Summaries for Brain Edema

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44Wikipedia, 22MalaCards
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Wikipedia: Cerebral edema or cerebral œdema is an excess accumulation of water in the intracellular or...44 more...

MalaCards: Brain Edema, also known as intracranial swelling, is related to acute liver failure and diabetic ketoacidosis. An important gene associated with Brain Edema is AQP4 (aquaporin 4), and among its related pathways are Passive Transport by Aquaporins and G alpha (i) signalling events. The drugs mannitol hexanitrate and dexamethasone phosphate and the compounds nitroglycerin and glucose have been mentioned in the context of this disorder. Affiliated tissues include brain, liver and b cells, and related mouse phenotypes are endocrine/exocrine gland and renal/urinary system.

Aliases & Descriptions for Brain Edema

Sources:
6Disease Ontology, 8DISEASES, 32Novoseek , 43UMLS, 40SNOMED-CT, 24MeSH
See all sources

Aliases & Descriptions:

brain edema 6 8 32 43
intracranial swelling 6
wet brain 6

External Ids:

SNOMED-CT40 85974009, 2032001

Related Diseases for Brain Edema

Sources:
13GeneCards, 14GeneDecks
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Diseases related to brain edema by text searches and GeneDecks gene sharing:

(show top 50)    (show all 641)
idRelated DiseaseScoreTop Affiliating Genes
1acute liver failure31.1ALB, OTC, TSPO, SLC1A2
2diabetic ketoacidosis28.2CLDN5, IL6, ALB, SST, CRP, AGER
3cerebral artery occlusion27.2VEGFA, CLDN5, PARP1, MMP9, IL1RN, AQP4
4meningioma26.2VEGFA, MMP9, IL6, AQP1, AQP4, GLUL
5cerebral infarction23.2SERPINE2, VEGFA, MMP9, IL1B, IL1RN, IL6
6neurodegeneration22.7SERPINE2, VEGFA, PARP1, MMP9, IL1B, IL1RN
7sinusitis22.4VEGFA, CLDN5, MMP9, IL1B, IL1RN, IL6
8brain injury21.9VEGFA, PARP1, BDKRB2, MMP9, MIP, IL1B
9thrombosis21.4VEGFA, MMP9, IL1B, IL1RN, IL6, ALB
10cerebritis20.8SERPINE2, VEGFA, CLDN5, PARP1, BDKRB2, MMP9
11ischemia19.8VEGFA, CLDN5, PARP1, BDKRB2, MMP9, MIP
12neuronitis18.4SERPINE2, VEGFA, PARP1, BDKRB2, KCNJ10, MMP9
13hyperammonemia with hypoornithinemia13.6GLUL, OTC, TSPO, SLC25A13
14sleep apnea13.6TSPO, NPPB, KNG1
15diabetic cataract13.6MIP, CAT, SOD1
16acute intermittent porphyria13.6GLUL, HMOX1, SOD1
17meningitis and encephalitis13.5CAT, CRP, SOD1
18chronic granulomatous disease13.5CAT, OTC, TSPO, SOD1
19renal hypertension13.5ALB, EDN1, KNG1
20galactosemia13.5MIP, ALB, GLUL, TSPO
21senile cataract13.5MIP, ALB, CAT, SOD1
22temporal lobe epilepsy13.4AQP4, GLUL, GFAP, TSPO, SLC1A2
23glycogen storage disease type ia13.4CAT, CRP, SOD1
24protein-losing enteropathy13.4ALB, OXA1L
25diabetic angiopathy13.4CAT, EDN1, AGER
26status epilepticus13.4OTC, GFAP, TSPO, SLC25A13
27maple syrup urine disease13.4ALB, CAT, OTC, GFAP, SOD1
28polyhydramnios13.4AQP1, AQP9, EDN1, NPPB
29myocardial stunning13.4CAT, EDN1, SOD1
30aseptic meningitis13.3IL1B, CAT, SOD1
31abcb11-related intrahepatic cholestasis13.3MIP, NPPA, NPPB, KNG1
32cryptosporidiosis13.3CAT, DHFR, CSF3
33gastric cancer risk after h. pylori infection13.3IL1B, IL1RN
34intracranial hypertension13.3IL1B, AQP4, ALB
35aicardi-goutieres syndrome13.3AQP4, ALB, OTC, TSPO, SLC25A13, CPT2
36bronchitis13.2PARP1, BDKRB2, AGER, KNG1
37somatoform disorder13.2IL1B, IL1RN, TSPO
38meningococcemia13.2IL1B, IL1RN, PROC
39short limb dwarf edema iris coloboma13.2ALB, NPPA, NPPB
40viral pneumonia13.2IL6, ALB, CRP
41optic neuritis13.2MMP9, AQP4, CAT, GFAP
42avascular necrosis of femoral head13.2VEGFA, CAT, SOD1
43capillary leak syndrome13.2IL6, ALB, CSF3
44acrodermatitis13.2IL1B, ALB, OTC
45hypomagnesemia13.2KCNJ10, ALB, CRP
46x-linked magnesium deficiency with epstein-barr virus infection and neoplasia13.2ALB, CAT, EDN1
47duchenne muscular dystrophy13.2MIP, AQP4, OTC, NPPA, NPPB
48renal vascular disease13.2VEGFA, ALB, AGER
49nephrosis13.2IL6, ALB, TJP1, SOD1, KNG1
50plasminogen activator inhibitor type 1 deficiency13.2PLAT, KNG1

