Evidence map›Paper›PMID 21515823›Full record

ArticleBlood2011

Genetic predictors for stroke in children with sickle cell anemia.

Jonathan M Flanagan, Denise M Frohlich, Thad A Howard, William H Schultz, Catherine Driscoll, Ramamoorthy Nagasubramanian, Nicole A Mortier, Amy C Kimble, Banu Aygun, Robert J Adams and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 3 pooled it
5.2field-weighted citation impact, top 4% of its field
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

69 citing papers in PubMed, 3 syntheses or guidelines pooled it, 146 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Trial
  6. Trial
  7. Genetics and Genomics in Sickle Cell Disease in Africa.American journal of hematology · 2026
    Review
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9 more citing papers are in PubMed but not listed here.

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 at 5 institutions in 1 country.

Jonathan M FlanaganDepartment of Hematology, St Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105, USA. jonathan.flanagan@stjude.org
Denise M Frohlich
Thad A Howard
William H Schultz
Catherine Driscoll
Ramamoorthy Nagasubramanian
Nicole A Mortier
Amy C Kimble
Banu Aygun
Robert J Adams
Ronald W Helms
Russell E Ware
St. Jude Children's Research Hospital · USMedical University of South Carolina · USMontefiore Medical Center · USNemours Children's Clinic · USRho (United States) · US

Funding

Stroke with Transfusions Changing to HydroxyureaU01HL078787 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI WARE, RUSSELL E · 2005 to 2010
$15.5M
Y-Globin Gene Therapy Using In Vivo SelectionU54HL070590 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI PERSONS, DEREK A · 2003 to 2011
$13.8M
PROFESSIONAL ONCOLOGY EDUCATION PROGRAMR25CA023944 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI SUZANNE A. GRONEMEYER · 1986 to 2026
$8.3M
Stroke with Transfusions Changing to Hydroxyurea (SWITCH) Trial Data CoordinatingU01HL078987 · NHLBI · RHO FEDERAL SYSTEMS DIVISION, INC. · PI HELMS, RONALD W. · 2005 to 2010
$4.2M
Hydroxyurea Pharmacokinetics and PharmacogenomicsR01HL090941 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI WARE, RUSSELL E · 2008 to 2011
$1.5M
NCI NIH HHS R25 CA023944NHLBI NIH HHS R01 HL090941NHLBI NIH HHS U01 HL078787NHLBI NIH HHS U01 HL078987NHLBI NIH HHS U54 HL070590
6 · The paper itself

Abstract

Stroke is a devastating complication of sickle cell anemia (SCA), affecting 5% to 10% of patients before adulthood. Several candidate genetic polymorphisms have been proposed to affect stroke risk, but few have been validated, mainly because previous studies were hampered by relatively small sample sizes and the absence of additional patient cohorts for validation testing. To verify the accuracy of proposed genetic modifiers influencing stroke risk in SCA, we performed genotyping for 38 published single nucleotide polymorphisms (SNPs), as well as α-thalassemia, G6PD A(-) variant deficiency, and β-globin haplotype in 2 cohorts of children with well-defined stroke phenotypes (130 stroke, 103 nonstroke). Five polymorphisms had significant influence (P < .05): SNPs in the ANXA2, TGFBR3, and TEK genes were associated with increased stroke risk, whereas α-thalassemia and a SNP in the ADCY9 gene were linked with decreased stroke risk. Further investigation at these genetic regions may help define mutations that confer stroke risk or protection in children with SCA.

Indexed as

Genetic MarkersGenetic Predisposition to DiseaseAdolescentAnemia, Sickle Cellbeta-GlobinsChildChild, PreschoolCohort StudiesFemaleGlucosephosphate DehydrogenaseGlucosephosphate Dehydrogenase DeficiencyHumansMalePolymorphism, Single NucleotideRisk FactorsStrokebeta-GlobinsGenetic Markersglucose-6-phosphate dehydrogenase A-Glucosephosphate Dehydrogenase

Identifiers

PMID21515823
PMCPMC3123027
OpenAlexW2008430490

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.