Evidence map›Paper›PMID 26792363›Full record

ArticleJournal of neuroinflammation2016

Early ficolin-1 is a sensitive prognostic marker for functional outcome in ischemic stroke.

R Zangari, E R Zanier, G Torgano, A Bersano, S Beretta, E Beghi, B Casolla, N Checcarelli, S Lanfranconi, A Maino and 10 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of neuroinflammation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03822195 (Evaluation of Lectine Pathway in Assessment of Unstable Carotid Plaque), which is not on this map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% 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.

NCT03822195 withdrawnnot on this mapstarted 2019, after this paper: background citation

Evaluation of Lectine Pathway in Assessment of Unstable Carotid Plaque

TypeobservationalSponsorFondazione Policlinico Universitario Agostino Gemelli IRCCSRan2019 to 2021Enrolled0ConditionsCarotid Artery Plaque, Mannose-Binding Lectin Complement PathwayArmsCarotid endoarterectomy
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
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  6. Candidate neuroinflammatory markers of cerebral autoregulation dysfunction in human acute brain injury.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Review
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  15. Observational
  16. Observational
  17. Observational
  18. Lipid Emulsion Improves Functional Recovery in an Animal Model of Stroke.International journal of molecular sciences · 2020
    Article
  19. Observational
  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

20 authors at 8 institutions in 3 countries.

R ZangariDepartment of Neuroscience, IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy. rosalia.zangari@guest.marionegri.it.
E R ZanierDepartment of Neuroscience, IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy. elisa.zanier@marionegri.it.
G TorganoEmergency Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy. giuseppe.torgano@policlinico.mi.it.
A BersanoCerebrovascular Disease Unit, IRCCS-Istituto Neurologico Carlo Besta, Milan, Italy. anna.bersano@istituto-besta.it.
S BerettaDepartment of Neurology, San Gerardo Hospital, Milan Center for Neuroscience, University of Milano Bicocca, Monza, Italy. simone.beretta@unimib.it.
E BeghiDepartment of physiopathology and transplant, Milan University and Neuro ICU Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy. ettore.beghi@marionegri.it.
B CasollaDepartment NESMOS, University of Rome "La Sapienza", Rome, Italy. barbara.casolla@gmail.com.
N CheccarelliValduce Hospital Como, Como, Italy. nicolettache@yahoo.com.
S LanfranconiNeurology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy. silvia.lanfranconi@policlinico.mi.it.
A MainoAngelo Bianchi Bonomi Haemophilia and Thrombosis Centre, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy. alberto.maino@gmail.com.
C MandelliEmergency Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy. clara.mandelli@policlinico.mi.it.
G MicieliC. Mondino National Neurological Institute, Pavia, Italy. giuseppe.micieli@mondino.it.
F OrziDepartment NESMOS, University of Rome "La Sapienza", Rome, Italy. francesco.orzi@uniroma1.it.
E PicettiDivision of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy. edoardopicetti@hotmail.com.
M SilvestriniNeurological Clinic, Marche Polytechnic University, Ancona, Italy. m.silvestrini@univpm.it.
N StocchettiDepartment of physiopathology and transplant, Milan University and Neuro ICU Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy. stocchet@policlinico.mi.it.
B ZeccaEmergency Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy. bruno.zecca@policlinico.mi.it.
P GarredLaboratory of Moleclar Medicine, Department of Clinical Immunology, Section 7631, Rigshospitalet Faculty of Medical and Health Sciences, University of Copenhagen, Copenhagen, Denmark. garred@post5.tele.dk.
M G De SimoniDepartment of Neuroscience, IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy. mariagrazia.desimoni@marionegri.it.
LEPAS group
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITMario Negri Institute for Pharmacological Research · ITMarche Polytechnic University · ITUniversity of Copenhagen · DKFondazione IRCCS Istituto Neurologico Carlo Besta · ITFondazione Istituto Neurologico Nazionale Casimiro Mondino · ITOspedale di Parma · ITOspedale Valduce · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral lines of evidence support the involvement of the lectin pathway of complement (LP) in the pathogenesis of acute ischemic stroke. The aim of this multicenter observational study was to assess the prognostic value of different circulating LP initiators in acute stroke.

methodsPlasma levels of the LP initiators ficolin-1, -2, and -3 and mannose-binding lectin (MBL) were measured in 80 stroke patients at 6 h only and in 85 patients at 48 h and later. Sixty-one age- and sex-matched healthy individuals served as controls. Stroke severity was measured on admission using the National Institutes of Health Stroke Scale (NIHSS). The outcome was measured at 90 days by the modified Rankin Scale (mRS).

resultsFicolin-1 was decreased in patients compared with controls measured at 6 h (median 0.13 vs 0.33 μg/ml, respectively, p < 0.0001). At 48 h, ficolin-1 was significantly higher (0.45 μg/ml, p < 0.0001) compared to the 6 h samples and to controls. Likewise, ficolin-2 was decreased at 6 h (2.70 vs 4.40 μg/ml, p < 0.0001) but not at 48 h. Ficolin-3 was decreased both at 6 and 48 h (17.3 and 18.23 vs 21.5 μg/ml, p < 0.001 and <0.05, respectively). For MBL no difference was detected between patients and controls or within patients at the different time points. In multivariate analysis, early ficolin-1 was independently associated with unfavorable mRS outcome (adjusted odds ratio (OR): 2.21, confidence interval (CI) 95 % 1.11-4.39, p = 0.023). Early ficolin-1 improved the discriminating ability of an outcome model including NIHSS and age (area under the curve (AUC) 0.95, CI 95 % 0.90-0.99, p = 0.0001).

conclusionsThe ficolins are consumed within 6 h after stroke implicating activation of the LP. Early ficolin-1 is selectively related to 3-month unfavorable outcome.

Indexed as

AdultAgedAge FactorsBrain IschemiaCase-Control StudiesCohort StudiesFemaleFicolinsHumansItalyLectinsMaleMiddle AgedPrognosisRegression AnalysisRisk FactorsFicolinsLectins

Identifiers

PMID26792363
PMCPMC4721111
OpenAlexW2296557632

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Registered trials

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.