Evidence map›Paper›PMID 28872212›Full record

ArticleEuropean journal of neurology2017

Galectin-3 and risk of ischaemic stroke: Reasons for Geographic and Racial Differences in Stroke cohort.

P Arora, Z Agarwal, A Venkatraman, P Callas, B M Kissela, N S Jenny, S E Judd, N A Zakai, M Cushman

Open access · greenAbstract read
In one paragraph

Article in European journal of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Sex-Related Differences in Heart Failure Diagnosis.Current heart failure reports · 2023
    Review
  7. Plasma Pro-Enkephalin A and Ischemic Stroke Risk: The Reasons for Geographic and Racial Differences in Stroke Cohort.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022
    Article
  8. Review
  9. Article
  10. 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

9 authors at 3 institutions in 1 country.

P AroraDivision of Cardiology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Z AgarwalDepartment of Medicine, Larner College of Medicine at the University of Vermont, Burlington, VT, USA.
A VenkatramanDepartment of Neurology, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0003-4429-2271
P CallasDepartment of Mathematics and Statistics, University of Vermont, Burlington, VT, USA.
B M KisselaDepartment of Neurology and Rehabilitation Medicine, University of Cincinnati, Cincinnati, OH, USA.
N S JennyDepartment of Pathology and Laboratory Medicine, Larner College of Medicine at the University of Vermont, Burlington, VT, USA.
S E JuddDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA.
N A ZakaiDepartment of Medicine, Larner College of Medicine at the University of Vermont, Burlington, VT, USA.
M CushmanDepartment of Medicine, Larner College of Medicine at the University of Vermont, Burlington, VT, USA.
University of Vermont · USUniversity of Alabama at Birmingham · USUniversity of Cincinnati · US

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
NIDDK NIH HHS P30 DK079626NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

background and purposeGalectin-3 is a biomarker of atherosclerotic and cardiovascular disease, and may be a useful marker for ischaemic stroke risk.

methodsThe Reasons for Geographic and Racial Differences in Stroke (REGARDS) cohort enrolled and examined 30 239 US participants between 2003 and 2007 (41% black, 59% white and 55% in the southeastern stroke belt). Baseline galectin-3 was measured in 526 subjects with incident ischaemic stroke over 5.4 years and in a cohort random sample (CRS) of 947 participants. Cox proportional hazards models were used to calculate hazard ratios (HRs) of ischaemic stroke by quartiles of galectin-3.

resultsIn the CRS, galectin-3 was significantly higher with older age, black race, female sex, body mass index, hypertension, diabetes mellitus and kidney disease, and also in those who developed incident stroke. Participants with galectin-3 levels in the fourth versus first quartile had a 2.3-fold increased stroke risk [95% confidence interval (CI) 1.6, 3.4] in an unadjusted model. An interaction with age was found (P = 0.06), and therefore age-stratified analyses were performed. Amongst those younger than age 64, baseline galectin-3 in the second-fourth quartiles was associated with increased stroke risk (HR 3.0, 95% CI 1.6, 5.5) compared to the first quartile in an age-, race- and sex-adjusted model. The HR was 2.0 (95% CI 1.0, 4.0) with multivariable adjustment. There was no association amongst older participants.

conclusionsGalectin-3 was associated with incident ischaemic stroke in younger but not older individuals. Confirmation of this finding, and elucidation of its implications for stroke pathophysiology and prevention, is needed.

Indexed as

Body Mass IndexAgedAge FactorsBiomarkersBlood ProteinsBrain IschemiaFemaleGalectin 3GalectinsHumansHypertensionIncidenceMaleMiddle AgedRisk FactorsSex FactorsBiomarkersBlood ProteinsGalectin 3GalectinsLGALS3 protein, humanagingbiomarkerscerebrovascular disease/strokeepidemiologygalectin-3inflammationischaemic strokerisk factors

Identifiers

PMID28872212
PMCPMC7008611
OpenAlexW2752856398

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.