Evidence map›Paper›PMID 38263151›Full record

ArticleThrombosis journal2024

Detecting prokaryote-specific gene and other bacterial signatures in thrombi from patients with acute ischemic stroke.

Xiaoke Wang, Jie Gao, Yantong Chen, Xiaohao Zhang, Zhengze Dai, Qiliang Dai, Mengna Peng, Lulu Xiao, Xuerong Jia, Haodi Cai and 3 more

Abstract read
In one paragraph

Article in Thrombosis journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

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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

4 citing papers in PubMed.

  1. Article
  2. A Review on the Role of Oral Bacteria in Stroke.International journal of molecular sciences · 2025
    Review
  3. Review
  4. 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

13 authors.

Xiaoke Wang *Department of Neurology, Affiliated Jinling Hospital, Medical School of Nanjing University, 305# East Zhongshan Road, 210002, Nanjing, Jiangsu, China.
Jie Gao *Department of Neurology, Affiliated Jinling Hospital, Medical School of Nanjing University, 305# East Zhongshan Road, 210002, Nanjing, Jiangsu, China.
Yantong ChenDepartment of Neurology, Shenzhen Second People's Hospital, Shenzhen, Guangdong, China.
Xiaohao ZhangDepartment of Neurology, Affiliated Jinling Hospital, Medical School of Nanjing University, 305# East Zhongshan Road, 210002, Nanjing, Jiangsu, China.
Zhengze DaiDepartment of Neurology, Fourth Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Qiliang DaiDepartment of Neurology, Affiliated Jinling Hospital, Medical School of Nanjing University, 305# East Zhongshan Road, 210002, Nanjing, Jiangsu, China.
Mengna PengDepartment of Neurology, Affiliated Jinling Hospital, Medical School of Nanjing University, 305# East Zhongshan Road, 210002, Nanjing, Jiangsu, China.
Lulu XiaoDepartment of Neurology, Affiliated Jinling Hospital, Medical School of Nanjing University, 305# East Zhongshan Road, 210002, Nanjing, Jiangsu, China.
Xuerong JiaDepartment of Neurology, Affiliated Jinling Hospital, Medical School of Nanjing University, 305# East Zhongshan Road, 210002, Nanjing, Jiangsu, China.
Haodi CaiDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, Germany.
Tao MouDepartment of Neurology, Affiliated Jinling Hospital, Medical School of Nanjing University, 305# East Zhongshan Road, 210002, Nanjing, Jiangsu, China.
Xiang LiDepartment of Neurology, First Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China.
Gelin XuDepartment of Neurology, Affiliated Jinling Hospital, Medical School of Nanjing University, 305# East Zhongshan Road, 210002, Nanjing, Jiangsu, China. gelinxu@nju.edu.cn.

Funding

National Natural Science Foundation of China No. 82171330
6 · The paper itself

Abstract

background and purposeMicrobial infection has been associated with thrombogenesis. This study aimed to detect bacterium-specific genes and other signatures in thrombi from patients with acute ischemic stroke and to relate these signatures to clinical characteristics.

methodsBlood samples were collected before thrombectomy procedures, and thrombus samples were obtained during the procedure. Identification and classification of bacteria in the samples were accomplished using 16 S rRNA gene sequencing. Bacterium-specific structures were observed with transmission electron microscopy. Bacterium-specific biomarkers were detected through immunohistochemical staining.

results16 S rRNA gene was detected in 32.1% of the thrombus samples from 81 patients. Bacillus (0.04% vs. 0.00046%, p = 0.003), Parabacteroides (0.20% vs. 0.09%, p = 0.029), Prevotella (1.57% vs. 0.38%, p = 0.010), Streptococcus (1.53% vs. 0.29%, p = 0.001), Romboutsia (0.18% vs. 0.0070%, p = 0.029), Corynebacterium (1.61% vs. 1.26%, p = 0.026) and Roseburia (0.53% vs. 0.05%, p = 0.005) exhibited significantly higher abundance in thrombi compared to arterial blood. Bacteria-like structures were observed in 22 (27.1%), while whole bacteria-like structures were observed in 7 (8.6%) thrombi under transmission electron microscopy. Immunohistochemical staining detected bacterium-specific monocyte/macrophage markers in 51 (63.0%) out of 81 thrombi. Logistic regression analysis indicated that alcohol consumption was associated with a higher bacteria burden in thrombi (odds ratio = 3.19; 95% CI, 1.10-9.27; p = 0.033).

conclusionBacterial signatures usually found in the oral cavity and digestive tract were detected in thrombi from patients with ischemic stroke. This suggests a potential involvement of bacterial infection in the development of thrombosis. Long-term alcohol consumption may potentially enhance this possibility.

Indexed as

BacteriaDNAEndovascular treatmentIschemic strokeThrombus

Identifiers

PMID38263151
PMCPMC10807108

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