Evidence map›Paper›PMID 26900583›Full record

ArticleAnnals of clinical and translational neurology2016

Blood transcriptome changes after stroke in an African American population.

Robert Meller, Andrea N Pearson, Jimmaline J Hardy, Casey L Hall, Dawn McGuire, Michael R Frankel, Roger P Simon

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Molecular heterogeneity in human stroke - What can we learn from the peripheral blood transcriptome?Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
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  11. The intracerebral hemorrhage blood transcriptome in humans differs from the ischemic stroke and vascular risk factor control blood transcriptomes.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2019
    Article
  12. Distinct plasma proteomic changes in male and female African American stroke patients.International journal of physiology, pathophysiology and pharmacology · 2019
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  18. Enhancing and Extending Biological Performance and Resilience.Dose-response : a publication of International Hormesis Society
    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

7 authors.

Robert MellerTranslational Stroke Program Neuroscience Institute Morehouse School of Medicine Atlanta Georgia.
Andrea N PearsonTranslational Stroke Program Neuroscience Institute Morehouse School of Medicine Atlanta Georgia.
Jimmaline J HardyTranslational Stroke Program Neuroscience Institute Morehouse School of Medicine Atlanta Georgia.
Casey L HallGrady Memorial Hospital Atlanta Georgia; Department of Neurology Emory University Atlanta Georgia.
Dawn McGuireTranslational Stroke Program Neuroscience Institute Morehouse School of Medicine Atlanta Georgia.
Michael R FrankelGrady Memorial Hospital Atlanta Georgia; Department of Neurology Emory University Atlanta Georgia.
Roger P SimonTranslational Stroke Program Neuroscience Institute Morehouse School of Medicine Atlanta Georgia; Grady Memorial Hospital Atlanta Georgia.

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Research Desogn and Biostatistics CoreU54MD007588 · NIMHD · MOREHOUSE SCHOOL OF MEDICINE · PI MAYBERRY, ROBERT M · 2012 to 2018
$24.8M
Program Evaluation - Internal & External U54NS083932 · NINDS · MOREHOUSE SCHOOL OF MEDICINE · PI MACLEISH, PETER RAYMOND · 2013 to 2017
$7.7M
Rapid ischemic tolerance: Synaptic re-organization and reduced excitotoxicityR01NS059588 · NINDS · MOREHOUSE SCHOOL OF MEDICINE · PI MELLER, ROBERT · 2008 to 2012
$1.6M
MENTORING EMORY NEUROCLINICIAN TRAINEES IN RESEARCH (MENTIR)R25NS065739 · NINDS · EMORY UNIVERSITY · PI OYESIKU, NELSON M, SMITH, YOLAND · 2009 to 2018
$708k
MicroRNAs as Molecular Effectors of Seizure-preconditioningR56NS073714 · NINDS · MOREHOUSE SCHOOL OF MEDICINE · PI SIMON, ROGER PANCOAST · 2011 to 2011
$330k
NCATS NIH HHS UL1 TR000454NIMHD NIH HHS U54 MD007588NINDS NIH HHS R01 NS059588NINDS NIH HHS R25 NS065739NINDS NIH HHS R56 NS073714NINDS NIH HHS U54 NS083932
6 · The paper itself

Abstract

objectiveMolecular diagnostic medicine holds much promise to change point of care treatment. An area where additional diagnostic tools are needed is in acute stroke care, to assist in diagnosis and prognosis. Previous studies using microarray-based gene expression analysis of peripheral blood following stroke suggests this approach may be effective. Next-generation sequencing (NGS) approaches have expanded genomic analysis and are not limited to previously identified genes on a microarray chip. Here, we report on a pilot NGS study to identify gene expression and exon expression patterns for the prediction of stroke diagnosis and prognosis.

methodsWe recruited 28 stroke patients and 28 age- and sex-matched hypertensive controls. RNA was extracted from 3 mL blood samples, and RNA-Seq libraries were assembled and sequenced.

resultsBioinformatical analysis of the aligned RNA data reveal exonic (30%), intronic (36%), and novel RNA components (not currently annotated: 33%). We focused our study on patients with confirmed middle cerebral artery occlusion ischemic stroke (n = 17). On the basis of our observation of differential splicing of gene transcripts, we used all exonic RNA expression rather than gene expression (combined exons) to build prediction models using support vector machine algorithms. Based on model building, these models have a high predicted accuracy rate >90% (spec. 88% sen. 92%). We further stratified outcome based on the improvement in NIHss scores at discharge; based on model building we observe a predicted 100% accuracy rate.

interpretationNGS-based exon expression analysis approaches have a high potential for patient diagnosis and outcome prediction, with clear utility to aid in clinical patient care.

Identifiers

PMID26900583
PMCPMC4748310

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.