Evidence map›Paper›PMID 31578412›Full record

ArticleScientific reports2019

ADMA as a possible marker of endothelial damage. A study in young asymptomatic patients with cerebral small vessel disease.

Francesco Janes, Adriana Cifù, Maria Elena Pessa, Rossana Domenis, Gian Luigi Gigli, Nova Sanvilli, Annacarmen Nilo, Riccardo Garbo, Francesco Curcio, Roberta Giacomello and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
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

26 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
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  7. The Emerging Role of the DDAH Proteins in Psychiatric Disorders.Biological psychiatry global open science · 2025
    Review
  8. Article
  9. Review
  10. Review
  11. SDMA as a marker and mediator in cerebrovascular disease.Clinical science (London, England : 1979) · 2024
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
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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

12 authors at 2 institutions in 2 countries.

Francesco JanesDepartment of Neuroscience, S. Maria della Misericordia University Hospital, Udine, Italy. francesco.janes@gmail.com.
Adriana CifùDepartment of Laboratory Medicine, S. Maria della Misericordia University Hospital, Udine, Italy.
Maria Elena PessaDepartment of Neuroscience, S. Maria della Misericordia University Hospital, Udine, Italy.
Rossana DomenisDepartment of Laboratory Medicine, S. Maria della Misericordia University Hospital, Udine, Italy.ORCID http://orcid.org/0000-0002-2164-8899
Gian Luigi GigliDepartment of Neuroscience, S. Maria della Misericordia University Hospital, Udine, Italy.
Nova SanvilliDepartment of Medical Area (DAME), University of Udine, Udine, Italy.
Annacarmen NiloDepartment of Neuroscience, S. Maria della Misericordia University Hospital, Udine, Italy.
Riccardo GarboDepartment of Neuroscience, S. Maria della Misericordia University Hospital, Udine, Italy.
Francesco CurcioDepartment of Laboratory Medicine, S. Maria della Misericordia University Hospital, Udine, Italy.
Roberta GiacomelloDepartment of Laboratory Medicine, S. Maria della Misericordia University Hospital, Udine, Italy.
Martina FabrisDepartment of Laboratory Medicine, S. Maria della Misericordia University Hospital, Udine, Italy.
Mariarosaria ValenteDepartment of Neuroscience, S. Maria della Misericordia University Hospital, Udine, Italy.
Ospedale Santa Maria della Misericordia di Udine · ITUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sporadic small vessel disease (SVD) has high prevalence in aging population and stroke patients, but also in younger asymptomatic subjects. In this last group it can represents a prelude to stroke and cognitive impairment. Still nowadays, its pathogenesis is unclear. 35 consecutive patients with SVD at brain MRI and 35 age- and sex-matched controls, between January 2016 and February 2018, underwent an extended screening for thrombophilia, autoimmunity and evaluated levels of blood markers of inflammation and endothelial activation. Asymmetric DiMethyl Arginine (ADMA) levels proved higher in patients (70.44 ± 36.25 ng/ml vs. 46.58 ± 30.67 ng/ml; p = 0.004), also after controlling for confounding factors. ADMA levels showed positive correlation with Fazekas score (r = 0.304; p = 0.01). ROC curve analysis showed a moderate accuracy in discriminating patients and controls (AUC = 0.70; CI 0.57-0.82; p = 0.004): a cut-off of 46 ng/ml is associated with 80% sensitivity, but limited (54%) specificity. Higher ADMA levels characterize selected subjects with sporadic SVD, asymptomatic for vascular diseases and without latent inflammatory conditions or coagulopathy. This reinforces the hypothesis of the key role of endothelial dysfunction in SVD. Further studies should explore the cause-effect relationship between ADMA pathway and SVD.

Indexed as

AdultAgedAgingArginineBiomarkersBrainCerebral Small Vessel DiseasesCognitive DysfunctionEndothelial CellsFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedStrokeArginineBiomarkers

Identifiers

PMID31578412
PMCPMC6775279
OpenAlexW2978285650

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.