Evidence map›Paper›PMID 22308247›Full record

Trial reportStroke2012

Ischemic transient neurological events identified by immune response to cerebral ischemia.

Glen C Jickling, Xinhua Zhan, Boryana Stamova, Bradley P Ander, Yingfang Tian, Dazhi Liu, Shara-Mae Sison, Piero Verro, S Claiborne Johnston, Frank R Sharp

Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Stroke, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02014896 (Ischemia Care Biomarkers of Acute Stroke Etiology), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.0field-weighted citation impact, top 10% 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.

NCT02014896 completednot on this mapstarted 2013, after this paper: background citation

Ischemia Care Biomarkers of Acute Stroke Etiology (BASE)

TypeobservationalSponsorIschemia Care LLCRan2013 to 2020Enrolled1,750ConditionsIschemic Stroke, Atrial Fibrillation, Transient Ischemic Attacks, Transient Cerebrovascular EventsArmsBiomarker blood draw
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 38 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Acute Stroke Biomarkers: Are We There Yet?Frontiers in neurology · 2021
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Blood transcriptomic biomarker as a surrogate of ischemic brain gene expression.Annals of clinical and translational neurology · 2019
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. A new role for downstream Toll-like receptor signaling in mediating immediate early gene expression during focal cerebral ischemia.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2014
    Article
  16. Article
  17. Review
  18. Article
  19. 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

10 authors at 1 institution in 1 country.

Glen C JicklingUniversity of California at Davis, MIND Institute, 2805 50th Street, Sacramento, CA 95817, USA. gcjickling@ucdavis.edu
Xinhua Zhan
Boryana Stamova
Bradley P Ander
Yingfang Tian
Dazhi Liu
Shara-Mae Sison
Piero Verro
S Claiborne Johnston
Frank R Sharp
University of California, San Francisco · US

Funding

Molecular Biology of Stroke in HumansR01NS075035 · NINDS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI SHARP, FRANK R · 2012 to 2016
$3.1M
Ischemic Stroke and Intracerebral Hemorrhage Genomic Studies in HumansR01NS056302 · NINDS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI SHARP, FRANK R · 2007 to 2011
$3.0M
Whole Transcriptome Studies of Patients with Transient Ischemic Attacks (TIAs)R01NS097000 · NINDS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI SHARP, FRANK R, STAMOVA, BORYANA · 2016 to 2020
$2.8M
A Novel Approach to Assessing Cryptogenic StrokeR01NS079153 · NINDS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI SHARP, FRANK R · 2012 to 2016
$2.8M
CIHRNINDS NIH HHS NS056302NINDS NIH HHS R01 NS056302NINDS NIH HHS R01 NS075035NINDS NIH HHS R01 NS079153NINDS NIH HHS R01 NS097000
6 · The paper itself

Abstract

background and purposeDeciphering whether a transient neurological event (TNE) is of ischemic or nonischemic etiology can be challenging. Ischemia of cerebral tissue elicits an immune response in stroke and transient ischemic attack (TIA). This response, as detected by RNA expressed in immune cells, could potentially distinguish ischemic from nonischemic TNE.

methodsAnalysis of 208 TIAs, ischemic strokes, controls, and TNE was performed. RNA from blood was processed on microarrays. TIAs (n=26) and ischemic strokes (n=94) were compared with controls (n=44) to identify differentially expressed genes (false discovery rate <0.05, fold change ≥1.2). Genes common to TIA and stroke were used predict ischemia in TIA diffusion-weighted imaging-positive/minor stroke (n=17), nonischemic TNE (n=13), and TNE of unclear etiology (n=14).

resultsSeventy-four genes expressed in TIA were common to those in ischemic stroke. Functional pathways common to TIA and stroke related to activation of innate and adaptive immune systems, involving granulocytes and B cells. A prediction model using 26 of the 74 ischemia genes distinguished TIA and stroke subjects from control subjects with 89% sensitivity and specificity. In the validation cohort, 17 of 17 TIA diffusion-weighted imaging-positive/minor strokes were predicted to be ischemic, and 10 of 13 nonischemic TNE were predicted to be nonischemic. In TNE of unclear etiology, 71% were predicted to be ischemic. These subjects had higher ABCD(2) scores.

conclusionsA common molecular response to ischemia in TIA and stroke was identified, relating to activation of innate and adaptive immune systems. TNE of ischemic etiology was identified based on gene profiles that may be of clinical use once validated.

Indexed as

Adaptive ImmunityBrain IschemiaImmunity, InnateNervous System DiseasesRNAStrokeAgedFemaleGene Expression RegulationHumansMaleMiddle AgedRNA

Identifiers

PMID22308247
PMCPMC3327404
OpenAlexW2117071256

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

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.