Graphical network of the top 20 diseases related to brain edema:



Graphical network of diseases related to brain edema

Clinical Features for Brain Edema

Drugs & Therapeutics for Brain Edema

Sources:
4CenterWatch, 29NIH Clinical Center, 5ClinicalTrials, 43UMLS, 28NDF-RT
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Approved drugs:

Search CenterWatch for brain edema

Drug clinical trials:

Search ClinicalTrials for brain edema

Search NIH Clinical Center for brain edema

Search CenterWatch for brain edema

Inferred drug relations via UMLS/NDF-RT:

43 28 dexamethasone, dexamethasone acetate, dexamethasone acetate pwdr [va product], dexamethasone phosphate, dexamethasone sodium phosphate, dexamethasone sodium phosphate pwdr [va product], mannitol, mannitol hexanitrate, mannitol pwdr [va product]

Genetic Tests for Brain Edema

Anatomical Context for Brain Edema

Sources:
22MalaCards
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MalaCards organs/tissues related to brain edema:

22
Brain, Liver, B cells, Endothelial

Phenotypes for genes affiliated with Brain Edema

Sources:
25MGI
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Publications for genes affiliated with Brain Edema

Sources:
35PubMed
See all sources

Articles related to brain edema:

(show top 50)    (show all 55)
idTitleAuthorsYearAffiliating Genes
1Influence of interleukin-6 on the development of peri tumoral brain edema in meningiomas. (19445568)Park K.J.... Chung Y.G.2010IL6
2Ammonia and proinflammatory cytokines modify expressi on of genes coding for astrocytic proteins implicated in brain edema in acute l iver failure. (20217200)Chastre A.... Butterworth R.F.2010HMOX1, AQP4
3Protective effect of albumin on VEGF and brain edema in acute ischemia in rats. (20138968)Yao X.... Feng H.2010VEGFA
4Aquaporin-4 and traumatic brain edema. (20356447)Xu M.... Xu Q.P.2010AQP4
5Roles of inflammation and the activated protein C pat hway in the brain edema associated with cerebral venous sinus thrombosis. (19892996)Nagai M.... Granger D.N.2010PROC
6Role of bradykinin and catecholamines in cerebral infarction and brain edema. (19265042)Tsuda K.2009KNG1
7Inflammatory mediators and blood brain barrier disruption in fatal brain edema of diabetic ketoacidosis. (19103180)Hoffman W.H.... Andjelkovic A.V.2009CLDN5
8Delayed enlargement of brain edema after resection of intracranial meningioma: two case reports. (19855147)Ono K.... Wada K.2009VEGFA
9AQP4 expression in the brains of patients with gliob lastoma and its association with brain edema (19764565)Mou K.J.... Liu Y.H.2009AQP4
10The expression and the role of protease nexin-1 on brain edema after intracerebral hemorrhage. (18442833)Wu H.... Huang Q.2008AQP4, SERPINE2
11The relationship between the aquaporin-4 and brain edema, pathologic change, ultrastructure in perihematoma tissue in patients with intracerebral hemorrhage. (19000426)Guo F.Q.... Yang G.2008AQP4
12Plasmatic B-type natriuretic peptide and C-reactive protein in hyperacute stroke as markers of CT-evidence of brain edema. (18219371)Modrego P.J.... Serrano M.2008CRP, NPPB
13Receptor for advanced glycation end products and neuronal deficit in the fatal brain edema of diabetic ketoacidosis. (18775683)Hoffman W.H.... Sima A.A.2008AGER
14The role of aquaporin-4 polymorphisms in the development of brain edema after middle cerebral artery occlusion. (18309154)Kleffner I.... Kuhlenbaumer G.2008AQP4
15Small interfering RNA-mediated xCT silencing in gliomas inhibits neurodegeneration and alleviates brain edema. (18469825)Savaskan N.E.... Eyupoglu I.Y.2008SLC7A11
16A review of progress in understanding the pathophysiology and treatment of brain edema. (17613227)Marmarou A.2007MIP
17Delivery of anti-platelet-endothelial cell adhesion molecule single-chain variable fragment-urokinase fusion protein to the cerebral vasculature lyses arterial clots and attenuates postischemic brain edema. (17389242)Danielyan K.... Muzykantov V.R.2007PLAU
18Can variation in aquaporin 4 gene be associated with different outcomes in traumatic brain edema? (17890008)Romeiro R.R.... Correa H.2007AQP4
19Astrocytes co-express aquaporin-1, -4, and vascular endothelial growth factor in brain edema tissue associated with brain contusion. (16671493)Suzuki R.... Suzuki T.2006AQP1, MIP
20Granulocyte colony-stimulating factor does not affect contusion size, brain edema or cerebrospinal fluid glutamate concentrations in rats following controlled cortical impact. (16671442)Sakowitz O.W.... Kiening K.L.2006CSF3
