Evidence map›Paper›PMID 28835580›Full record

Observational studyJournal of atherosclerosis and thrombosis2017

Epoxyeicosatrienoic Acids are Mediated by EPHX2 Variants and may be a Predictor of Early Neurological Deterioration in Acute Minor Ischemic Stroke.

Xingyang Yi, Jing Lin, Jie Li, Qiang Zhou, Zhao Han

Open access · diamondAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of atherosclerosis and thrombosis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 23% 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.

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

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Impacts of Oxylipins on ischemic stroke: from pathophysiology to clinical phenotypes.Metabolomics : Official journal of the Metabolomic Society · 2025
    Review
  2. Review
  3. Article
  4. Review
  5. Soluble Epoxide Hydrolase and Diabetes Complications.International journal of molecular sciences · 2022
    Review
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Review
  13. 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

5 authors at 3 institutions in 1 country.

Xingyang YiDepartment of Neurology, People's Hospital of Deyang City.
Jing LinDepartment of Neurology, the Third Affiliated Hospital of Wenzhou Medical University.
Jie LiDepartment of Neurology, People's Hospital of Deyang City.
Qiang ZhouDepartment of Neurology, the Third Affiliated Hospital of Wenzhou Medical University.
Zhao HanDepartment of Neurology, the Second Affiliated Hospital and Yuying Children Hospital of Wenzhou Medical University.
Fuyang City People's Hospital · CNRuian People's Hospital · CNWenzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigatethe association of plasma epoxyeicosatrienoic acids (EETs) with early neurologic deterioration (END), and whether EETs are mediated by EPHX2 variants in patients with minor ischemic stroke (MIS).

methodThis was a prospective, multi-center observational study in patients with acute MIS in the Chinese population.Plasma EETs levels were measured on admission. Single nucleotide polymorphisms (SNPs) of EPHX2 rs751141 were genotyped using mass spectrometry. The primary outcome was END within 10 days after admission. END was defined as an increase in NIHSS of 2 or more points. The degree of disability was assessed using the modified Rankin Scale (mRS) at 3 months after admission.

resultsA total of 322 patients were enrolled, of which 85 patients (26.4%) experienced END. The mean EETs level was 64.1±7.5 nmol/L. EETs levels were significantly lower in patients with END compared to patients without END. Frequency of EPHX2 rs751141 GG was higher in patients with END than in patients without END, and EPHX2 rs751141 GG genotype was associated with lower EETs levels. Low level (<64.4 nmol/L) of EETs was an independent predictor of END (first and second quartiles) in multivariate analyses. END was associated with a higher risk of poor outcome (mRS scores 3-6) at 3 months.

conclusionEND is fairly common and associated with poor outcomes in acute MIS. EPHX2 variants may mediate EETs levels, and low levels of EETs may be a predictor for END in acute MIS.

Indexed as

Polymorphism, Single NucleotideAgedBiomarkersBrain IschemiaEpoxide HydrolasesFemaleFollow-Up StudiesGenetic Predisposition to DiseaseGenotypeHumansHydroxyeicosatetraenoic AcidsMaleNerve DegenerationPrognosisProspective StudiesStrokeBiomarkersEPHX2 protein, humanEpoxide HydrolasesHydroxyeicosatetraenoic AcidsEarly neurological deteriorationEPHX2 variantsEpoxyeicosatrienoic acidsMinor ischemic strokeOutcome

Identifiers

PMID28835580
PMCPMC5742371
OpenAlexW2746963935

What OpenQuestion holds

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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.