Evidence map›Paper›PMID 31117858›Full record

ArticleJournal of the American Heart Association2019

Oral Bacterial Signatures in Cerebral Thrombi of Patients With Acute Ischemic Stroke Treated With Thrombectomy.

Olli Patrakka, Juha-Pekka Pienimäki, Sari Tuomisto, Jyrki Ollikainen, Terho Lehtimäki, Pekka J Karhunen, Mika Martiskainen

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Host insulin resistance caused byFrontiers in cellular and infection microbiology · 2023
    Pooled it
  2. Article
  3. Article
  4. Potential of Saliva in Stroke Patients: A Review.International journal of molecular sciences · 2026
    Review
  5. Article
  6. Review
  7. A Review on the Role of Oral Bacteria in Stroke.International journal of molecular sciences · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Periodontitis in ischemic stroke: impact ofResearch and practice in thrombosis and haemostasis · 2024
    Article
  15. Review
  16. Article
  17. Structural and enzymatic characterization of the sialidase SiaPG from Porphyromonas gingivalis.Acta crystallographica. Section F, Structural biology communications · 2023
    Article
  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

7 authors at 5 institutions in 1 country.

Olli Patrakka1 Department of Forensic Medicine Faculty of Medicine and Health Technology Tampere University and Fimlab Laboratories Tampere Finland.
Juha-Pekka Pienimäki2 Division of Interventional Radiology Department of Radiology Tampere University Hospital Tampere Finland.
Sari Tuomisto1 Department of Forensic Medicine Faculty of Medicine and Health Technology Tampere University and Fimlab Laboratories Tampere Finland.
Jyrki Ollikainen3 Department of Neurology Tampere University Hospital Tampere Finland.
Terho Lehtimäki4 Department of Clinical Chemistry Faculty of Medicine and Health Technology Tampere University Fimlab Laboratories and Finnish Cardiovascular Research Center Tampere Finland.
Pekka J Karhunen1 Department of Forensic Medicine Faculty of Medicine and Health Technology Tampere University and Fimlab Laboratories Tampere Finland.
Mika Martiskainen1 Department of Forensic Medicine Faculty of Medicine and Health Technology Tampere University and Fimlab Laboratories Tampere Finland.
Fimlab (Finland) · FITampere University · FIFinnish Institute for Health and Welfare · FITampere University · FITampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Chronic infections have been reported to be risk factors for both coronary heart disease and ischemic stroke. DNA of oral bacteria, mainly from the viridans streptococci group, has been detected in coronary thrombus aspirates of myocardial infarction and cerebral aneurysms. Viridans streptococci are known to cause infective endocarditis and possess thrombogenic properties. We studied the presence of oral bacterial DNA in thrombus aspirates of patients with acute ischemic stroke treated with mechanical thrombectomy. Methods and Results Thrombus aspirates and arterial blood were taken from 75 patients (69% men; mean age, 67 years) with acute ischemic stroke. The presence of Streptococcus species, mainly the Streptococcus mitis group, belonging to viridans streptococci as well as Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans in samples were determined using a quantitative polymerase chain reaction with specific primers and probes. The relative amount of bacterial DNA in a sample was determined with the comparative threshold cycle method. Bacterial DNA was detected in 84% (n=63) of aspired thrombi, and 16% (n=12) of samples were considered bacterial DNA negative. DNA of Streptococcus species, mainly the S mitis group, was found in 79% (n=59) of samples. The median relative amount of Streptococcus species DNA was 5.10-fold higher compared with the control blood samples from the same patients. All thrombi were negative for both P gingivalis and A actinomycetemcomitans. Conclusions This is the first study showing the common presence of bacterial DNA from viridans streptococci in aspired thrombi of patients with acute ischemic stroke. Streptococcal bacteria, mostly of oral origin, may contribute to the progression and thrombotic events of cerebrovascular diseases.

Indexed as

ThrombectomyAgedAggregatibacter actinomycetemcomitansBacteriaBrain IschemiaFemaleHumansIntracranial ThrombosisMaleMiddle AgedMouthPorphyromonas gingivalisRisk FactorsStrokeViridans Streptococciacute strokearterial thrombosisatherogenesisatherosclerosiscerebral ischemia

Identifiers

PMID31117858
PMCPMC6585368
OpenAlexW2945547424

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.