Evidence map›Paper›PMID 38782494›Full record

ArticleStroke and vascular neurology2025

Role of histone deacetylases and sirtuins in the ischaemic stroke: a protocol for a systematic review and meta-analysis of animal studies.

Ali Majdi, Hossein Mostafavi, Ali Moharrami, Shahin Yaraghi, Amirreza Ghaffari Tabrizi, Morteza Dojahani, Erfan Alirezapour, Kamyar Mansori

Abstract read
In one paragraph

Article in Stroke and vascular neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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.

Ali MajdiStudent Research Center, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.ORCID 0000-0002-2559-2570
Hossein MostafaviDepartment of Physiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran mostafavih@zums.ac.ir.ORCID 0000-0002-4784-4636
Ali Moharrami *Student Research Center, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.ORCID 0000-0001-5243-8950
Shahin Yaraghi *Student Research Center, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.ORCID 0000-0001-9582-7462
Amirreza Ghaffari TabriziStudent Research Center, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.ORCID 0000-0003-0310-8255
Morteza DojahaniStudent Research Center, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.ORCID 0000-0002-7272-795X
Erfan AlirezapourStudent Research Center, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.ORCID 0000-0003-4675-6674
Kamyar MansoriDepartment of Epidemiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.ORCID 0000-0003-3527-4741

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke is a major cause of global mortality and disability. Currently, the treatment of acute ischaemic stroke through reperfusion has posed several challenges, raising the need for complementary options to protect the ischaemic penumbra. Recent investigations have indicated that certain epigenetic factors, specifically, histone deacetylases (HDACs) and sirtuins, can be promising for ischaemic stroke therapy, with recent studies suggesting that inhibitors of HDACs or sirtuins may provide neuronal protection after ischaemic stroke. However, the impact of specific HDAC/sirtuin isoforms on the survival of neuronal cells following stroke is still uncertain. This study aims to provide a comprehensive overview of the function of HDACs and their modulators in the treatment of acute ischaemic stroke.

methodsThis systematic review and meta-analysis will encompass animal intervention studies that explore the efficacy of modulation of HDACs and sirtuins in the acute phase of ischaemic stroke. The review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Electronic searches will be conducted in PubMed, Web of Science and Scopus, with subsequent screening by independent reviewers based on the established eligibility criteria. Methodological quality will be evaluated using the SYRCLE risk of bias tool. The primary outcomes will be infarct volume and functional response, with the secondary outcomes established a priori. Data pertaining to infarct volume will be used for random-effects meta-analysis. Additionally, a descriptive summary will be conducted for the functional response and secondary outcomes. DISCUSSION: No systematic review and meta-analysis on the treatment of ischaemic stroke through HDAC modulation has been conducted to date. A comprehensive analysis of the available literature on the relevant preclinical investigations can yield invaluable insights in discerning the most effective trials and in further standardisation of preclinical studies. SYSTEMATIC REVIEW REGISTRATION: This systematic review has been recorded in the International Prospective Register of Systematic Reviews (PROSPERO), with the assigned reference number: CRD42023381420.

Indexed as

Disease Models, AnimalHistone Deacetylase InhibitorsHistone DeacetylasesIschemic StrokeSirtuinsAnimalsBrainMeta-Analysis as TopicNeuronsNeuroprotective AgentsResearch DesignSystematic Reviews as TopicHistone Deacetylase InhibitorsHistone DeacetylasesNeuroprotective AgentsSirtuinsHistone DeacetylasesMeta-AnalysisSirtuinsStrokeSystematic Review

Identifiers

PMID38782494
PMCPMC11877440

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.