21Mild hypothermia prevents brain edema and attenuates up-regulation of the astrocytic benzodiazepine receptor in experimental acute liver failure. (15826719)BAclanger M.... Butterworth R.F.2005TSPO
22Brain edema and aquaporin (16313100)Yamada K.2005AQP1, AQP4, MIP
23Intraventricular albumin: an optional agent in experimental post-traumatic brain edema. (15829162)Is M.... Kilic N.2005ALB
24Importance of aquaporins in the physiopathology of brain edema. (15281891)Venero J.L.... Cano J.2004AQP4, MIP
25Focal brain edema and natriuretic peptides in patients with subarachnoid hemorrhage. (15177394)Fukui S.... Shima K.2004NPPB, NPPA
26Alpha-syntrophin deletion removes the perivascular but not endothelial pool of aquaporin-4 at the blood-brain barrier and delays the development of brain edema in an experimental model of acute hyponatremia. (14734638)Amiry-Moghaddam M.... Ottersen O.P.2004AQP4
27Aquaporins and brain edema. (15120208)Griesdale D.E.... Honey C.R.2004MIP
28Pathophysiology of traumatic brain edema: current concepts. (14753394)Marmarou A.2003MIP
29Brain edema in acute liver failure. (15025258)Butterworth R.F.2003SLC1A2
30Poly(ADP-ribose) polymerase during reperfusion after transient forebrain ischemia: its role in brain edema and cell death. (12663936)Strosznajder R.P.... Strosznajder J.B.2003PARP1
31Overexpression of interleukin-1 receptor antagonist reduces brain edema induced by intracerebral hemorrhage and thrombin. (14753487)Masada T.... Nagao S.2003IL1RN
32Therapeutical efficacy of a novel non-peptide bradykinin B2 receptor antagonist on brain edema formation and ischemic tissue damage in focal cerebral ischemia. (14753436)Zausinger S.... Baethmann A.2003KNG1, BDKRB2
33Relationship between aquaporin-4 expression in astrocytes and brain edema caused by glioma (12810377)Chen Y.Z.... Cai Y.Q.2003AQP4
34The role of somatostatin in vasogenic meningioma asso ciated brain edema. (12841659)Pistolesi S.... Parenti G.2003VEGFA, SST
35Bench to bedside: brain edema and cerebral resuscitation: the present and future. (12208684)Xiao F.2002AQP4
36Pathophysiology of brain edema formation. (12486926)Xi G.... Hoff J.T.2002PLAT
37Effect of baicalin and dexamethasone on cytokines in brain tissue of infectious brain edema (12516391)Yu Y.... Tao Y.G.2000IL1B
38Vascular endothelial factor of meningomas and peritumoural vasogenic brain edema (11831981)Zhang Z.... Zhu X.2000VEGFA
39LF16-0687 a novel non-peptide bradykinin B2 receptor antagonist reduces vasogenic brain edema from a focal lesion in rats. (11449993)Schulz J.... Baethmann A.2000KNG1
40Lipocortin-1 fails to ameliorate cold-injury brain edema in the rat. (11450032)Mima T.... Shigeno T.2000ANXA1
41Differential upregulation of aquaporin-4 mRNA expression in reactive astrocytes after brain injury: potential role in brain edema. (10448052)Vizuete M.L.... Cano J.1999AQP4
42L-ornithine-L-aspartate lowers plasma and cerebrospin al fluid ammonia and prevents brain edema in rats with acute liver failure. (10462368)Rose C.... Butterworth R.F.1999GLUL
43Albumin or hetastarch improves neurological outcome and decreases volume of brain tissue necrosis but not brain edema following closed-head trauma in rats. (10527147)Chorny I.... Shapira Y.1999ALB, OXA1L
44Peritumoral brain edema associated with meningioma: i nfluence of vascular endothelial growth factor expression and vascular blood su pply. (10091773)Yoshioka H.... Kurisu K.1999VEGFA
45Brain edema: pathogenesis and therapy. (9185109)Schilling L.... Wahl M.1997KNG1
46Effect of delayed albumin hemodilution on infarction volume and brain edema after transient middle cerebral artery occlusion in rats. (9322848)Belayev L.... Ginsberg M.D.1997OXA1L
47Cytoxicity of [(5,6-dichloro-9a-n-propyl-2,3,9,9a-tetrahydro-3-oxo-1H fluoren-7-yl)oxy]acetic acid, an agent known to reduce brain edema. (8672727)Hall I.H.... Wyrick S.D.1996DHFR
48High colloid oncotic therapy for brain edema with cer ebral hemorrhage. (7976652)Tone O.... Tominaga B.1994ALB
49Histochemical demonstration of free radicals (H2O2) in ischemic brain edema and protective effects of human recombinant superoxide dismutase on ischemic neuronal damage. (7976574)Morooka H.... Ohmoto T.1994SOD1, CAT
50The effect of the delta sleep-inducing peptide on th e development of toxic brain edema-swelling (1290809)Platonov I.A.... Iasnetsov V.V.1992TSC22D3

