Evidence map›Paper›PMID 39760973›Full record

ArticleTranslational stroke research2025

Development and Validation of a Model Based on Circulating Biomarkers for Discriminating Symptomatic Spontaneous Intracranial Artery Dissection.

Peng Liu, Xin Nie, Bing Zhao, Jiangan Li, Yisen Zhang, Guibing Wang, Lei Chen, Hongwei He, Shuo Wang, Qingyuan Liu and 1 more

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in Translational stroke research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Peng Liu *Department of Neurosurgery, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Xin Nie *Department of Neurosurgery, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Bing ZhaoDepartment of Neurosurgery, Shanghai Renji Hospital, Shanghai Jiaotong University, Shanghai, China.
Jiangan LiDepartment of Neurosurgery, Department of Emergency, the Affiliated Wuxi NO. 2 People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China.
Yisen ZhangDepartment of Neurosurgery, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Guibing WangState Key Laboratory of Proteomics, NationalCenterfor Protein Sciences (Beijing), Beijing Proteome Research Center, BeijingInstitute of Lifeomics, Beijing, China.
Lei ChenDepartment of Neurosurgery, the First Dongguan Affiliated Hospital, Guangdong Medical University, Dongguan, Guangdong, China.
Hongwei HeBeijing Neurosurgical Institution, Capital Medical University, Beijing, China.
Shuo WangDepartment of Neurosurgery, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. captain9858@126.com.
Qingyuan LiuDepartment of Neurosurgery, China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. 13260457220@163.com.
Jinrui RenDepartment of Neurosurgery, Shanxi Provincial People's Hospital, Taiyuan, Shanxi, China. rjrxm1@163.com.

Funding

Basic Research Plan of Shanxi Province No.20210302123351the National Key R&D Program of China 2021YFC2501100the National Natural Science Foundation of China 82071296 and 81801158the Top Talent Support Program for Medical Experts Team and for Young and Middle-Aged People of Wuxi Health Committee 202109 and 202014
6 · The paper itself

Abstract

Spontaneous intracranial artery dissection (sIAD) is the leading cause of stroke in young individuals. Identifying high-risk sIAD cases that exhibit symptoms and are likely to progress is crucial for treatment decision-making. This study aimed to develop a model relying on circulating biomarkers to discriminate symptomatic sIADs. The study prospectively collected sIAD tissues and corresponding serums from January 2020 to December 2022 as the discovery cohort. Symptomatic sIADs were defined as those with mass effect, hemorrhagic, or ischemic stroke. A stratification model was developed using the machine-learning algorithm within the derivation cohort (a cross-sectional cohort including from January 2018 to August 2022) and validated within the validation cohort (a longitudinal cohort including from January 2017 to April 2023). In the discovery cohort (n = 10, 5 symptomatic), analyses of tissues and serums revealed 15 proteins and 2 cytokines with significance between symptomatic and asymptomatic sIADs. Among these biomarkers, six proteins and one cytokine, participating in the immune response and inflammatory-related pathways, have a good consistency in expression level between sIAD tissues and serums. In the derivation cohort (n = 181, 77 symptomatic), a model incorporating these 7 biomarkers was highly discriminative of symptomatic sIADs (area under curve [AUC], 0.95). This model performed well in predicting the occurrence of sIAD-related symptoms in the validation cohort (n = 84, 26 symptomatic) with an AUC of 0.88. This study revealed seven circulating biomarkers of symptomatic sIAD and provided a high-accuracy model relying on these circulating biomarkers to identify symptomatic sIADs, which may aid in clinical decision-making for sIADs.

Indexed as

Aortic DissectionIntracranial AneurysmAdultBiomarkersCohort StudiesCross-Sectional StudiesFemaleHumansMachine LearningMaleMiddle AgedProspective StudiesBiomarkersCirculating biomarkerCytokine profilingProteomicsRisk stratification modelSpontaneous intracranial artery dissection

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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.