Evidence map›Paper›PMID 24233813›Full record

ArticleNeurocritical care2014

Stroke, IL-1ra, IL1RN, infection and outcome.

Kyra J Becker, Dorender Dankwa, Richard Lee, Juliane Schulze, Dannielle Zierath, Patricia Tanzi, Kevin Cain, Alexander Dressel, Dean Shibata, Jonathan Weinstein

Open access · greenAbstract read
In one paragraph

Article in Neurocritical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 28% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Influences of genetic variants on stroke recovery: a meta-analysis of the 31,895 cases.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Neuroinflammation: friend and foe for ischemic stroke.Journal of neuroinflammation · 2019
    Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Impact of Infection on Stroke Morbidity and Outcomes.Current neurology and neuroscience reports · 2016
    Review
  18. Article
  19. Poststroke fatigue: hints to a biological mechanism.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2015
    Article
  20. Article
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 2 institutions in 2 countries.

Kyra J Becker
Dorender Dankwa
Richard Lee
Juliane Schulze
Dannielle Zierath
Patricia Tanzi
Kevin Cain
Alexander Dressel
Dean Shibata
Jonathan Weinstein
University of Washington · USUniversität Greifswald · DE

Funding

CNS antigen sensitization in stroke.R01NS049197 · NINDS · UNIVERSITY OF WASHINGTON · PI BECKER, KYRA J · 2005 to 2009
$2.0M
Microglial Interferon Signaling and Ischemic PreconditioningR01NS076620 · NINDS · UNIVERSITY OF WASHINGTON · PI WEINSTEIN, JONATHAN R · 2011 to 2015
$1.7M
Microglial Toll-like Receptor-4 and Ischemic PreconditioningK02NS065008 · NINDS · UNIVERSITY OF WASHINGTON · PI WEINSTEIN, JONATHAN R · 2009 to 2013
$838k
NINDS NIH HHS 5R01NS049197NINDS NIH HHS K02 NS065008NINDS NIH HHS R01 NS049197NINDS NIH HHS R01 NS076620
6 · The paper itself

Abstract

backgroundInfection is a common phenomenon following stroke, and adversely affects outcome. Previous studies suggest that interleukin-1 receptor antagonist (IL-1ra) and single nucleotide polymorphisms (SNPs) in the IL1RN gene might influence the risk of post-stroke infection and outcome. In this study, we addressed the effects of the rs4251961 SNP in IL1RN on infection risk and outcome.

methodsSubjects with acute ischemic stroke were enrolled within 72 h of symptom onset and followed up to 1 year. Plasma IL-1ra was measured at multiple time points and outcome assessed at 1, 3, 6, and 12 months. Active surveillance for infection occurred while subjects were hospitalized. Subjects were genotyped for the IL1RN rs4251961 polymorphism.

resultsIn the population of 113 subjects for this study, those with the minor C allele of rs4251961 polymorphism in IL1RN were more likely to be Caucasian, hypertensive, and to be afflicted with coronary heart disease. Higher plasma IL-1ra was associated with an increased risk of infection (other than pneumonia), and the minor C allele of rs4251961 was independently associated with a decreased risk of infection (other than pneumonia). Initial plasma IL-1ra was not predictive of long-term outcome, but patients with the minor C allele of rs4251961 were more likely to experience good (modified Rankin Score <2) long-term outcome.

conclusionsThese data indicate that IL-1ra and IL1RN may influence the risk of infection after stroke, but this influence seems limited to infections other than pneumonia. Further studies are needed to better understand the complexities of immune regulation on infection and outcome after stroke.

Indexed as

AgedBrain IschemiaFemaleHumansInfectionsInterleukin 1 Receptor Antagonist ProteinMaleMiddle AgedPolymorphism, Single NucleotideStrokeIL1RN protein, humanInterleukin 1 Receptor Antagonist Protein

Identifiers

PMID24233813
PMCPMC4161032
OpenAlexW2141598495

What OpenQuestion holds

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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.