Expression for genes affiliated with Brain Edema

Sources:
1BioGPS
See all sources
Expression patterns in normal tissues for genes affiliated with Brain Edema

Pathways for genes affiliated with Brain Edema

Sources:
38Reactome, 41Thomson Reuters, 10EMD Millipore, 37R&D Systems, 20KEGG
See all sources

Compounds for genes affiliated with Brain Edema

Sources:
32Novoseek , 9DrugBank, 42Tocris Bioscience, 18HMDB, 34PharmGKB
See all sources

Compounds related to brain edema according to GeneDecks:

(show top 50)    (show all 273)
idCompoundScoreTop Affiliating Genes
1nitroglycerin32 9 9 12.6SST
2glucose32 10.0OTC, MIP, AQP1, AQP9, TJP1, SLC5A7
3n acetylcysteine32 9.8MMP9, PLAU, AGER
4captopril32 42 9 9 12.7BDKRB2, KNG1, NPPB, NPPA, ALB
5candesartan32 9 9 11.6BDKRB2, VEGFA, ALB, AGER, NPPB, KNG1
6lisinopril32 9 18 9 12.5VEGFA, BDKRB2, ALB, NPPA, NPPB, KNG1
7h2o232 9.5IL1RN, GLUL, TJP1, TSPO, DHFR, OXA1L
8mannitol32 9 9 11.5SOD1, TJP1, CAT, AQP9, AQP1, NPPA
9bucillamine32 9.1CRP, VEGFA, IL1B, IL6, CAT
10sodium nitroprusside32 9.1BDKRB2, CAT, HMOX1, SST, NPPA, NPPB
11oxygen32 18 10.0SLC1A2, MIP, GLUL, ANXA1, PARP1, AGER
12fosinopril32 9 9 11.0NPPB, CRP, NPPA, MMP9, ALB
13l-nmma32 8.8SOD1, NPPA, NPPB, KNG1, EDN1, CAT
14pdtc32 8.8IL6, SOD1, HMOX1, PARP1, MMP9, CAT
15glycerol32 9 18 9 11.8SLC25A13, NPPA, DHFR, TSPO, OTC, GLUL
16sodium32 18 9.7KNG1, SLC7A11, NPPB, SLC5A7, SLC1A2, BDKRB2
17perindopril32 34 9 9 11.6VEGFA, KNG1, PLAT, ALB, NPPA, CRP
18enalaprilat32 8.6KNG1, BDKRB2, PLAT, EDN1, NPPA, NPPB
19arsenite32 18 9.4PARP1, MMP9, MIP, CAT, HMOX1, TSPO
20omapatrilat32 8.3KNG1, NPPA, MMP9, EDN1, PLAT
21enalapril32 9 9 10.2ALB, PLAT, NPPA, NPPB, KNG1, EDN1
