Evidence map›Paper›PMID 27152948›Full record

ArticlePloS one2016

Lipocalin-2 as an Infection-Related Biomarker to Predict Clinical Outcome in Ischemic Stroke.

Sonja Hochmeister, Odilo Engel, Milena Z Adzemovic, Thomas Pekar, Paul Kendlbacher, Manuel Zeitelhofer, Michaela Haindl, Andreas Meisel, Franz Fazekas, Thomas Seifert-Held

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04382963 (Stroke Prevention in the Wisconsin Native American Population), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.1field-weighted citation impact, top 13% 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.

NCT04382963 nacompletednot on this mapstarted 2021, after this paper: background citation

Stroke Prevention in the Wisconsin Native American Population

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2021 to 2025Enrolled120ConditionsStroke, AtherosclerosisArmsHigh Risk - intensive coaching, High Risk - standard care, Low Risk - control
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Role of lipocalin-2 in amyotrophic lateral sclerosis.Frontiers in aging neuroscience · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Comprehensive review of lipocalin 2-mediated effects in lung inflammation.American journal of physiology. Lung cellular and molecular physiology · 2021
    Review
  16. CSF lipocalin-2 increases early in subarachnoid hemorrhage are associated with neuroinflammation and unfavorable outcome.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Article
  17. Review
  18. Review
  19. Neutralization of Lipocalin-2 Diminishes Stroke-Reperfusion Injury.International journal of molecular sciences · 2020
    Article
  20. Hypoxia Induces Astrocyte-Derived Lipocalin-2 in Ischemic Stroke.International journal of molecular sciences · 2019
    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 at 3 institutions in 3 countries.

Sonja HochmeisterDepartment of Neurology, Medical University of Graz, Graz, Austria.
Odilo EngelDepartment of Experimental Neurology, Charité Universitaetsmedizin Berlin, Berlin, Germany.
Milena Z AdzemovicNeuroimmunology Unit, Department of Clinical Neuroscience, Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden.
Thomas PekarDepartment of Neurology, Medical University of Graz, Graz, Austria.
Paul KendlbacherDepartment of Neurology, Medical University of Graz, Graz, Austria.
Manuel ZeitelhoferDivision of Vascular Biology, Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Stockholm, Sweden.
Michaela HaindlDepartment of Neurology, Medical University of Graz, Graz, Austria.
Andreas MeiselDepartment of Experimental Neurology, Charité Universitaetsmedizin Berlin, Berlin, Germany.
Franz FazekasDepartment of Neurology, Medical University of Graz, Graz, Austria.
Thomas Seifert-HeldDepartment of Neurology, Medical University of Graz, Graz, Austria.
Medical University of Graz · ATCharité - Universitätsmedizin Berlin · DEKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFrom previous data in animal models of cerebral ischemia, lipocalin-2 (LCN2), a protein related to neutrophil function and cellular iron homeostasis, is supposed to have a value as a biomarker in ischemic stroke patients. Therefore, we examined LCN2 expression in the ischemic brain in an animal model and measured plasma levels of LCN2 in ischemic stroke patients.

methodsIn the mouse model of transient middle cerebral artery occlusion (tMCAO), LCN2 expression in the brain was analyzed by immunohistochemistry and correlated to cellular nonheme iron deposition up to 42 days after tMCAO. In human stroke patients, plasma levels of LCN2 were determined one week after ischemic stroke. In addition to established predictive parameters such as age, National Institutes of Health Stroke Scale and thrombolytic therapy, LCN2 was included into linear logistic regression modeling to predict clinical outcome at 90 days after stroke.

resultsImmunohistochemistry revealed expression of LCN2 in the mouse brain already at one day following tMCAO, and the amount of LCN2 subsequently increased with a maximum at 2 weeks after tMCAO. Accumulation of cellular nonheme iron was detectable one week post tMCAO and continued to increase. In ischemic stroke patients, higher plasma levels of LCN2 were associated with a worse clinical outcome at 90 days and with the occurrence of post-stroke infections.

conclusionsLCN2 is expressed in the ischemic brain after temporary experimental ischemia and paralleled by the accumulation of cellular nonheme iron. Plasma levels of LCN2 measured in patients one week after ischemic stroke contribute to the prediction of clinical outcome at 90 days and reflect the systemic response to post-stroke infections.

Indexed as

AnimalsBiomarkersBrain IschemiaLipocalin-2MiceMice, Inbred C57BLBiomarkersLipocalin-2

Identifiers

PMID27152948
PMCPMC4859492
OpenAlexW2345637186

What OpenQuestion holds

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LicenceCC BY
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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.