Evidence map›Paper›PMID 32355819›Full record

ArticleAnnals of translational medicine2020

Neuroprotective effect of dimethyl fumarate on cognitive impairment induced by ischemic stroke.

Xiaowen Hou, Haibin Xu, Wanli Chen, Nannan Zhang, Ziai Zhao, Xin Fang, Xing Zhang, Huisheng Chen, Yuanyuan Xu

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Annals of translational medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03519828 (Effects of Oxidation-reduction Homeostasis on Cognitive Impairment in Patients With Ischemic Stroke), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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.

NCT03519828 completednot on this map

Effects of Oxidation-reduction Homeostasis on Cognitive Impairment in Patients With Ischemic Stroke

TypeobservationalSponsorHui-Sheng ChenRan2018 to 2019Enrolled100ConditionsOxidative-reduction Homeostasis, Post-stroke Cognitive ImpairmentArmsNo intervention has been conducted
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Uric acid levels and their association with vascular dementia and Parkinson's disease dementia: a meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Pooled it
  2. Article
  3. Intestinal Clock Promotes Cognitive Memory Through Adenosine Signaling.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  4. Review
  5. Review
  6. Impact of NQO1 dysregulation in CNS disorders.Journal of translational medicine · 2024
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Emerging Therapeutic Applications for Fumarates.Trends in pharmacological sciences · 2021
    Review
  16. Article
  17. Review
  18. 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

9 authors at 2 institutions in 1 country.

Xiaowen HouSchool of Public Health, China Medical University, Shenyang 110122, China.
Haibin XuDepartment of Neurology, General Hospital of Northern Theater Command, Shenyang 110016, China.
Wanli ChenDepartment of Neurology, General Hospital of Northern Theater Command, Shenyang 110016, China.
Nannan ZhangDepartment of Neurology, General Hospital of Northern Theater Command, Shenyang 110016, China.
Ziai ZhaoDepartment of Neurology, General Hospital of Northern Theater Command, Shenyang 110016, China.
Xin FangSchool of Public Health, China Medical University, Shenyang 110122, China.
Xing ZhangSchool of Public Health, China Medical University, Shenyang 110122, China.
Huisheng ChenDepartment of Neurology, General Hospital of Northern Theater Command, Shenyang 110016, China.
Yuanyuan XuSchool of Public Health, China Medical University, Shenyang 110122, China.
General Hospital of Shenyang Military Region · CNChina Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOxidative damage may contribute to post-stroke cognitive impairment (PSCI), but the underlying mechanisms are not fully elucidated. Dimethyl fumarate (DMF) has been used as an antioxidant in multiple sclerosis and psoriasis patients. We hypothesized that redox state was associated with PSCI, and DMF might exert neuroprotective effect against PSCI via anti-oxidative actions.

methodsTo confirm this hypothesis, we first conducted a clinical study (NCT03519828) that enrolled patients diagnosed with acute ischemic stroke within 48 hours. Data were analyzed based on demographic characteristics, disease history, clinical data and redox state. Logistic regression was used to identify the factors associated with PSCI. Next, a middle cerebral artery occlusion (MCAO) rat model was used to explore the antioxidant capacity and neuroprotective effect of DMF. Furthermore, behavioural experiments, histology and immunostaining, and transmission electron microscopy were also performed.

resultsHigher baseline NIHSS score, lower GSH/GSSG and T-AOC levels were found in the PSCI patients. Better performance in Morris water maze and shuttle box testing, more regular arranged neurons and Nissl bodies, less TUNEL-positive cells and autophagosomes, lower expression of 4-HNE, and higher expression of GCLM and NQO1 were found in the (DMF + MCAO) rats compared with the MCAO rats.

conclusionsThese findings suggest that DMF may alleviate PSCI via neuroprotective actions, providing a new therapeutic strategy for PSCI.

Indexed as

dimethyl fumarate (DMF), neuroprotectionoxidative damagePost-stroke cognitive impairment (PSCI)

Identifiers

PMID32355819
PMCPMC7186746
OpenAlexW3010765075

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.