventions with Rodent Ischemic Stroke ModelsU01NS130557 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HU, BINGREN · 2023 to 2025
$1.8M
Dysfunctional organelle-specific autophagy leads to brain ischemia-reperfusion injuryR01NS134895 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Bingren Hu · 2024 to 2026
$1.8M
The Role of Lysosomal Membrane Permeabilization and Cathepsin B Release in Stroke Brain InjuryR01NS129553 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Bingren Hu · 2023 to 2026
$1.5M
BLRD VA I01 BX005814NINDS NIH HHS R01 NS129553NINDS NIH HHS R01 NS134895NINDS NIH HHS U01 NS130557
6 · The paper itself

Abstract

Ischemic white matter injury (WMI) is a significant concern in various clinical settings, particularly affecting the elderly and those with comorbidities such as hypoxia and hyperglycemia. Ischemic WMI can be caused either by primary WM ischemia, or secondary axonal injury as a result of the loss of the "remote" axonal parent neurons or the depletion of adhesive and neurotrophic molecules following post-synaptic neuronal death in the grey matter after focal ischemia. While neurons are highly vulnerable to ischemia, potentially undergoing cell death after an ischemic duration longer than a just few minutes, oligodendrocyte (OLG) lineage cells and axons show somewhat greater initial resistant to ischemia but ultimately suffer various degrees of damage after prolonged ischemia exposure. WMI typically progresses over time from initial demyelination to OLG death and axonal injury, followed by varying degrees of OLG biogenesis, remyelination, axonal sprouting, and synaptic reconnections. The severity of ischemic WMI is a key predictor of poor long-term outcome in brain ischemia-related conditions. Despite its clinical importance, ischemic WMI remains significantly understudied in preclinical animal models, creating a weak link in the field of ischemic brain injury animal research. Many molecular and pathological mechanisms underlying post-ischemic WMI remain poorly understood, and currently, no specific treatments exist for WMI patients. This review aims to stimulate WMI research by providing updated knowledge, emerging hypotheses, and future research directions to foster understanding the mechanisms and to guide the development of the effective therapeutic strategies.

Indexed as

Brain IschemiaDemyelinating DiseasesLeukoencephalopathiesWhite MatterAnimalsApoptosisAxonal TransportAxonsDisease Models, AnimalHumansNecrosisOligodendrogliaOxidative StressSignal TransductionAxonal injuryIschemic brain injuryNeurotrophins and adhesion moleculesSynapseWhite matter injury (WMI)White matter lesion (WML)

Identifiers

PMID41109658
PMCPMC13338673

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.