Evidence map›Paper›PMID 30406496›Full record

ArticleEuropean journal of epidemiology2019

Association of serum markers of oxidative stress with myocardial infarction and stroke: pooled results from four large European cohort studies.

Yang Xuan, Martin Bobak, Ankita Anusruti, Eugène H J M Jansen, Andrzej Pająk, Abdonas Tamosiunas, Kai-Uwe Saum, Bernd Holleczek, Xin Gao, Hermann Brenner and 1 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in European journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 22% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Oxidative Stress and Its Role in Vascular Damage and Atherosclerosis.International journal of molecular sciences · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Observational
  18. Article
  19. Article
  20. 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

11 authors at 6 institutions in 5 countries.

Yang XuanDivision of Clinical Epidemiology and Ageing Research, German Cancer Research Center, Im Neuenheimer Feld 581, 69120, Heidelberg, Germany.
Martin BobakDepartment Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 6BT, UK.
Ankita AnusrutiDivision of Clinical Epidemiology and Ageing Research, German Cancer Research Center, Im Neuenheimer Feld 581, 69120, Heidelberg, Germany.
Eugène H J M JansenCentre for Health Protection, National Institute for Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, The Netherlands.
Andrzej PająkFaculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland.
Abdonas TamosiunasInstitute of Cardiology of Lithuanian, University of Health Sciences, Kaunas, Lithuania.
Kai-Uwe SaumDivision of Clinical Epidemiology and Ageing Research, German Cancer Research Center, Im Neuenheimer Feld 581, 69120, Heidelberg, Germany.
Bernd HolleczekSaarland Cancer Registry, Präsident Baltz-Straße 5, 66119, Saarbrücken, Germany.
Xin GaoDivision of Clinical Epidemiology and Ageing Research, German Cancer Research Center, Im Neuenheimer Feld 581, 69120, Heidelberg, Germany.
Hermann BrennerDivision of Clinical Epidemiology and Ageing Research, German Cancer Research Center, Im Neuenheimer Feld 581, 69120, Heidelberg, Germany.
Ben SchöttkerDivision of Clinical Epidemiology and Ageing Research, German Cancer Research Center, Im Neuenheimer Feld 581, 69120, Heidelberg, Germany. b.schoettker@dkfz.de.ORCID http://orcid.org/0000-0002-1217-4521
German Cancer Research Center · DEJagiellonian University · PLKrebsregister Saarland · DELithuanian University of Health Sciences · LTNational Institute for Public Health and the Environment · NLUniversity College London · GB

Funding

China Scholarship Council 201606090184Deutsche Forschungsgemeinschaft No. SCHO 1545/3-1FP7 framework programme of DG-RESEARCH, European Commission 242244US National Institute on Ageing R01 AG23522Welcome Trust 064947Welcome Trust 081081
6 · The paper itself

Abstract

Oxidative stress contributes to endothelial dysfunction and is involved in the pathogenesis of myocardial infarction (MI) and stroke. However, associations of biomarkers of oxidative stress with MI and stroke have not yet been addressed in large cohort studies. A nested case-control design was applied in four population-based cohort studies from Germany, Czech Republic, Poland and Lithuania. Derivatives of reactive oxygen metabolites (d-ROMs) levels, as a proxy for the reactive oxygen species burden, and total thiol levels (TTL), as a proxy for the reductive capacity, were measured in baseline serum samples of 476 incident MI cases and 454 incident stroke cases as well as five controls per case individually matched by study center, age and sex. Statistical analyses were conducted with multi-variable adjusted conditional logistic regression models. d-ROMs levels were associated with both MI (odds ratio (OR), 1.21 [95% confidence interval (CI) 1.05-1.40] for 100 Carr units increase) and stroke (OR, 1.17 [95% CI 1.01-1.35] for 100 Carr units increase). TTL were only associated with stroke incidence (OR, 0.79 [95% CI 0.63-0.99] for quartiles 2-4 vs. quartile 1). The observed relationships were stronger with fatal than with non-fatal endpoints; association of TTL with fatal MI was statistically significant (OR, 0.69 [95% CI 0.51-0.93] for 100 μmol/L-increase). This pooled analysis of four large population-based cohorts suggests an important contribution of an imbalanced redox system to the etiology of mainly fatal MI and stroke events.

Indexed as

Oxidative StressAgedAged, 80 and overBiomarkersCohort StudiesEuropeFemaleHumansMaleMiddle AgedMyocardial InfarctionStrokeBiomarkersCardiovascular diseaseCohort studyMyocardial infarctionOxidative stressStroke

Identifiers

PMID30406496
OpenAlexW2899521318

What OpenQuestion holds

Textmetadata
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.