Evidence map›Paper›PMID 35105181›Full record

ArticleStroke2022

Intracranial Large Artery Stenosis and Past Infectious Exposures: Results From the NOMAS Cohort.

Amol Mehta, Farid Khasiyev, Clinton B Wright, Tatjana Rundek, Ralph L Sacco, Mitchell S V Elkind, Jose Gutierrez

Open access · bronzeAbstract read
In one paragraph

Article in Stroke, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 7 citations in OpenAlex.

  1. Observational
  2. The association of common infectious exposures with cognitive performance in community-dwelling older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  3. Article
  4. Journal of the American Heart Association · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Review
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

7 authors at 4 institutions in 2 countries.

Amol MehtaDepartment of Neurology, Vagelos College of Physicians and Surgeons (A.M., M.S.V.E., J.G.), Mailman School of Public Health, Columbia University, New York, NY.ORCID 0000-0002-1343-7389
Farid KhasiyevDepartment of Neurology, Saint Louis University, Saint Louis, MO (F.K.).ORCID 0000-0002-3127-0973
Clinton B WrightNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD (C.B.W.).ORCID 0000-0002-9797-6215
Tatjana RundekDepartment of Neurology (T.R., R.L.S.), Miller School of Medicine, University of Miami, FL.ORCID 0000-0002-7115-9815
Ralph L SaccoDepartment of Neurology (T.R., R.L.S.), Miller School of Medicine, University of Miami, FL.ORCID 0000-0003-4629-684X
Mitchell S V ElkindDepartment of Neurology, Vagelos College of Physicians and Surgeons (A.M., M.S.V.E., J.G.), Mailman School of Public Health, Columbia University, New York, NY.ORCID 0000-0003-2562-1156
Jose GutierrezDepartment of Neurology, Vagelos College of Physicians and Surgeons (A.M., M.S.V.E., J.G.), Mailman School of Public Health, Columbia University, New York, NY.ORCID 0000-0002-2175-8078
Columbia University · USUniversity of Miami · USNational Institute of Neurological Disorders and Stroke · USSaint Louis University · ES

Funding

STROKE INCIDENCE AND RISK FACTORS IN A TRI-ETHNIC REGIONR01NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, SACCO, RALPH L. · 1993 to 2019
$19.2M
Stroke Incidence and Risk Factors in a Tri-Ethnic RegionR37NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, SACCO, RALPH L. · 2008 to 2014
$12.1M
Genetic Contribution to Brain Arterial Dilatation and its Role in Cognition and dementiaR01AG057709 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GUTIERREZ, JOSE · 2018 to 2022
$4.6M
ARCH PLAQUES AND STROKE IN AN ETHNICALLY MIXED COMMUNITYR01NS036286 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DI TULLIO, MARCO R · 1997 to 2009
$3.4M
Accelerated non-atherosclerotic brain arterial aging relationship to Alzheimer's diseaseR01AG066162 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GUTIERREZ, JOSE · 2019 to 2023
$3.1M
Vascular Determinants of Dementia and Cognitive Decline in a Tri-Ethnic RegionR56NS029993 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ELKIND, MITCHELL S, RUNDEK, TATJANA · 2021 to 2021
$537k
NIA NIH HHS R01 AG057709NIA NIH HHS R01 AG066162NINDS NIH HHS R01 NS029993NINDS NIH HHS R01 NS036286NINDS NIH HHS R37 NS029993NINDS NIH HHS R56 NS029993
6 · The paper itself

Abstract

backgroundIntracranial large artery stenosis (ILAS) is an important contributor to ischemic stroke in the United States and worldwide. There is evidence to suggest that chronic exposure to certain infectious agents may also be associated with ILAS. We aimed to study this association further in an ethnically diverse, prospective, population-based sample of Northern Manhattan.

methodsWe enrolled a random sample of stroke-free participants from an urban, racially, and ethnically diverse community in 1993. Participants have been followed prospectively and a subset underwent brain magnetic resonance angiograms from 2003 to 2008. Intracranial stenoses of the circle of Willis and vertebrobasilar arteries were scored as 0=no stenosis, 1≤50% (or luminal irregularities), 2=50% to 69%, 3≥70% stenosis, and 4=flow gap. We summed the individual score of each artery to produce a global ILAS score (possible range, 0-44). Past infectious exposure to

resultsAmong 572 NOMAS (Northern Manhattan Study) participants (mean age 71.0±8.0 years, 60% women, 68% Hispanic) with available magnetic resonance angiogram and serological data, herpes simplex virus 2 (beta=0.051,

conclusionsChronic infectious exposures, specifically herpes simplex virus 2 and cytomegalovirus were associated with asymptomatic ILAS as seen on magnetic resonance angiogram imaging. This may represent an additional target of intervention in the ongoing effort to stem the substantial global burden of strokes related to ILAS.

Indexed as

NomaStrokeAgedArteriesCohort StudiesConstriction, PathologicFemaleHumansMaleMiddle AgedProspective StudiescytomegalovirusHelicobacter pyloriinfectionischemic strokemagnetic resonance imaging

Identifiers

PMID35105181
PMCPMC9038664
OpenAlexW4210676882

What OpenQuestion holds

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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.