Evidence map›Paper›PMID 25520003›Full record

ArticleMolecular neurobiology2016

Serum Levels of Thioredoxin Are Associated with Stroke Risk, Severity, and Lesion Volumes.

Meng-Hai Wu, Fang-Yu Song, Li-Ping Wei, Zhao-Yun Meng, Zhi-Qiang Zhang, Qin-De Qi

Abstract read
PubMed Publisher
In one paragraph

Article in Molecular neurobiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. The Importance of Thioredoxin-1 in Health and Disease.Antioxidants (Basel, Switzerland) · 2023
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. 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

6 authors at 2 institutions in 1 country.

Meng-Hai WuDepartment of Neurology, Laiwu People's Hospital, No. 1, Xuehudajie, Changshao North Road, Laiwu, 271100, Shandong Province, China.
Fang-Yu SongDepartment of Neurology, Laiwu People's Hospital, No. 1, Xuehudajie, Changshao North Road, Laiwu, 271100, Shandong Province, China.
Li-Ping WeiDepartment of Neurology, Laiwu People's Hospital, No. 1, Xuehudajie, Changshao North Road, Laiwu, 271100, Shandong Province, China.
Zhao-Yun MengSpecial Procurement Ward, Laiwu People's Hospital, No. 1, Xuehudajie, Changshao North Road, Laiwu, 271100, Shandong Province, China.
Zhi-Qiang ZhangDepartment of Cardiology, Laiwu People's Hospital, No. 1, Xuehudajie, Changshao North Road, Laiwu, 271100, Shandong Province, China. luxxyy796@163.com.
Qin-De QiDepartment of Neurology, Laiwu People's Hospital, No. 1, Xuehudajie, Changshao North Road, Laiwu, 271100, Shandong Province, China. qiqde634@126.com.
Jinan City People's Hospital · CNShandong First Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oxidative stress increases serum thioredoxin (TRX), a redox-regulating protein with antioxidant activity recognized as an oxidative stress marker. The aim of this study was to assess the clinical significance of serum TRX levels in Chinese patients with acute ischemic stroke (AIS). From January 1, 2012, to December 31, 2013, all patients with first-ever acute ischemic stroke were recruited to participate in the study. Serum levels of TRX were assayed with solid-phase sandwich enzyme-linked immunosorbent assay (ELISA), and the severity of stroke was evaluated with the National Institutes of Health Stroke Scale (NIHSS) score on admission. The results indicated that the median serum TRX levels were significantly (P < 0.0001) higher in stroke patients as compared to normal cases [15.03 ng/mL (interquartile range (IQR), 10.21-32.42) and 8.95 ng/mL (6.79-11.05), respectively]. We found the serum TRX reflected the disease severity of AIS. There was a significant positive association between serum TRX levels and NIHSS scores (r = 0.476, P < 0.0001). After adjusting for all other possible covariates, TRX remained as an independent marker of AIS with an adjusted OR of 1.245 (95 % confidence interval (CI), 1.164-1.352; P < 0.0001). Based on the receiver operating characteristic (ROC) curve, the optimal cutoff value of serum TRX levels as an indicator for auxiliary diagnosis of AIS was projected to be 11.0 ng/mL, which yielded a sensitivity of 80.3 % and a specificity of 73.7 %, with the area under the curve at 0.807 (95 % CI, 0.766-0.847). Further, in our study, we found that an increased risk of AIS was associated with serum TRX levels ≥11.0 ng/mL (adjusted OR 6.99; 95 % CI, 2.87-12.87) after adjusting for possible confounders. Our study demonstrated that serum TRX levels at admission were associated with stroke severity and lesion volumes. Elevated levels could be considered as a novel, independent diagnosis marker of AIS in a Chinese sample.

Indexed as

Severity of Illness IndexAgedBiomarkersBrain IschemiaFemaleHumansMaleMiddle AgedRisk FactorsStrokeThioredoxinsBiomarkersThioredoxinsAcute ischemic strokeChineseOxidative stressRiskThioredoxin

Identifiers

PMID25520003
OpenAlexW2056609724

What OpenQuestion holds

Textmetadata
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.