22pge232 8.2HMOX1, KNG1, NPPB, EDN1, PLAU, SST
23quinapril32 9 9 10.2PLAT, CRP, KNG1, EDN1, NPPA
24s-nitroso-n-acetylpenicillamine32 8.2EDN1, SOD1, CAT, NPPA, PARP1, HMOX1
25gabexate mesilate32 8.1PLAU, PLAT, CRP, SST, IL6, MMP9
268-isoprostane32 8.1EDN1, CAT, CRP, NPPB, SOD1, HMOX1
27nitric oxide32 9 18 9 11.0AQP1, ANXA1, TJP1, IL1RN, IL1B, MIP
28losartan32 34 9 9 11.0PLAT, NPPB, CRP, EDN1, NPPA, KNG1
29nifedipine32 9 9 10.0KNG1, SST, MMP9, NPPA, AGER, EDN1
30calcium32 9 18 9 10.9SLC1A2, AGER, AQP1, ALB, NPPB, GLUL
31hydrocortisone32 9 9 9.9TJP1, ANXA1, PLAU, SST, GLUL, IL1RN
32glutamate32 7.8PLAU, SLC1A2, GFAP, BDKRB2, PLAT, SST
33arginine32 7.7SLC1A2, BDKRB2, MIP, SST, GLUL, HMOX1
34creatinine32 7.7BDKRB2, MMP9, IL1RN, AQP1, GLUL, CPT2
35curcumin32 7.5CAT, HMOX1, TJP1, OXA1L, IL6, IL1B
36adenylate32 7.4PLAT, MMP9, IL1RN, ANXA1, GLUL, SST
37sb 20358032 42 8.4NPPB, PLAU, CRP, HMOX1, MMP9, EDN1
38lipid32 7.3SOD1, TSC22D3, ALB, MIP, AQP1, BDKRB2
39genistein32 9 18 9 10.1PLAU, TJP1, SST, IL6, MMP9, BDKRB2
40norepinephrine32 9 18 9 9.9EDN1, MMP9, TSC22D3, TSPO, SST, IL1RN
41cysteine32 6.7SLC1A2, SLC7A11, NPPB, OXA1L, DHFR, GFAP
42dexamethasone32 42 34 9 9 10.7AQP1, IL6, IL1RN, VEGFA, PARP1, BDKRB2
43prostacyclin32 6.6HMOX1, SOD1, NPPA, EDN1, AGER, NPPB
44atorvastatin32 34 9 18 9 10.5PLAT, CRP, HMOX1, IL6, IL1RN, MMP9
45lactate32 6.3SLC1A2, MIP, NPPB, SOD1, DHFR, GFAP
46histamine32 18 7.0BDKRB2, IL1B, KNG1, NPPB, TSPO, EDN1
47indomethacin32 9 9 8.0KNG1, NPPB, SOD1, TSPO, EDN1, PLAU
48actinomycin d32 6.0VEGFA, HMOX1, PLAT, PLAU, EDN1, NPPB
49vegf32 5.1BDKRB2, MMP9, MIP, IL1B, IL1RN, IL6
50cycloheximide32 4.7SERPINE2, KNG1, CSF3, GFAP, VEGFA, PARP1

