Evidence map›Paper›PMID 33182224›Full record

ArticleBrain sciences2020

Plasma Levels of Occludin and Claudin-5 in Acute Stroke Are Correlated with the Type and Location of Stroke but Not with the Neurological State of Patients-Preliminary Data.

Anetta Lasek-Bal, Anna Kokot, Daria Gendosz de Carrillo, Sebastian Student, Katarzyna Pawletko, Aleksandra Krzan, Przemysław Puz, Wiesław Bal, Halina Jędrzejowska-Szypułka

Open access · goldAbstract read
In one paragraph

Article in Brain sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.9field-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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Kitchen Diet vs. Industrial Diets-Impact on Intestinal Barrier Parameters among Stroke Patients.International journal of environmental research and public health · 2022
    Trial
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  17. Application of Intestinal Barrier Molecules in the Diagnosis of Acute Cellular Rejection After Intestinal Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2023
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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

9 authors at 3 institutions in 1 country.

Anetta Lasek-BalDepartment of Neurology, School of Health Sciences, Medical University of Silesia, 40-055 Katowice, Poland.ORCID 0000-0003-2481-7528
Anna KokotDepartment of Neurology, Upper-Silesia Medical Center, Stroke Interventional Therapy Center, 40-635 Katowice, Poland.
Daria Gendosz de CarrilloDepartment of Physiology, School of Medicine, Medical University of Silesia in Katowice, 40-055 Katowice, Poland.ORCID 0000-0001-5090-8365
Sebastian StudentFaculty of Automatic Control, Electronics and Computer Science, Silesian University of Technology, 44-100 Gliwice, Poland.ORCID 0000-0003-1812-5496
Katarzyna PawletkoDepartment of Physiology, School of Medicine, Medical University of Silesia in Katowice, 40-055 Katowice, Poland.
Aleksandra KrzanDepartment of Neurology, Upper-Silesia Medical Center, Stroke Interventional Therapy Center, 40-635 Katowice, Poland.
Przemysław PuzDepartment of Neurology, School of Health Sciences, Medical University of Silesia, 40-055 Katowice, Poland.
Wiesław BalDepartment of Outpatient Chemotherapy, Maria Skłodowska-Curie, Memorial National Institute of Oncology, 44-101 Gliwice, Poland.
Halina Jędrzejowska-SzypułkaDepartment of Physiology, School of Medicine, Medical University of Silesia in Katowice, 40-055 Katowice, Poland.
Medical University of Silesia · PLSilesian University of Technology · PLThe Maria Sklodowska-Curie National Research Institute of Oncology · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The blood-brain barrier is the structure (BBB), which isolates the central nervous system from the external environmental. During a stroke, the BBB gets damaged, which is accompanied by changes in the concentrations and distributions of claudin-5, occludin, ZO-1, and other building blocks of the BBB. The aim of this study was to assess the concentrations of selected components of the BBB-occludin, claudin-5, and zonulin (ZO-1)-and to define a potential relationship between the concentrations of these three substances and the type of stroke, the location and extent of the infarct focus, the neurological/functional status in the acute phase of the disease, and the patient's clinical profile.

methodsIn this prospective study, we qualified patients with first-in-life stroke. All patients were analyzed according to: the presence of comorbidities, type of stroke (OCSP), treatment type in the first day of hospitalization, hemorrhagic transformation of infarct focus (ECASS), neurological status on the first day of stroke (NIHSS), functional status (mRS) on the ninth day of disease. In all patients, the plasma concentrations of claudin-5, occludin, and ZO-1 on the first day of stroke were examined and next, the mean concentrations were analyzed and compared between subgroups created on the basis of demographical and clinical features.

resultsThe mean concentration of occludin was significantly higher in patients with partial anterior cerebral infarct (PACI) compared to patients with posterior cerebral infarct (POCI; 1.03 vs. 0.66 ng/mL;

conclusionsThe location of stroke in the anterior part of the brain's blood supply is associated with high blood levels of occludin and claudin 5 in the acute phase of stroke. The blood concentration of occludin is significantly lower in lacunar stroke comparing to this in non-lacunar stroke. Old age and arterial hypertension correlate positively with the concentration of zonulin 1 in acute stroke. There is no relationship between the blood levels of occludin, claudin 5, and zonulin 1 on the first day of stroke and the neurological and functional status in the acute phase of the disease.

Indexed as

blood–brain barrierclaudinoccludinstrokezonulin

Identifiers

PMID33182224
PMCPMC7695327
OpenAlexW3100034019

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.