Evidence map›Paper›PMID 30173313›Full record

ArticleTranslational stroke research2019

Complement Complex C5b-9 Levels Are Associated with the Clinical Outcomes of Acute Ischemic Stroke and Carotid Plaque Stability.

Weixin Si, Pingping He, Yi Wang, Yu Fu, Xin Li, Xiaoru Lin, Fenghua Chen, Guodong Cao, Hong Zhang

Open access · greenAbstract read
In one paragraph

Article in Translational stroke research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

16 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. The Interplay Between Immunity, Inflammation and Endothelial Dysfunction.International journal of molecular sciences · 2025
    Review
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  9. Vulnerable Atherosclerotic Plaque: Is There a Molecular Signature?International journal of molecular sciences · 2022
    Review
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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

9 authors at 2 institutions in 2 countries.

Weixin SiDepartment of Neurology, The Affiliated Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, 110004, China.
Pingping HeDepartment of Neurology, The Affiliated Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, 110004, China.
Yi WangDepartment of Neurology, The Affiliated Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, 110004, China.
Yu FuDepartment of Neurology, The Affiliated Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, 110004, China.
Xin LiDepartment of Neurology, The Affiliated Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, 110004, China.
Xiaoru LinDepartment of Neurology, The Affiliated Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, 110004, China.
Fenghua ChenDepartment of Neurology, BST S520, University of Pittsburgh School of Medicine, 203 Lothrop Street, Pittsburgh, PA, 15260, USA.
Guodong CaoDepartment of Neurology, BST S520, University of Pittsburgh School of Medicine, 203 Lothrop Street, Pittsburgh, PA, 15260, USA. caog@upmc.edu.
Hong ZhangDepartment of Neurology, The Affiliated Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, 110004, China. zhangh.7211@163.com.
China Medical University · CNUniversity of Pittsburgh · US

Funding

White Matter Protection in Cerebral IschemiaR01NS079345 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CAO, GUODONG · 2013 to 2017
$1.6M
A Novel Intervention for Cerebral IschemiaI01BX002346 · VA · VETERANS HEALTH ADMINISTRATION · PI CAO, GUODONG · 2014 to 2019
–
Reprogrammed cell therapy for white matter restoration in aged brain ischemiaI01BX003923 · VA · VETERANS HEALTH ADMINISTRATION · PI CAO, GUODONG · 2019 to 2023
–
BLRD VA I01 BX002346BLRD VA I01 BX003923NINDS NIH HHS R01 NS079345
6 · The paper itself

Abstract

The terminal complement complex C5b-9 plays an important role in acute ischemic stroke (AIS) and carotid atherosclerosis. However, the associations between serum C5b-9, the severity and outcome of AIS, and the stability of carotid plaques have not been well investigated. In this clinical study, 70 patients with AIS and 70 healthy controls were enrolled. Serum C5b-9 levels at 72 h after stroke onset were measured by enzyme-linked immunosorbent assay (ELISA). Infarct size, the National Institutes of Health Stroke Scale (NIHSS), the 90-day modified Rankin Scale (mRS), and carotid plaque and stenosis were evaluated. Serum C5b-9 levels were significantly higher in AIS patients than in healthy controls (p < 0.001) and were correlated with infarction sizes (p = 0.045) and the NIHSS (P = 0.035). Furthermore, 90-day mRS analysis demonstrated that the patients with poor outcomes had higher serum C5b-9 levels than those with good outcomes (P < 0.001). Moreover, serum C5b-9 levels in AIS patients with unstable carotid plaques were much higher than in those with stable carotid plaques (P = 0.009). Multivariate logistic regression indicated that C5b-9 could be an independent risk factor for AIS (P < 0.001) and unstable carotid plaques (P = 0.015). Therefore, complement complex C5b-9 may be a potential biomarker in predicting the severity and outcome, as well as the stability of carotid plaques, in AIS patients.

Indexed as

AdultAgedAged, 80 and overBiomarkersBrain IschemiaCarotid StenosisComplement Membrane Attack ComplexFemaleHumansMaleMiddle AgedRisk FactorsStrokeTreatment OutcomeBiomarkersComplement Membrane Attack ComplexAcute ischemic strokeCarotid atherosclerosismRSTerminal complement complex C5b-9

Identifiers

PMID30173313
PMCPMC6395518
OpenAlexW2889437555

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.