Evidence map›Paper›PMID 34749301›Full record

ReviewEBioMedicine2021

Vitamin B12 and gut-brain homeostasis in the pathophysiology of ischemic stroke.

William Roth, Mansour Mohamadzadeh

Open access · goldAbstract readReview
In one paragraph

Review in EBioMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
4.5field-weighted citation impact, top 4% 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

47 citing papers in PubMed, 88 citations in OpenAlex.

  1. Trial
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  10. Controllable gap junctions by vitamin BProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  11. 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

2 authors at 2 institutions in 1 country.

William RothDepartment of Neurology, University of Florida, Gainesville, FL 32608, USA. Electronic address: William.Roth@neurology.ufl.edu.
Mansour MohamadzadehDivision of Gastroenterology & Nutrition, Department of Medicine, College of Medicine, University of Texas Health, San Antonio, TX, USA. Electronic address: Zadehm@uthscsa.edu.
The University of Texas Health Science Center at San Antonio · USUniversity of Florida · US

Funding

Determinants of follicular helper T cell expansion in lupusR01AI154630 · NIAID · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI MOREL, LAURENCE, ZADEH, MANSOUR M · 2020 to 2025
$6.3M
Bacterial surface layer-specific immune protection against gut microbial infectionR01DK109560 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI ZADEH, MANSOUR M · 2016 to 2024
$3.5M
NIAID NIH HHS R01 AI154630NIDDK NIH HHS R01 DK109560
6 · The paper itself

Abstract

Stroke is a leading cause of morbidity and mortality worldwide. It inflicts immeasurable suffering on patients and their loved ones and carries an immense social cost. Efforts to mitigate the impact of stroke have focused on identifying therapeutic targets for the prevention and treatment. The gut microbiome represents one such potential target given its multifaceted effects on conditions known to cause and worsen the severity of stroke. Vitamin B12 (VB12) serves as a cofactor for two enzymes, methylmalonyl-CoA synthase and methionine synthase, vital for methionine and nucleotide biosynthesis. VB12 deficiency results in a buildup of metabolic substrates, such as homocysteine, that alter immune homeostasis and contribute to atherosclerotic disorders, including ischemic stroke. In addition to its support of cellular function, VB12 serves as a metabolic cofactor for gut microbes. By shaping microbial communities, VB12 further impacts local and peripheral immunity. Growing evidence suggests that gut dysbiosis-related immune dysfunction induced by VB12 deficiency may potentially contributes to stroke pathogenesis, its severity, and patient outcomes. In this review, we discuss the complex interactions of VB12, gut microbes and the associated metabolites, and immune homeostasis throughout the natural history of ischemic stroke.

Indexed as

Brain-Gut AxisDisease SusceptibilityAnimalsBiomarkersDysbiosisGastrointestinal MicrobiomeHomocysteineHumansIschemic StrokeMetabolic Networks and PathwaysNeuroinflammatory DiseasesRisk FactorsTranslational Research, BiomedicalVitamin B 12Vitamin B 12 DeficiencyBiomarkersHomocysteineVitamin B 12AtherosclerosisCerberovascular DiseaseCobalamingut-brain axisgut microbiomeHomocysteineInflammationinnate immunityIschemic strokemetabolismmetabolitesmicrobiomeMicrogliaNeuroinflammationStrokeVitamin B12

Identifiers

PMID34749301
PMCPMC8586745
OpenAlexW3211656792

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.