Evidence map›Paper›PMID 23158556›Full record

ArticleJournal of neuroinflammation2012

Association of dimethylarginines and mediators of inflammation after acute ischemic stroke.

Shufen Chen, Jens Martens-Lobenhoffer, Karin Weissenborn, Jan T Kielstein, Ralf Lichtinghagen, Milani Deb-Chatterji, Na Li, Anita B Tryc, Annemarie Goldbecker, Qiang Dong and 2 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Gut metabolites and functional recovery after ischemic stroke: a genetic perspective.Mammalian genome : official journal of the International Mammalian Genome Society · 2025
    Article
  3. SDMA as a marker and mediator in cerebrovascular disease.Clinical science (London, England : 1979) · 2024
    Review
  4. Article
  5. Article
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  9. Review
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  12. Observational
  13. Article
  14. Review
  15. Review
  16. Epigenetic regulation of inflammation in stroke.Therapeutic advances in neurological disorders · 2018
    Review
  17. Review
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Shufen ChenDepartment of Neurology, Hannover Medical School, Carl-Neuberg-Strasse 1, Hannover 30623, Germany.
Jens Martens-Lobenhoffer
Karin Weissenborn
Jan T Kielstein
Ralf Lichtinghagen
Milani Deb-Chatterji
Na Li
Anita B Tryc
Annemarie Goldbecker
Qiang Dong
Stefanie M Bode-Böger
Hans Worthmann
Medizinische Hochschule Hannover · DEUniversity Hospital Leipzig · DEFudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElevated levels of asymmetric dimethylarginine (ADMA) and symmetric dimethylarginine (SDMA) are accompanied by endothelial dysfunction and predict adverse outcome after ischemic stroke. Via induction of oxidative stress, dimethylarginines are possibly linked to the inflammatory cascade after stroke that is known to considerably contribute to secondary progression of brain injury. We sought to investigate the association between dimethylarginines and inflammatory mediators in patients with acute ischemic stroke.

methodsPlasma levels of ADMA and SDMA were measured in prospectively collected blood samples of 58 patients with acute ischemic stroke. Blood samples were taken at 6 hours, 12 hours, 24 hours, 3 days and 7 days after onset of symptoms. Analyses of ADMA and SDMA were done by high-performance liquid chromatography-tandem mass spectrometry. Monocyte chemotactic protein-1 (MCP-1), matrix metalloproteinase-9 (MMP-9), tissue inhibitor of matrix metalloproteinase-1 (TIMP-1), interleukin-6 (IL-6), C-reactive protein (CRP) and S100B as markers of inflammation and brain damage were determined by commercially available immunometric assays. Patient data were compared with control data from 32 age-adjusted healthy volunteers. Baseline stroke severity was evaluated by the National Institutes of Health Stroke Scale (NIHSS) (NIHSS 0 to 1: mild stroke; NIHSS 2 to 8: moderate stroke; NIHSS ≥9: severe stroke).

resultsPlasma ADMA and SDMA levels significantly correlated with blood levels of inflammatory mediators up to day 7 after stroke. On multiple stepwise linear regression analysis ADMA correlated with TIMP-1 at 6 hours, 24 hours, 3 days and 7 days, MMP-9 at 12 hours and IL-6 at 7 days (P <0.05) while SDMA correlated with MCP-1 at 6 hours, 24 hours, 3 days and 7 days as well as IL-6 at 3 days and 7 days (P <0.05).

conclusionsThe levels of the vasoactive compound ADMA as well as levels of its structural isomer SDMA are associated with levels of inflammatory mediators after acute ischemic stroke. Further studies need to elucidate the cause and effect relationship of these crucial players.

Indexed as

AgedChemokine CCL2Cohort StudiesC-Reactive ProteinDemyelinating DiseasesEncephalitisFemaleHumansInterleukin-6MaleMiddle AgedNerve Growth FactorsRetrospective StudiesS100 Calcium Binding Protein beta SubunitS100 ProteinsStatistics as TopicCCL2 protein, humanChemokine CCL2C-Reactive ProteinInterleukin-6Nerve Growth FactorsS100B protein, humanS100 Calcium Binding Protein beta SubunitS100 Proteins

Identifiers

PMID23158556
PMCPMC3533720
OpenAlexW2163652382

What OpenQuestion 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 OpenQuestion graph.