Evidence map›Paper›PMID 41596193›Full record

ArticleAntioxidants (Basel, Switzerland)2026

Betaine Inhibits Ferroptosis After Intracerebral Hemorrhage by Activating the Nrf2/HO-1 Pathway.

Jie Chen, Xurui Lu, Sunqian Liu, Weiliang Hu, Xiaorong Zhou, Zhifeng Wang

Abstract read
In one paragraph

Article in Antioxidants (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Jie ChenDepartment of Neurosurgery, Affiliated Hospital 2 of Nantong University/Southeast University Affiliated Nantong First People's Hospital/Nantong First People's Hospital, Nantong 226001, China.
Xurui LuDepartment of Neurosurgery, Affiliated Hospital 2 of Nantong University/Southeast University Affiliated Nantong First People's Hospital/Nantong First People's Hospital, Nantong 226001, China.
Sunqian LiuDepartment of Neurosurgery, Affiliated Hospital 2 of Nantong University/Southeast University Affiliated Nantong First People's Hospital/Nantong First People's Hospital, Nantong 226001, China.
Weiliang HuDepartment of Neurosurgery, Affiliated Hospital 2 of Nantong University/Southeast University Affiliated Nantong First People's Hospital/Nantong First People's Hospital, Nantong 226001, China.
Xiaorong ZhouDepartment of Immunology, Medical School, Nantong University, Nantong 226001, China.ORCID 0000-0002-6120-7318
Zhifeng WangDepartment of Neurosurgery, Affiliated Hospital 2 of Nantong University/Southeast University Affiliated Nantong First People's Hospital/Nantong First People's Hospital, Nantong 226001, China.

Funding

Nantong Municipal Health Commission MS2022015Nantong Science and Technology Bureau JCZ2023022
6 · The paper itself

Abstract

Intracerebral hemorrhage (ICH) is a type of stroke with high mortality and disability rates. The hemoglobin and iron ions released by ruptured red blood cells after ICH can induce programmed cell death characterized by lipid peroxide accumulation-a defining feature of ferroptosis-which is one of the key mechanisms for the occurrence and progression of secondary brain injury after ICH. Betaine (BET), a natural amino acid derivative, is known to be an antioxidant, but its protective effect and molecular mechanisms in ICH-induced ferroptosis have not been studied yet. In this study, we investigated the effect of BET intervention on ICH-induced ferroptosis and possible mechanisms in vitro and in vivo, and we evaluated the expression of ferroptosis and oxidative stress molecules through in vivo and in vitro experiments. We analyzed the distribution of nuclear factor E2-related factor 2 (Nrf2) and assessed neurobehavioral function, hematoma volume, and iron content in the brain tissue of mice with ICH. BET upregulates nuclear factor E2-related factor 2/heme oxygenase 1 (Nrf2/HO-1) signaling, reducing long-chain acyl-CoA synthetase 4 (ACSL4), reactive oxygen species (ROS), and malondialdehyde (MDA) while increasing glutathione (GSH) and glutathione peroxidase 4 (GPX4) levels. It also decreases brain iron accumulation, aids hematoma clearance, and protects against ferroptosis and oxidative damage post ICH. Inhibition of Nrf2 with ML385 diminishes BET's neuroprotective effects, highlighting the pathway's importance in BET's mechanism of action. BET boosts antioxidant capacity via the Nrf2/HO-1 pathway; inhibits ferroptosis; reduces oxidative stress, brain edema, and iron accumulation post ICH; and aids hematoma clearance, offering neuroprotection.

Indexed as

BETferroptosisHO-1HT22ICHNrf2ROS

Identifiers

PMID41596193
PMCPMC12837569

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.