Evidence map›Paper›PMID 33971895›Full record

ArticleJournal of neuroinflammation2021

Intracranial VCAM1 at time of mechanical thrombectomy predicts ischemic stroke severity.

Benton Maglinger, Madison Sands, Jacqueline A Frank, Christopher J McLouth, Amanda L Trout, Jill M Roberts, Stephen Grupke, Jadwiga Turchan-Cholewo, Ann M Stowe, Justin F Fraser and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.1field-weighted citation impact, top 5% 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, 33 citations in OpenAlex.

  1. Trial
  2. Isolation and identification of leukocyte populations in intracranial blood collected during mechanical thrombectomy.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2022
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  9. Observational
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  15. Advancing Stroke Research on Cerebral Thrombi with Omic Technologies.International journal of molecular sciences · 2023
    Review
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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

11 authors at 2 institutions in 1 country.

Benton MaglingerDepartment of Neurology, University of Kentucky, Lexington, KY, USA.
Madison SandsDepartment of Neurology, University of Kentucky, Lexington, KY, USA.
Jacqueline A FrankDepartment of Neurology, University of Kentucky, Lexington, KY, USA.
Christopher J McLouthDepartment of Behavioral Science, University of Kentucky, Lexington, KY, USA.
Amanda L TroutDepartment of Neurology, University of Kentucky, Lexington, KY, USA.
Jill M RobertsCenter for Advanced Translational Stroke Science, University of Kentucky, Lexington, KY, 40536, USA.
Stephen GrupkeDepartment of Neurosurgery and Neuroendovascular Surgery, Covenant Medical Center, Lubbock, TX, USA.
Jadwiga Turchan-CholewoDepartment of Neurology, University of Kentucky, Lexington, KY, USA.
Ann M StoweDepartment of Neurology, University of Kentucky, Lexington, KY, USA.
Justin F FraserDepartment of Neurology, University of Kentucky, Lexington, KY, USA.
Keith R PennypackerDepartment of Neurology, University of Kentucky, Lexington, KY, USA. keith.pennypacker@uky.edu.ORCID http://orcid.org/0000-0002-4618-0903
University of Kentucky · USCovenant Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergent large vessel occlusion (ELVO) strokes are devastating ischemic vascular events for which novel treatment options are needed. Using vascular cell adhesion molecule 1 (VCAM1) as a prototype, the objective of this study was to identify proteomic biomarkers and network signaling functions that are potential therapeutic targets for adjuvant treatment for mechanical thrombectomy.

methodsThe blood and clot thrombectomy and collaboration (BACTRAC) study is a continually enrolling tissue bank and registry from stroke patients undergoing mechanical thrombectomy. Plasma proteins from intracranial (distal to clot) and systemic arterial blood (carotid) were analyzed by Olink Proteomics for N=42 subjects. Statistical analysis of plasma proteomics used independent sample t tests, correlations, linear regression, and robust regression models to determine network signaling and predictors of clinical outcomes. Data and network analyses were performed using IBM SPSS Statistics, SAS v 9.4, and STRING V11.

resultsIncreased systemic (p<0.001) and intracranial (p=0.013) levels of VCAM1 were associated with the presence of hypertension. Intracranial VCAM1 was positively correlated to both infarct volume (p=0.032; r=0.34) and edema volume (p=0.026; r=0.35). The %∆ in NIHSS from admittance to discharge was found to be significantly correlated to both systemic (p=0.013; r = -0.409) and intracranial (p=0.011; r = -0.421) VCAM1 levels indicating elevated levels of systemic and intracranial VCAM1 are associated with reduced improvement of stroke severity based on NIHSS from admittance to discharge. STRING-generated analyses identified biologic functional descriptions as well as function-associated proteins from the predictive models of infarct and edema volume.

conclusionsThe current study provides novel data on systemic and intracranial VCAM1 in relation to stroke comorbidities, stroke severity, functional outcomes, and the role VCAM1 plays in complex protein-protein signaling pathways. These data will allow future studies to develop predictive biomarkers and proteomic targets for drug development to improve our ability to treat a devastating pathology.

Indexed as

AdultAgedAged, 80 and overBiomarkersFemaleHumansIschemic StrokeMaleMiddle AgedThrombectomyVascular Cell Adhesion Molecule-1BiomarkersVascular Cell Adhesion Molecule-1BiomarkersInfarct volumeIschemic strokeMechanical thrombectomyProteomicsVascular cell adhesion molecule 1

Identifiers

PMID33971895
PMCPMC8111916
OpenAlexW3163686658

What OpenQuestion holds

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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.