Evidence map›Paper›PMID 39985312›Full record

ArticleNeuropsychopharmacology reports2025

Epigenetic Clock Analysis for National Institutes of Health Stroke Scale in Patients With Ischemic Stroke.

Wenshan Jiang, Toshiyuki Shirai, Ikuo Otsuka, Satoshi Okazaki, Takaki Tanifuji, Tadasu Horai, Haruka Minami, Masao Miyachi, Shohei Okada, Akitoyo Hishimoto

Abstract read
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Article in Neuropsychopharmacology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

10 authors.

Wenshan JiangDepartment of Psychiatry, Kobe University Graduate School of Medicine, Kobe, Japan.
Toshiyuki ShiraiDepartment of Psychiatry, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID https://orcid.org/0009-0009-2058-1678
Ikuo OtsukaDepartment of Psychiatry, Kobe University Graduate School of Medicine, Kobe, Japan.
Satoshi OkazakiDepartment of Psychiatry, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID https://orcid.org/0000-0001-5953-5526
Takaki TanifujiDepartment of Psychiatry, Kobe University Graduate School of Medicine, Kobe, Japan.
Tadasu HoraiDepartment of Psychiatry, Kobe University Graduate School of Medicine, Kobe, Japan.
Haruka MinamiDepartment of Psychiatry, Kobe University Graduate School of Medicine, Kobe, Japan.
Masao MiyachiDepartment of Psychiatry, Kobe University Graduate School of Medicine, Kobe, Japan.
Shohei OkadaDepartment of Psychiatry, Kobe University Graduate School of Medicine, Kobe, Japan.
Akitoyo HishimotoDepartment of Psychiatry, Kobe University Graduate School of Medicine, Kobe, Japan.

Funding

SENSHIN Medical Research FoundationSmoking Research Foundation
6 · The paper itself

Abstract

aimStrokes are the second most common cause of mortality and disability worldwide. Ischemic strokes account for the main part of strokes. Recently, the epigenetic changes that occur during biological aging through DNA methylation have gained attention. The National Institutes of Health Stroke Scale (NIHSS) scores measure physical and cognitive function. We hypothesized that there are associations between acute changes in the NIHSS score and biological aging in patients with ischemic stroke. We conducted epigenetic clock analyses to investigate the association between the difference in NIHSS (dNIHSS) and epigenetic clock in patients with ischemic stroke.

methodsWe used two publicly available DNA methylation data sets from Caucasian patients with ischemic stroke in Spain. The discovery data set consists of 59 patients with ischemic stroke, and the replication dataset consists of 62. Acceleration of several epigenetic clocks (HorvathAge, HannumAge, SkinBloodAge, PhenoAge, GrimAge, GrimAge2, DNA methylation-based telomere length, and DunedinPACE), GrimAge components, and GrimAge2 components was analyzed with standard multiple regression analyses with dNIHSS. We obtained information on dNIHSS between discharge and baseline for each patient. We integrated these results from the two data sets using meta-analyses.

resultsThere was no significant association in the epigenetic age acceleration. The predictive value of only Cystatin C showed a significant association with dNIHSS in the GrimAge components.

conclusionsWe could not find a significant association between the severity during the acute phase of ischemic stroke and epigenetic clocks. We may be able to find different findings with a larger sample size and longitudinal data such as NIHSS scores at fixed intervals.

Indexed as

Brain IschemiaDNA MethylationEpigenesis, GeneticIschemic StrokeSeverity of Illness IndexAgedAged, 80 and overFemaleHumansMaleMiddle AgedNational Institutes of Health (U.S.)SpainUnited StatesagingDNA methylationepigeneticsstroke

Identifiers

PMID39985312
PMCPMC11845873

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