GO Terms for genes affiliated with Brain Edema

Sources:
12Gene Ontology
See all sources

Cellular components related to brain edema according to GeneDecks:

idNameGO IDScoreTop Affiliating Genes
1basolateral plasma membraneGO:0163239.4TJP1, ANXA1, AQP9, AQP4, AQP1, KCNJ10
2plasma membraneGO:0058867.1PLAU, AGER, PROC, OCLN, SOD1, SLC5A7
3extracellular regionGO:0055764.9PLAU, EDN1, AGER, PROC, SOD1, NPPA
4extracellular spaceGO:0056154.6VEGFA, KNG1, NPPB, CSF3, SOD1, PROC

Biological processes related to brain edema according to GeneDecks:

(show all 29)
idNameGO IDScoreTop Affiliating Genes
1multicellular organismal water homeostasisGO:05089110.4AQP4, AQP1
2water transportGO:00683310.4AQP9, AQP4, AQP1, MIP
3canalicular bile acid transportGO:01572210.3AQP9, MIP
4cGMP biosynthetic processGO:00618210.1AQP1, NPPA, NPPB
5cellular response to hydrogen peroxideGO:07030110.0ANXA1, AQP1, IL6
6embryo implantationGO:0075669.9SOD1, IL1B, MMP9, SERPINE2
7negative regulation of blood coagulationGO:0301959.9KNG1, PROC, EDN1, SERPINE2
8positive regulation of renal sodium excretionGO:0358159.8KNG1, NPPB, EDN1
9body fluid secretionGO:0075899.8EDN1, TSC22D3, NPPB
10positive regulation of urine volumeGO:0358109.8KNG1, NPPB, EDN1
11platelet degranulationGO:0025769.8VEGFA, ALB, SOD1, KNG1
12nitric oxide transportGO:0301859.8EDN1, AQP1
13response to testosterone stimulusGO:0335749.8EDN1, TSPO, OCLN
14cellular response to hypoxiaGO:0714569.7HMOX1, AQP1, BDKRB2, VEGFA
15chronic inflammatory response to antigenic stimulusGO:0024399.7IL1RN, IL1B
16response to heatGO:0094089.7MMP9, IL1B, SST, SOD1
17positive regulation of apoptotic processGO:0430659.6KNG1, SOD1, TSPO, ANXA1, IL1B, MMP9
18regulation of blood pressureGO:0082179.5NPPB, NPPA, SOD1, HMOX1
19cell surface receptor signaling pathwayGO:0071669.4NPPB, AGER, EDN1, SST, ANXA1, BDKRB2
20positive regulation of angiogenesisGO:0457669.2HMOX1, AQP1, IL1B, MMP9, VEGFA
21transmembrane transportGO:0550859.2SLC1A2, SLC7A11, SLC5A7, HMOX1, ALB, AQP9
22response to nicotineGO:0350949.2SLC7A11, EDN1, HMOX1, MMP9
23inflammatory responseGO:0069549.0KNG1, NPPB, AGER, CRP, ANXA1, IL6
24negative regulation of apoptotic processGO:0430668.9PROC, CAT, ALB, AQP1, IL6, IL1RN
25positive regulation of JUN kinase activityGO:0435078.9EDN1, IL1RN, IL1B
26response to glucocorticoid stimulusGO:0513848.7PLAT, IL6, IL1RN, IL1B, KCNJ10
27response to drugGO:0424938.5BDKRB2, NPPB, SOD1, TSPO, EDN1, SST
28blood coagulationGO:0075968.4KNG1, SLC7A11, SOD1, PROC, PLAU, PLAT
29response to hypoxiaGO:0016667.7NPPB, EDN1, PLAT, CRP, CAT, IL1B

Molecular functions related to brain edema according to GeneDecks:

idNameGO IDScoreTop Affiliating Genes
1water transmembrane transporter activityGO:00537210.2AQP1, AQP4, AQP9
2water channel activityGO:01525010.0MIP, AQP1, AQP9
3receptor bindingGO:0051029.3SERPINE2, ANXA1, CAT, NPPA, NPPB, KNG1
4cytokine activityGO:0051258.2CSF3, EDN1, IL6, IL1B, VEGFA

Sources for Brain Edema

2CDC
11FMA
18HMDB
19ICD9CM
20KEGG
24MeSH
25MGI
27NCIt
28NDF-RT
31NINDS
32Novoseek
33OMIM
35PubMed
36QIAGEN
43UMLS