Evidence map›Paper›PMID 28691141›Full record

ArticleTranslational stroke research2018

Vinpocetine Inhibits NF-κB-Dependent Inflammation in Acute Ischemic Stroke Patients.

Fang Zhang, Chen Yan, Changjuan Wei, Yang Yao, Xiaofeng Ma, Zhongying Gong, Shoufeng Liu, Dawei Zang, Jieli Chen, Fu-Dong Shi and 1 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Translational stroke research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02878772 (Vinpocetine Inhibits NF-κB-dependent Inflammation in Acute Ischemic Stroke), which is not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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.

NCT02878772 phase2 / phase3completednot on this map

Vinpocetine Inhibits NF-κB-dependent Inflammation in Acute Ischemic Stroke

TypeinterventionalSponsorTianjin Medical University General HospitalRan2014 to 2015Enrolled60ConditionsStroke, Immunoregulation, Inflammation, VinpocetineArmsvinpocetine, Aspirin
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Argatroban Increased the Basal Vein Drainage and Improved Outcomes in Acute Paraventricular Ischemic Stroke Patients.Medical science monitor : international medical journal of experimental and clinical research · 2020
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  16. Phytochemicals as Immunomodulatory Agents in Melanoma.International journal of molecular sciences · 2023
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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

11 authors at 7 institutions in 2 countries.

Fang ZhangDepartment of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Anshan Road, Heping District, Tianjin, 300052, China.
Chen YanAab Cardiovascular Research Institute and Department of Microbiology and Immunology, University of Rochester School of Medicine and Dentistry, Rochester, NY, 14642, USA.
Changjuan WeiDepartment of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Anshan Road, Heping District, Tianjin, 300052, China.
Yang YaoDepartment of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Anshan Road, Heping District, Tianjin, 300052, China.
Xiaofeng MaDepartment of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Anshan Road, Heping District, Tianjin, 300052, China.
Zhongying GongDepartment of Neurology, Tianjin First Central Hospital, Tianjin, 300192, China.
Shoufeng LiuDepartment of Neurology, Tianjin Huanhu Hospital, Tianjin, 30006, China.
Dawei ZangDepartment of Neurology, Tianjin First Central Hospital, Tianjin, 300192, China.
Jieli ChenDepartment of Neurology, Henry Ford Hospital, Detroit, MI, 48202, USA.
Fu-Dong ShiDepartment of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Anshan Road, Heping District, Tianjin, 300052, China.
Junwei HaoDepartment of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Anshan Road, Heping District, Tianjin, 300052, China. hjw@tmu.edu.cn.
Tianjin Medical University General Hospital · CNBarrow Neurological Institute · USHenry Ford Hospital · USTianjin First Center Hospital · CNTianjin Huanhu Hospital · CNTianjin Medical University · CNUniversity of Rochester · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunity and inflammation play critical roles in the pathogenesis of acute ischemic stroke. Therefore, immune intervention, as a new therapeutic strategy, is worthy of exploration. Here, we tested the inflammation modulator, vinpocetine, for its effect on the outcomes of stroke. For this multi-center study, we recruited 60 patients with anterior cerebral circulation occlusion and onset of stroke that had exceeded 4.5 h but lasted less than 48 h. These patients, after random division into two groups, received either standard management alone (controls) or standard management plus vinpocetine (30 mg per day intravenously for 14 consecutive days, Gedeon Richter Plc., Hungary). Vinpocetine treatment did not change the lymphocyte count; however, nuclear factor kappa-light-chain-enhancer of activated B cell activation was inhibited as seen not only by the increased transcription of IκBα mRNA but also by the impeded phosphorylation and degradation of IκBα and subsequent induction of pro-inflammatory mediators. These effects led to significantly reduced secondary lesion enlargement and an attenuated inflammation reaction. Compared to controls, patients treated with vinpocetine had a better recovery of neurological function and improved clinical outcomes during the acute phase and at 3-month follow-up. These findings identify vinpocetine as an inflammation modulator that could improve clinical outcomes after acute ischemic stroke. This study also indicated the important role of immunity and inflammation in the pathogenesis of acute ischemic stroke and the significance of immunomodulatory treatment. CLINICAL TRIAL REGISTRATION INFORMATION: www.clinicaltrials.gov . Identifier: NCT02878772.

Indexed as

InflammationAdultAgedBrain IschemiaC-Reactive ProteinCytokinesFemaleFollow-Up StudiesGene Expression RegulationHumansLeukocytes, MononuclearMagnetic Resonance ImagingMagnetic Resonance SpectroscopyMaleMiddle AgedNeuroprotective AgentsC-Reactive ProteinCytokinesNeuroprotective AgentsNF-kappa BRNA, MessengerVinca AlkaloidsvinpocetineImmunoregulationInflammationStrokeVinpocetine

Identifiers

PMID28691141
OpenAlexW2729439965

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.