Evidence map›Paper›PMID 24416164›Full record

ArticlePloS one2014

Lipoprotein-associated phospholipase A2 is associated with atherosclerotic stroke risk: the Northern Manhattan Study.

Mira Katan, Yeseon P Moon, Myunghee C Paik, Robert L Wolfert, Ralph L Sacco, Mitchell S V Elkind

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
3.4field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. The Role of Biomarkers in Atherothrombotic Stroke-A Systematic Review.International journal of molecular sciences · 2021
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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

6 authors at 4 institutions in 2 countries.

Mira KatanDepartment of Neurology, Columbia University College of Physicians and Surgeons, New York, New York, United States of America ; Department of Neurology, University Hospital of Zurich, Switzerland.
Yeseon P MoonDepartment of Neurology, Columbia University College of Physicians and Surgeons, New York, New York, United States of America.
Myunghee C PaikDepartment of Biostatistics, Mailman School of Public Health, Columbia University New York, New York, United States of America.
Robert L WolfertdiaDexus, Inc., San Francisco, California, United States of America.
Ralph L SaccoDepartment of Neurology, Miller School of Medicine, University of Miami, Miami, Florida, United States of America ; Departments of Epidemiology and Human Genetics, Miller School of Medicine, University of Miami, Miami, Florida, United States of America.
Mitchell S V ElkindDepartment of Neurology, Columbia University College of Physicians and Surgeons, New York, New York, United States of America ; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, United States of America.
Columbia University · USDiazyme (United States) · USUniversity Hospital of Zurich · CHUniversity of Miami · US

Funding

Stroke Incidence and Risk Factors in a Tri-Ethnic RegionR37NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, SACCO, RALPH L. · 2008 to 2014
$12.1M
Inflammatory and Infectious Burden and Risk of StrokeR01NS048134 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ELKIND, MITCHELL S · 2004 to 2008
$1.5M
NINDS NIH HHS R01 NS048134NINDS NIH HHS R01 NS 48134NINDS NIH HHS R37 NS029993NINDS NIH HHS R37 NS 29993
6 · The paper itself

Abstract

backgroundLipoprotein-associated phospholipase A2 (LpPLA2) levels are associated with stroke, though whether this extends to all populations and stroke subtypes is unknown.

methodsSerum samples from stroke-free community participants in the Northern Manhattan Study were assayed for LpPLA2 mass and activity. Participants were followed annually for stroke. Cox-proportional-hazard models were fitted to estimate hazard-ratios and 95% confidence intervals (HR, 95% CI) for the association of LpPLA2 levels with ischemic stroke (IS), after adjusting for demographic and medical risk factors.

resultsSerum samples were available in 1946 participants, of whom 151 (7.8%) experienced a first IS during median follow-up 11 years. Mean age was 69 (SD 10), 35.6% were men, 20% non-Hispanic Whites, 22% non-Hispanic Blacks, and 55% Hispanics. LpPLA2 mass and activity levels were not associated with overall IS risk. LpPLA2 mass but not activity levels were associated with strokes due to large artery atherosclerosis (LAA; adjusted HR per SD 1.55, 95% CI 1.17-2.04). There was a dose-response relationship with LAA (compared to first quartile, 2nd quartile HR = 1.43, 95% CI 0.23-8.64; 3rd quartile HR = 4.47, 95% CI 0.93-21.54; 4th quartile HR = 5.07, 95% CI 1.07-24.06). The associations between LpPLA2-mass and LAA-stroke risk differed by race-ethnicity (p = 0.01); LpPLA2-mass was associated with increased risk of LAA among non-Hispanic Whites (adjusted HR per SD 1.44, 95% CI 0.98-2.11), but not other race-ethnic groups.

conclusionLpPLA2-mass levels were associated with risk of atherosclerotic stroke among non-Hispanic White participants, but not in other race-ethnic groups in the cohort. Further study is needed to confirm these race-ethnic differences and the reasons for them.

Indexed as

1-Alkyl-2-acetylglycerophosphocholine EsteraseAgedAtherosclerosisBrain IschemiaFemaleHumansIncidenceMaleNew YorkPhospholipases A2Risk FactorsStroke1-Alkyl-2-acetylglycerophosphocholine EsterasePhospholipases A2PLA2G7 protein, human

Identifiers

PMID24416164
PMCPMC3886969
OpenAlexW2079121732

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.