Evidence map›Paper›PMID 25216066›Full record

ArticleJournal of neurosurgery2014

Genetic variation in soluble epoxide hydrolase: association with outcome after aneurysmal subarachnoid hemorrhage.

Ross P Martini, Jonathan Ward, Dominic A Siler, Jamie M Eastman, Jonathan W Nelson, Rohan N Borkar, Nabil J Alkayed, Aclan Dogan, Justin S Cetas

Open access · greenAbstract read
In one paragraph

Article in Journal of neurosurgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-weighted citation impact, top 18% 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

15 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
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  7. An optimized radiosynthesis of [Journal of labelled compounds & radiopharmaceuticals · 2018
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. 18F-FNDP for PET Imaging of Soluble Epoxide Hydrolase.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2016
    Article
  13. Stem Cells as a Potential Adjunctive Therapy in Aneurysmal Subarachnoid Hemorrhage.Journal of vascular and interventional neurology · 2016
    Article
  14. Article
  15. 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

9 authors at 2 institutions in 1 country.

Ross P MartiniDepartments of Anesthesiology & Perioperative Medicine and.
Jonathan Ward
Dominic A Siler
Jamie M Eastman
Jonathan W Nelson
Rohan N Borkar
Nabil J Alkayed
Aclan Dogan
Justin S Cetas
Neurological Surgery · USPortland VA Medical Center · US

Funding

TIA-Induced Ischemic Tolerance via P450 EpoxygenaseR01NS044313 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ALKAYED, NABIL J · 2002 to 2015
$4.9M
Training in Translational Science and Cardiovascular MedicineT32HL094294 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI ALKAYED, NABIL J · 2009 to 2018
$3.5M
Mechanism of Vascular Dysfunction after Stroke in Postmenopausal FemaleR01NS070837 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ALKAYED, NABIL J · 2011 to 2015
$1.7M
Role of P450 Eicosanoids in Delayed Microvascular Spasm Following Subarachnoid HeF30HL108624 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI SILER, DOMINIC AARON · 2011 to 2015
$237k
NHLBI NIH HHS F30 HL108624NHLBI NIH HHS T32 HL094294NINDS NIH HHS R01 NS044313NINDS NIH HHS R01 NS070837
6 · The paper itself

Abstract

objectPatients with aneurysmal subarachnoid hemorrhage (SAH) are at high risk for delayed cerebral ischemia (DCI) and stroke. Epoxyeicosatrienoic acids (EETs) play an important role in cerebral blood flow regulation and neuroprotection after brain injury. Polymorphisms in the gene for the enzyme soluble epoxide hydrolase (sEH), which inactivates EETs, are associated with ischemic stroke risk and neuronal survival after ischemia. This prospective observational study of patients with SAH compares vital and neurologic outcomes based on functional polymorphisms of sEH.

methodsAllelic discrimination based on quantitative real-time polymerase chain reaction was used to differentiate wild-type sEH from K55R heterozygotes (predictive of increased sEH activity and reduced EETs) and R287Q heterozygotes (predictive of decreased sEH activity and increased EETs). The primary outcome was new stroke after SAH. Secondary outcomes were death, Glasgow Outcome Scale score, and neurological deterioration attributable to DCI.

resultsMultivariable logistic regression models adjusted for age at admission and Glasgow Coma Scale scores revealed an increase in the odds of new stroke (OR 5.48 [95% CI 1.51-19.91]) and death (OR 7.52 [95% CI 1.27-44.46]) in the K55R group, but no change in the odds of new stroke (OR 0.56 [95% CI 0.16-1.96]) or death (OR 3.09 [95% CI 0.51-18.52]) in patients with R287Q genotype, compared with wild-type sEH. The R287Q genotype was associated with reduced odds of having a Glasgow Outcome Scale score of ≤ 3 (OR 0.23 [95% CI 0.06-0.82]). There were no significant differences in the odds of neurological deterioration due to DCI.

conclusionsGenetic polymorphisms of sEH are associated with neurological and vital outcomes after aneurysmal SAH.

Indexed as

Gene Expression Regulation, EnzymologicAdultAgedEpoxide HydrolasesFemaleGenetic Predisposition to DiseaseGenetic VariationHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPoint MutationPolymorphism, GeneticRisk FactorsStrokeEPHX2 protein, humanEpoxide HydrolasesARDS = acute respiratory distress syndromeCBF = cerebral blood flowCSW = cerebral salt wastingDCI = delayed cerebral ischemiaEET = epoxyeicosatrienoic acidepoxyeicosatrienoic acidsEVD = extraventricular drainGCS = Glasgow Coma ScaleGOS = Glasgow Outcome ScaleICU = intensive care unitIQR = interquartile rangeqPCR = quantitative polymerase chain reactionSAH = subarachnoid hemorrhageSAPS II = Simplified Acute Physiology ScoresEH = soluble epoxide hydrolaseSIADH = syndrome of inappropriate secretion of antidiuretic hormonesoluble epoxide hydrolasesubarachnoid hemorrhageTCD = transcranial Dopplervascular disordersWBC = white blood cellWT = wild type

Identifiers

PMID25216066
PMCPMC4370510
OpenAlexW1485218631

What OpenQuestion holds

Textmetadata
LicenceTDM
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.