Evidence map›Paper›PMID 41723237›Full record

ArticleCommunications engineering2026

Safe focused ultrasound-mediated blood-brain barrier opening is driven primarily by transient reorganization of tight junctions.

Rebecca Lynn Noel, Tara Kugelman, Maria Eleni Karakatsani, Sanjid Shahriar, Moshe J Willner, Daniella A Jimenez, Claire Sunha Choi, Yusuke Nimi, Robin Ji, Dritan Agalliu and 1 more

Abstract read
In one paragraph

Article in Communications engineering, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Rebecca Lynn Noel *Department of Biomedical Engineering, Columbia University, New York, NY, USA.
Tara Kugelman *Department of Biomedical Engineering, Columbia University, New York, NY, USA.
Maria Eleni KarakatsaniDepartment of Biomedical Engineering, Columbia University, New York, NY, USA.
Sanjid ShahriarDepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.
Moshe J WillnerDepartment of Biomedical Engineering, Columbia University, New York, NY, USA.
Daniella A JimenezDepartment of Biomedical Engineering, Columbia University, New York, NY, USA.
Claire Sunha ChoiDepartment of Biomedical Engineering, Columbia University, New York, NY, USA.
Yusuke NimiDepartment of Biomedical Engineering, Columbia University, New York, NY, USA.
Robin JiDepartment of Biomedical Engineering, Columbia University, New York, NY, USA.
Dritan AgalliuDepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.
Elisa E KonofagouDepartment of Biomedical Engineering, Columbia University, New York, NY, USA. ek2191@columbia.edu.

Funding

Assessment of Ultrsound-facilitated Neurotherapeutics in Alzheimer's DiseaseR01AG038961 · NIA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI KONOFAGOU, ELISA E. · 2011 to 2020
$5.1M
A theranostic system for ultrasound-facilitated blood-brain barrier openingR01EB029338 · NIBIB · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KONOFAGOU, ELISA E. · 2020 to 2023
$2.6M
Neuronal Regulation of Vascular Development and Maturation in the RetinaR01EY033994 · NEI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Dritan Agalliu · 2022 to 2026
$2.3M
Assessing the effects of peripheral immune activation on the NVU following TBI using a vascularized and perfused human blood/BBB modelR33HL159949 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI AGALLIU, DRITAN, LIS, RAPHAEL · 2023 to 2025
$2.2M
Developing a microfluidic human neurovascular unit system to investigate genetic and age-related risk factors in Alzheimer's diseaseR01AG078352 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Dritan Agalliu, Andrew Alexander Sproul · 2025 to 2026
$837k
NEI NIH HHS R01 EY033994NHLBI NIH HHS R33 HL159949NIA NIH HHS R01 AG078352U.S. Department of Health & Human Services | NIH | National Institute of Biomedical Imaging and Bioengineering (NIBIB) R01EB029338U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG038961
6 · The paper itself

Abstract

Focused ultrasound (FUS) with microbubbles opens the blood-brain barrier (BBB) for targeted drug delivery into the brain. How brain endothelial cells (BECs) respond to low acoustic pressures known to open the BBB transiently, or high pressures that cause brain damage, is incompletely characterized. Here, we apply FUS at low (450 kPa) and high (750 kPa) pressures in mice where BBB tight junctions are labeled with eGFP to characterize their abnormalities. Arteriole and capillary BECs respond to low pressure by a transient BBB tight junction reorganization and opening. In contrast, high pressure induces tight junction obliteration and persistent BBB opening in BECs even after 72 hours, associated with microglial activation. Transcriptomic analyses of BECs show that high pressure upregulates genes related to the stress response and cell junction disassembly, whereas low pressure upregulates intracellular repair genes. Thus, transient reorganization and repair of tight junctions mediate safe BBB opening for therapeutic delivery.

Identifiers

PMID41723237
PMCPMC13035895

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.