Evidence map›Paper›PMID 37186176›Full record

SynthesisCNS neuroscience & therapeutics2023

Circular RNA as biomarkers for acute ischemic stroke: A systematic review and meta-analysis.

Xiao Zhang, Mengyao Wan, Xiaoli Min, Guanglei Chu, Yumin Luo, Ziping Han, Wei Li, Ran Xu, Jichang Luo, Wenjing Li and 4 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in CNS neuroscience & therapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 pooled it
3.7field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 5 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Article
  8. Article
  9. Review
  10. Noncoding RNAs in periodontitis: Progress and perspectives (Review).International journal of molecular medicine · 2025
    Review
  11. Review
  12. Review
  13. Article
  14. Circular RNAs as Biomarkers in the Diagnosis of Human Diseases.Advances in experimental medicine and biology · 2025
    Review
  15. Article
  16. Article
  17. Brain-Derived Exosomal CircRNAs in Plasma Serve as Diagnostic Biomarkers for Acute Ischemic Stroke.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2024
    Article
  18. Article
  19. 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

14 authors at 5 institutions in 2 countries.

Xiao ZhangDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Mengyao WanPeking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
Xiaoli MinDepartment of Cerebrovascular Diseases, The Second Affiliated Hospital, Kunming Medical University, Kunming, China.
Guanglei ChuDepartment of Neurology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yumin LuoInstitute of Cerebrovascular Diseases Research and Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-2712-8974
Ziping HanInstitute of Cerebrovascular Diseases Research and Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Wei LiDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Ran XuDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Jichang LuoDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Wenjing LiNational Laboratory of Pattern Recognition, Institute of Automation, Chinese Academy of Sciences, Beijing, China.
Yutong YangSir William Dunn School of Pathology, University of Oxford, Oxford, UK.
Yan MaDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Liqun JiaoDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0003-4982-6295
Tao WangDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Capital Medical University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNKunming Medical University · CNSecond Affiliated Hospital of Zhengzhou University · CNUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRapid diagnosis of acute ischemic stroke (AIS) patients is still challenging, and reliable biomarkers are needed. Noncoding RNAs are important for many physiological activities, among which circular RNAs (circRNAs) have been proven to be more tissue-specific and conservative. Many recent studies found the potential of circRNAs as biomarkers for many diseases, including cardiovascular diseases, cancers, and ischemic stroke. This systemic review and meta-analysis aimed to identify circRNAs as potential biomarkers for AIS.

methodsThis study has been prospectively registered in PROSPERO (Registration No. 11 CRD42021288033). Published literature comparing circRNA expression profiles between AIS and non-AIS in human and animal models were retrieved from the articles published by January 2023 in major databases. We descriptively summarized the included studies, conducted meta-analysis under a random effects model, and did bioinformatics analysis including Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis.

resultsTotally 23 studies were included, reporting 18 distinctive upregulated and 20 distinctive downregulated circRNAs. Diagnostic meta-analysis indicated discriminative ability of the circRNAs. Furthermore, circRNA HECTD1, circRNA DLGAP4, circRNA CDC14A, circRNA SCMH1, and circRNA TLK1 were reported with the same regulation trend in more than one study (animal studies included). GO and KEGG enrichment analyses indicated that the target genes of these five circRNAs were enriched in regulating cell proliferation, apoptosis, and oxidative stress.

conclusionsThis study demonstrates that circRNAs (circRNA HECTD1, circRNA DLGAP4, circRNA CDC14A, circRNA SCMH1, and circRNA TLK1) generally are promising as potential biomarkers for AIS. However, due to the limited number of studies, diagnostic value of individual circRNA could not be validated. More in vitro and in vivo functional studies are needed.

Indexed as

Ischemic StrokeMicroRNAsStrokeAnimalsBiomarkersGene Expression ProfilingHumansProtein Serine-Threonine KinasesRNARNA, CircularBiomarkersMicroRNAsProtein Serine-Threonine KinasesRNARNA, CircularTLK1 protein, humanacute ischemic strokebiomarkerscircular RNA

Identifiers

PMID37186176
PMCPMC10352895
OpenAlexW4367183867

What OpenQuestion holds

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LicenceCC BY
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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.