Evidence map›Paper›PMID 34362854›Full record

SynthesisJournal of neurology, neurosurgery, and psychiatry2022

Secondary injury and inflammation after intracerebral haemorrhage: a systematic review and meta-analysis of molecular markers in patient brain tissue.

James Jm Loan, Caoimhe Kirby, Katherine Emelianova, Owen R Dando, Michael Tc Poon, Leisan Pimenova, Giles E Hardingham, Barry W McColl, Catharina Jm Klijn, Rustam Al-Shahi Salman and 2 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of neurology, neurosurgery, and psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 10% 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

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  18. The protective effect ofFrontiers in microbiology · 2025
    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 4 institutions in 3 countries.

James Jm LoanCentre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-6451-9448
Caoimhe KirbyCentre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-3399-2179
Katherine EmelianovaCentre for Discovery Brain Sciences, The University of Edinburgh, Edinburgh, UK.
Owen R DandoCentre for Discovery Brain Sciences, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-6269-6408
Michael Tc PoonCentre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-0053-2184
Leisan PimenovaNeurosurgery, München Klinik, gGmbH, Munich, Germany.
Giles E HardinghamCentre for Discovery Brain Sciences, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-7629-5314
Barry W McCollCentre for Discovery Brain Sciences, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-0521-9656
Catharina Jm KlijnDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, Netherlands.ORCID 0000-0002-8495-4578
Rustam Al-Shahi SalmanCentre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-2108-9222
Floris Hbm SchreuderDepartment of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, Netherlands.ORCID 0000-0002-7815-0207
Neshika SamarasekeraCentre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK neshika.samarasekera@ed.ac.uk.ORCID 0000-0001-6840-0199
UK Dementia Research Institute · GBUniversity of Edinburgh · GBRadboud University Nijmegen · NLMünchen Klinik · DE

Funding

Cancer Research UK 27589Medical Research Council G1002605Medical Research Council MR/L003384/1Medical Research Council MR/R001316/1Wellcome Trust
6 · The paper itself

Abstract

backgroundInflammatory responses to intracerebral haemorrhage (ICH) are potential therapeutic targets. We aimed to quantify molecular markers of inflammation in human brain tissue after ICH compared with controls using meta-analysis.

methodsWe searched OVID MEDLINE (1946-) and Embase (1974-) in June 2020 for studies that reported any measure of a molecular marker of inflammation in brain tissue from five or more adults after ICH. We assessed risk of bias using a modified Newcastle-Ottawa Scale (mNOS; mNOS score 0-9; 9 indicates low bias), extracted aggregate data, and used random effects meta-analysis to pool associations of molecules where more than two independent case-control studies reported the same outcome and Gene Ontology enrichment analysis to identify over-represented biological processes in pooled sets of differentially expressed molecules (International Prospective Register of Systematic Reviews ID: CRD42018110204).

resultsOf 7501 studies identified, 44 were included: 6 were case series and 38 were case-control studies (median mNOS score 4, IQR 3-5). We extracted data from 21 491 analyses of 20 951 molecules reported by 38 case-control studies. Only one molecule (interleukin-1β protein) was quantified in three case-control studies (127 ICH cases vs 41 ICH-free controls), which found increased abundance of interleukin-1β protein after ICH (corrected standardised mean difference 1.74, 95% CI 0.28 to 3.21, p=0.036, I

conclusionInterleukin-1β abundance is increased after ICH, but analyses of other inflammatory molecules after ICH lack replication. Interleukin-1β pathway modulators may optimise inflammatory responses to ICH and merit testing in clinical trials.

Indexed as

AdultBiomarkersBrainCase-Control StudiesCerebral HemorrhageHumansInflammationBiomarkersimmunologymeta-analysisneuropathologystrokesystematic reviews

Identifiers

PMID34362854
PMCPMC8785052
OpenAlexW3189333029

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.