Evidence map›Paper›PMID 40484683›Full record

Observational studyJournal of atherosclerosis and thrombosis2025

Association between Serum Levels of Interleukin-6 and Stroke, Cardiovascular Events, and Alzheimer's Disease Dementia.

Kazuo Kitagawa, Sono Toi, Hiroshi Yoshizawa, Yasuto Sato, Kenichi Todo

Abstract readObservational Study
In one paragraph

Observational study in Journal of atherosclerosis and thrombosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

5 authors.

Kazuo KitagawaDepartment of Neurology, Tokyo Women's Medical University Hospital.
Sono ToiDepartment of Neurology, Tokyo Women's Medical University Hospital.
Hiroshi YoshizawaDepartment of Neurology, Tokyo Women's Medical University Hospital.
Yasuto SatoCenter for Health Informatics Policy, National Institute of Public Health.
Kenichi TodoDepartment of Neurology, Tokyo Women's Medical University Hospital.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe blood inflammatory marker interleukin 6 (IL-6) has been shown to predict future stroke, major adverse cardiovascular events (MACEs), and dementia. However, no study has yet examined this relationship in the same population. The present study compared the predictive utility of IL-6 levels in stroke, MACEs, and Alzheimer's disease (AD) dementia.

methodsIn this post-hoc analysis, we derived data from a Japanese observational registry in which 1011 patients with evidence of cerebral vessel disease were enrolled. After excluding patients who required assistance with daily tasks, were suspected of having dementia, and lacked IL-6 measurement, 471 patients were included. The patients were followed up until March 2023. The outcomes were incident stroke, MACEs, and AD dementia.

resultsDuring a median follow-up period of 4.6 years, stroke, MACEs, and AD dementia occurred in 24, 36, and 21 patients, respectively. Serum IL-6 levels are associated with age, sex, and vascular factors. A Cox proportional hazard analysis revealed that the highest IL-6 tertile (≥ 2.5 pg/mL) was associated with a significantly higher risk of stroke and MACEs than the lowest IL-6 tertile after adjusting for confounding factors (stroke, adjusted hazard ratio 4.84 [95% confidence interval, 1.02-23.05], P = 0.048; MACEs, adjusted hazard ratio 3.68 [95% confidence interval, 1.01-13.51], P = 0.049). However, no association was found between IL-6 tertile groups and AD dementia.

conclusionSerum IL-6 levels predicted stroke and cardiovascular events but not AD dementia in patients with vascular risk factors. The involvement of low-grade systemic inflammation appears to be significantly greater in atherothrombotic events than that in AD dementia.

Indexed as

Alzheimer DiseaseCardiovascular DiseasesInterleukin-6StrokeAgedAged, 80 and overBiomarkersFemaleFollow-Up StudiesHumansIncidenceJapanMaleMiddle AgedPrognosisRegistriesBiomarkersIL6 protein, humanInterleukin-6Alzheimer’s diseaseCardiovascular eventsDementiaInflammationInterleukin 6Stroke

Identifiers

PMID40484683
PMCPMC12597480

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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.