Evidence map›Paper›PMID 34473513›Full record

ArticleJournal of proteome research2021

Analysis of Metabolite and Lipid Association Networks Reveals Molecular Mechanisms Associated with 3-Month Mortality and Poor Functional Outcomes in Patients with Acute Ischemic Stroke after Thrombolytic Treatment with Recombinant Tissue Plasminogen Activator.

Cristina Licari, Leonardo Tenori, Betti Giusti, Elena Sticchi, Ada Kura, Rosina De Cario, Domenico Inzitari, Benedetta Piccardi, Mascia Nesi, Cristina Sarti and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of proteome research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Corroborated evidence on change of metabolome after ischemic stroke due to large vessel occlusion.Metabolomics : Official journal of the Metabolomic Society · 2025
    Article
  4. Article
  5. Review
  6. Difference in acute and chronic stage ischemic stroke metabolic markers with controls.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023
    Article
  7. Article
  8. Insight into Nephrotoxicity and Processing Mechanism ofDrug design, development and therapy · 2023
    Article
  9. 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

17 authors at 4 institutions in 2 countries.

Cristina LicariMagnetic Resonance Center (CERM), University of Florence, Via Luigi Sacconi 6, Sesto Fiorentino, Florence 50019, Italy.ORCID 0000-0001-6072-9491
Leonardo TenoriMagnetic Resonance Center (CERM), University of Florence, Via Luigi Sacconi 6, Sesto Fiorentino, Florence 50019, Italy.ORCID 0000-0001-6438-059X
Betti GiustiDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, Florence 50134, Italy.
Elena SticchiDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, Florence 50134, Italy.
Ada KuraDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, Florence 50134, Italy.
Rosina De CarioDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, Florence 50134, Italy.
Domenico InzitariStroke Unit, Careggi University Hospital, Florence 50134, Italy.
Benedetta PiccardiStroke Unit, Careggi University Hospital, Florence 50134, Italy.
Mascia NesiStroke Unit, Careggi University Hospital, Florence 50134, Italy.
Cristina SartiNEUROFARBA Department, Neuroscience Section, University of Florence, Largo Brambilla 3, Florence 50134, Italy.
Francesco ArbaDepartment of Neurology, Careggi University Hospital, Largo Brambilla 3, Florence 50134, Italy.
Vanessa PalumboStroke Unit, Careggi University Hospital, Florence 50134, Italy.
Patrizia NenciniStroke Unit, Careggi University Hospital, Florence 50134, Italy.
Rossella MarcucciDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, Florence 50134, Italy.
Anna Maria GoriDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, Florence 50134, Italy.
Claudio LuchinatMagnetic Resonance Center (CERM), University of Florence, Via Luigi Sacconi 6, Sesto Fiorentino, Florence 50019, Italy.
Edoardo SaccentiLaboratory of Systems and Synthetic Biology, Wageningen University & Research, Stippeneng 4, Wageningen 6708 WE, the Netherlands.ORCID 0000-0001-8284-4829
Azienda Ospedaliero-Universitaria Careggi · ITInteruniversity Consortium for Magnetic Resonance · ITUniversity of Florence · ITWageningen University & Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Here, we present an integrated multivariate, univariate, network reconstruction and differential analysis of metabolite-metabolite and metabolite-lipid association networks built from an array of 18 serum metabolites and 110 lipids identified and quantified through nuclear magnetic resonance spectroscopy in a cohort of 248 patients, of which 22 died and 82 developed a poor functional outcome within 3 months from acute ischemic stroke (AIS) treated with intravenous recombinant tissue plasminogen activator. We explored differences in metabolite and lipid connectivity of patients who did not develop a poor outcome and who survived the ischemic stroke from the related opposite conditions. We report statistically significant differences in the connectivity patterns of both low- and high-molecular-weight metabolites, implying underlying variations in the metabolic pathway involving leucine, glycine, glutamine, tyrosine, phenylalanine, citric, lactic, and acetic acids, ketone bodies, and different lipids, thus characterizing patients' outcomes. Our results evidence the promising and powerful role of the metabolite-metabolite and metabolite-lipid association networks in investigating molecular mechanisms underlying AIS patient's outcome.

Indexed as

Ischemic StrokeThrombolytic TherapyHumansLipidsMetabolomicsTissue Plasminogen ActivatorTreatment OutcomeLipidsTissue Plasminogen Activatorlipidomemetabolomicsmultivariate exploratory analysisnuclear magnetic resonancethrombolysis

Identifiers

PMID34473513
PMCPMC8491161
OpenAlexW3197353024

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.