Evidence map›Paper›PMID 31474817›Full record

ArticleFrontiers in neuroscience2019

Basilar Artery Tortuosity Is Associated With White Matter Hyperintensities by TIMP-1.

Dao Pei Zhang, Yan Fang Peng, Huai Liang Zhang, Jian Gong Ma, Min Zhao, Suo Yin, Tian Tian Wei

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neuroscience, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 20% 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, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Dao Pei ZhangDepartment of Neurology, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China.
Yan Fang PengDepartment of Neurology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Huai Liang ZhangDepartment of Neurology, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China.
Jian Gong MaDepartment of Neurology, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China.
Min ZhaoDepartment of Neurology, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China.
Suo YinDepartment of Image, People's Hospital of Zhengzhou Affiliated to Southern Medical University, Zhengzhou, China.
Tian Tian WeiClinical Medical Testing Center, People's Hospital of Zhengzhou Affiliated to Southern Medical University, Zhengzhou, China.
First Affiliated Hospital of Henan University · CNFifth Affiliated Hospital of Sun Yat-sen University · CNSouthern Medical University · CNZhengzhou People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeTo test the hypothesis that the imbalance between matrix metalloproteinases (MMPs) and tissue inhibitor of metalloproteinases (TIMPs) may play a potential role in bridging vertebrobasilar dolichoectasia (VBD) with lacunar infarction (LI) and white matter hyperintensities (WMH).

methodsWe studied 212 patients with vertigo who underwent multimodal magnetic resonance imaging (MRI) tests for VBD, LI, and WMH identification. We investigated biomarkers of VBD with magnetic resonance angiography (MRA) via various physical characteristics of the vertebrobasilar arteries (VBAs). Similarly, LI and WMH biomarkers were extracted using T2-weighted and fluid attenuated inversion recovery (FLAIR) images. We first determined which of these neuroimaging markers were significant identifiers of VBD, LI and the different grades of WMH. We then sought to draw potential mechanistic conclusions from these MRI-derived parameters, by associating the aforementioned biomarkers with MMP and TIMP serum levels in patient blood samples using non-parametric statistical tests.

resultsMMP-9 serum level was significantly higher in vertigo patients with VBAs dilation and basilar artery (BA) elongation compared to those with healthy arterial size, and the ratio of MMP-9/TIMP-1 level were higher in those patients. TIMP-1 level was also markedly higher in vertigo patients with BA tortuosity than those without BA tortuosity. The bending length (BL) of the BA was positively correlated with TIMP-1. The length, BL, and tortuosity index of the BA, as well as serum levels of TIMP-1 were greater in patients with higher WMH grades compared to those with low WMH grades. The vertebral artery and BA diameters, and the levels of MMP-2, -3, -9, TIMP-2 and cathepsin L were similar in patients with different WMH grades.

conclusionIn vertigo patients, we found various probably associations between MMP-9 and TIMP-1 with arterial alterations linked to both VBD and WMH that may help with the diagnosis and treatment of such diseases in the future.

Indexed as

cerebral small vessel diseasematrix metalloproteinasestissue inhibitor of metalloproteinase-1vertebrobasilar dolichoectasiawhite matter hyperintensities

Identifiers

PMID31474817
PMCPMC6703195
OpenAlexW2966359298

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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.