Evidence map›Paper›PMID 40135578›Full record

ArticleJournal of the American Heart Association2025

Exploring the Link Between C-Reactive Protein Change and Stroke Risk: Insights From a Prospective Cohort Study and Genetic Evidence.

Yitong Ling, Shiqi Yuan, Hongtao Cheng, Shanyuan Tan, Xiaxuan Huang, Yonglan Tang, Zihong Bai, Rui Li, Li Li, Shuna Li and 3 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

5 citing papers in PubMed.

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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.

Yitong LingDepartment of Neurology Jinan University First Affiliated Hospital Guangzhou Guangdong China.
Shiqi YuanDepartment of Neurology The Second People's Hospital of Guiyang City Guiyang Guizhou China.ORCID 0000-0002-2794-2546
Hongtao ChengSchool of Nursing Jinan University Guangzhou Guangdong China.ORCID 0000-0003-3739-9097
Shanyuan TanDepartment of Neurology Jinan University First Affiliated Hospital Guangzhou Guangdong China.
Xiaxuan HuangDepartment of Anesthesiology Jinan University First Affiliated Hospital Guangzhou Guangdong China.
Yonglan TangSchool of Nursing Jinan University Guangzhou Guangdong China.
Zihong BaiDepartment of Neurology Jinan University First Affiliated Hospital Guangzhou Guangdong China.
Rui LiDepartment of Neurology Jinan University First Affiliated Hospital Guangzhou Guangdong China.
Li LiDepartment of Clinical Research Jinan University First Affiliated Hospital Guangzhou Guangdong China.ORCID 0000-0003-0845-2725
Shuna LiDepartment of Clinical Research Jinan University First Affiliated Hospital Guangzhou Guangdong China.ORCID 0000-0001-7186-8788
Liying HuangDepartment of Clinical Research Jinan University First Affiliated Hospital Guangzhou Guangdong China.ORCID 0000-0002-7023-9450
Anding XuDepartment of Neurology Jinan University First Affiliated Hospital Guangzhou Guangdong China.ORCID 0000-0003-3154-0985
Jun LyuDepartment of Clinical Research Jinan University First Affiliated Hospital Guangzhou Guangdong China.ORCID 0000-0002-2237-8771

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious research on how changes in CRP (C-reactive protein) levels predict stroke risk is limited. This study aimed to examine the association between CRP change and the risk of stroke and its subtypes. METHODS AND

resultsBased on the UK Biobank data, we investigated the association between CRP change and the risk of stroke and its subtypes with Cox proportional hazards regression analysis. We further performed genetic analyses including genetic correlation, pairwise genome-wide association study, and polygenic risk score. Our study involved 14 754 participants with a median follow-up time of 10.4 years. After categorizing participants by CRP percentage change and making adjustments for potential confounders, it was observed that those with an elevated percentage of CRP change had a higher risk of any stroke (hazard ratio [HR], 1.44 [95% CI, 1.12-1.85]) and ischemic stroke (HR, 1.65 [95% CI, 1.24-2.18]). After categorization by CRP change types and adjustment for confounders, the group that became high level had a higher any-stroke risk (HR, 1.45 [95% CI, 1.04-2.02]), with the group that remained at a high level facing the greatest risk (HR, 1.74 [95% CI, 1.30-2.33]). Similar trends were observed for ischemic stroke. The group that remained at a high level also had a heightened hemorrhagic stroke risk (HR, 1.91 [95% CI, 1.07-3.44]). Genetic analysis showed a significant genetic correlation between CRP and stroke (r

conclusionsBoth any stroke and ischemic stroke are related to elevated and remaining high CRP levels, while hemorrhagic stroke is only related to remaining high CRP levels.

Indexed as

C-Reactive ProteinIschemic StrokeStrokeAgedBiomarkersFemaleGenome-Wide Association StudyHumansMaleMiddle AgedProspective StudiesRisk AssessmentRisk FactorsUnited KingdomBiomarkersC-Reactive ProteinC‐reactive protein changegenetic analysesstroke

Identifiers

PMID40135578
PMCPMC12132882

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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.