Evidence map›Paper›PMID 37435773›Full record

ArticleCNS neuroscience & therapeutics2023

Platelet-activating factor antagonist-based intensive antiplatelet strategy in acute ischemic stroke: A propensity score matched with network pharmacology analysis.

Xiaoyan Han, Youjia Li, Xuemin Chen, Dong Pan, Junning Mo, Jiaming Qiu, Yi Li, Yan Chen, Yan Huang, Qingyu Shen and 1 more

Open access · goldAbstract read
In one paragraph

Article 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 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 11% 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, 3 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. 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

11 authors at 3 institutions in 1 country.

Xiaoyan HanDepartment of Neurology, First People's Hospital of Zhaoqing, Zhaoqing, People's Republic of China.
Youjia LiDepartment of Neurology, First People's Hospital of Zhaoqing, Zhaoqing, People's Republic of China.
Xuemin ChenGuangdong Medical University, Zhanjiang, People's Republic of China.
Dong PanDepartment of Neurology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China.
Junning MoDepartment of Neurology, First People's Hospital of Zhaoqing, Zhaoqing, People's Republic of China.
Jiaming QiuDepartment of Neurology, First People's Hospital of Zhaoqing, Zhaoqing, People's Republic of China.
Yi LiDepartment of Neurology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China.
Yan ChenDepartment of Neurology, First People's Hospital of Zhaoqing, Zhaoqing, People's Republic of China.
Yan HuangDepartment of Neurology, First People's Hospital of Zhaoqing, Zhaoqing, People's Republic of China.
Qingyu ShenDepartment of Neurology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China.
Yamei TangDepartment of Neurology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China.ORCID 0000-0002-6353-6107
Sun Yat-sen University · CNThe First People's Hospital of Zhaoqing · CNGuangdong Medical College · CN

Funding

Guangzhou Municipal Science and Technology Project 201904010314Medical Scientific Research Foundation of Guangdong Province of China B2020154National Natural Science Foundation of China 81820108026National Natural Science Foundation of China 81925031Natural Science Foundation of Guangdong Province 2023A1515011831Science and Technology Program of Guangzhou 202007030001Special Fund for Science and Technology Innovation Strategy in Guangdong Province of China 2018N020
6 · The paper itself

Abstract

backgroundDiterpene ginkgolides meglumine injection (DGMI) is a platelet-activating factor receptor (PAFR) antagonist that can be used to treat acute ischemic stroke (AIS). This study evaluated the efficacy and safety of an intensive antiplatelet strategy based on PAFR antagonists and explored the underlying mechanisms of PAFR antagonists in AIS treatment.

methodsThis is a retrospective study applying propensity score methods to match AIS patients treated with DGMI to nontreated patients. The primary outcome was functional independence (modified Rankin Scale [mRS] 0-2) at 90 days. The safety outcome was bleeding risk. We used McNemar test to compare the efficacy outcome. Subsequently, the network pharmacology analysis was performed.

results161 AIS patients treated with DGMI in the study were matched with 161 untreated patients. Compared with untreated patients, DGMI-treated patients had a significantly higher rate of mRS ranking 0-2 at 90 days (82.0% vs. 75.8%, p < 0.001), without increased risk of bleeding. The gene enrichment analysis showed that the overlap genes of DGMI targeted and AIS-related enriched in thrombosis and inflammatory-related signaling pathways.

conclusionsAn intensive antiplatelet strategy of DGMI plus traditional antiplatelet agents is effective in treating AIS and may work by mediating post-stroke inflammation and thrombosis.

Indexed as

Brain IschemiaIschemic StrokeThrombosisHumansNetwork PharmacologyPlatelet Aggregation InhibitorsPropensity ScoreRetrospective StudiesTreatment OutcomePlatelet Aggregation Inhibitorsinflammationintensive antiplatelet strategyischemic strokeplatelet-activating factor receptor antagonistpropensity score matching

Identifiers

PMID37435773
PMCPMC10651968
OpenAlexW4383999195

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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.