Evidence map›Paper›PMID 37508923›Full record

ArticleBrain sciences2023

Association between Citrullinated Histone H3 and White Matter Lesions Burden in Patients with Ischemic Stroke.

Xiaohao Zhang, Yunzi Li, Zhenqian Huang, Shuaiyu Chen, Yan E, Yingdong Zhang, Qingguang Wang, Tingting Li

Open access · goldAbstract read
In one paragraph

Article in Brain sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

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

8 authors at 4 institutions in 1 country.

Xiaohao ZhangDepartment of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing 210002, China.ORCID 0000-0002-8916-8592
Yunzi LiDepartment of Neurology, Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China.
Zhenqian HuangDepartment of Neurology, Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China.
Shuaiyu ChenDepartment of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing 210002, China.
Yan EDepartment of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing 210002, China.
Yingdong ZhangDepartment of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing 210002, China.
Qingguang WangDepartment of Neurology, Jiangyin Hospital Affiliated to Nantong University, Jiangyin 214400, China.
Tingting LiDepartment of Neurology, The Second Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210017, China.
Nanjing Medical University · CNNanjing General Hospital of Nanjing Military Command · CNNanjing University of Chinese Medicine · CNNantong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeutrophil extracellular traps play a role in the pathophysiology of stroke and are associated with severity and mortality. We aimed to investigate whether the citrullinated histone H3 (CitH3), a biomarker for neutrophil extracellular traps formation, is associated with the white matter lesion (WML) burden in ischemic stroke patients.

methodsBetween September 2021 and April 2022, 322 patients were enrolled in this prospective observational cohort study. Serum CitH3 levels were measured after admission using an enzyme-linked immunosorbent assay. WMLs severity was graded according to the Fazekas scale and conceptually defined as mild (total Fazekas score 0-2) and severe (total Fazekas score 3-6). We used multivariable regression models to determine the relationship between CitH3 concentrations and the severity of WMLs burden.

resultsOne-hundred and forty-eight (46.0%) patients were diagnosed with severe WMLs burden after admission. Increased CitH3 levels (first quartile vs. fourth quartile of H3Cit, odds ratio, 3.311, 95% confidence interval, 1.336-8.027;

conclusionsIn the present study, increased CitH3 levels were positively associated with extensive WMLs in ischemic stroke patients, indicating a role of neutrophil extracellular traps formation in the pathogenesis of WMLs.

Indexed as

CitH3ischemic strokeneutrophil extracellular trapswhite matter lesions

Identifiers

PMID37508923
PMCPMC10377232
OpenAlexW4382135546

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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.