Evidence map›Paper›PMID 25835038›Full record

SynthesisJournal of neurology, neurosurgery, and psychiatry2016

Candidate-gene analysis of white matter hyperintensities on neuroimaging.

Theresa Tran, Ioana Cotlarciuc, Sunaina Yadav, Nazeeha Hasan, Paul Bentley, Christopher Levi, Bradford B Worrall, James F Meschia, Natalia Rost, Pankaj Sharma

Abstract readMeta-Analysis
In one paragraph

Synthesis in Journal of neurology, neurosurgery, and psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Prospective study of primary aldosteronism in acute ischemic stroke: association with small vessel disease.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  2. Article
  3. Article
  4. Emerging insights from the genetics of cerebral small-vessel disease.Annals of the New York Academy of Sciences · 2020
    Review
  5. NicotinamideInternational journal of tryptophan research : IJTR · 2020
    Review
  6. Brain sciences · 2019
    Article
  7. The Associations ofFrontiers in genetics · 2019
    Article
  8. Article
  9. Article
  10. Article
  11. 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.

Theresa TranInstitute of Cardiovascular Research, Royal Holloway University of London (ICR2UL) and Ashford & St Peters NHS Foundation Trust, London, UK Imperial College Cerebrovascular Research Unit (ICCRU), Imperial College London, London, UK.
Ioana CotlarciucInstitute of Cardiovascular Research, Royal Holloway University of London (ICR2UL) and Ashford & St Peters NHS Foundation Trust, London, UK.
Sunaina YadavImperial College Cerebrovascular Research Unit (ICCRU), Imperial College London, London, UK.
Nazeeha HasanImperial College Cerebrovascular Research Unit (ICCRU), Imperial College London, London, UK.
Paul BentleyImperial College Cerebrovascular Research Unit (ICCRU), Imperial College London, London, UK.
Christopher LeviDepartment of Neurology, John Hunter Hospital, Hunter Medical Research Institute, Newcastle, New South Wales, Australia.
Bradford B WorrallDepartments of Neurology and Public Health Sciences, University of Virginia Health System, Charlottesville, Virginia, USA.
James F MeschiaDepartment of Neurology, Mayo Clinic, Jacksonville, Florida, USA.
Natalia RostMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Pankaj SharmaInstitute of Cardiovascular Research, Royal Holloway University of London (ICR2UL) and Ashford & St Peters NHS Foundation Trust, London, UK Imperial College Cerebrovascular Research Unit (ICCRU), Imperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhite matter hyperintensities (WMH) are a common radiographic finding and may be a useful endophenotype for small vessel diseases. Given high heritability of WMH, we hypothesised that certain genotypes may predispose individuals to these lesions and consequently, to an increased risk of stroke, dementia and death. We performed a meta-analysis of studies investigating candidate genes and WMH to elucidate the genetic susceptibility to WMH and tested associated variants in a new independent WMH cohort. We assessed a causal relationship of WMH to methylene tetrahydrofolate reductase (MTHFR).

methodsDatabase searches through March 2014 were undertaken and studies investigating candidate genes in WMH were assessed. Associated variants were tested in a new independent ischaemic cohort of 1202 WMH patients. Mendelian randomization was undertaken to assess a causal relationship between WMH and MTHFR.

resultsWe identified 43 case-control studies interrogating eight polymorphisms in seven genes covering 6,314 WMH cases and 15,461 controls. Fixed-effects meta-analysis found that the C-allele containing genotypes of the aldosterone synthase CYP11B2 T(-344)C gene polymorphism were associated with a decreased risk of WMH (OR=0.61; 95% CI, 0.44 to 0.84; p=0.003). Using mendelian randomisation the association among MTHFR C677T, homocysteine levels and WMH, approached, but did not reach, significance (expected OR=1.75; 95% CI, 0.90-3.41; observed OR=1.68; 95% CI, 0.97-2.94). Neither CYP11B2 T(-344)C nor MTHFR C677T were significantly associated when tested in a new independent cohort of 1202 patients with WMH.

conclusionsThere is a genetic basis to WMH but anonymous genome wide and exome studies are more likely to provide novel loci of interest.

Indexed as

Genetic Association StudiesNeuroimagingAllelesCase-Control StudiesCytochrome P-450 CYP11B2Databases, GeneticGenetic Predisposition to DiseaseGenotypeHumansMagnetic Resonance ImagingMethylenetetrahydrofolate Reductase (NADPH2)Polymorphism, GeneticProtective FactorsRadiographyRisk FactorsWhite MatterCytochrome P-450 CYP11B2Methylenetetrahydrofolate Reductase (NADPH2)GENETICSSTROKE

Identifiers

PMID25835038
PMCPMC4789815

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.