Evidence map›Paper›PMID 40738752›Full record

Observational studyStroke and vascular neurology2026

Altered gut microbiota and short-chain fatty acid in acute ischaemic stroke with active cancer.

Wei Song, Xiaofei Lin, Genghong Xia, Yueran Ren, Xuxuan Gao, Linling Shen, Qiheng Wu, Jia Yin

Abstract readObservational Study
In one paragraph

Observational study in Stroke and vascular neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

8 authors.

Wei SongDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0000-0001-7812-8897
Xiaofei LinDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0009-0002-9518-756X
Genghong XiaDepartment of Neurology, Zengcheng Branch of Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0000-0001-7235-0438
Yueran RenDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0009-0008-8121-3142
Xuxuan GaoDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0009-0007-5558-7012
Linling ShenDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0009-0006-2883-2855
Qiheng WuDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0000-0001-6448-7688
Jia YinDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China yinj@smu.edu.cn.ORCID 0000-0001-8944-6604

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute ischaemic stroke (AIS) in patients with active cancer presents unique etiological factors and correlates with worse outcomes. Although gut microbiota dysbiosis has been separately documented in stroke pathophysiology and cancer progression, gut microbial profiles in patients with concurrent conditions remain unexplored. We investigated gut microbiota composition and short-chain fatty acid (SCFA) levels in patients with AIS and active cancer.

methodsIn this prospective observational study, we analysed consecutive patients with AIS admitted between 2018 and 2023. Gut microbiota profiles were characterised using 16S rRNA sequencing. Faecal SCFAs were quantified by gas chromatography-mass spectrometry, and serum biomarkers of intestinal barrier function were measured. Functional outcomes were assessed using the modified Rankin Scale (mRS) at 180 days poststroke.

resultsAmong 942 consecutive AIS patients, 156 met inclusion criteria: 42 with active cancer and 114 matched controls. Patients with concurrent AIS and cancer demonstrated significant taxonomic alterations, characterised by elevated

conclusionsPatients with concurrent AIS and active cancer demonstrate distinct gut microbiota profiles and reduced SCFA production, associated with compromised intestinal barrier function and poor outcomes. These observations suggest perturbed gut-brain axis function and motivate exploratory research into microbiota-targeted approaches for this high-risk population.

Indexed as

BacteriaDysbiosisFatty Acids, VolatileGastrointestinal MicrobiomeIschemic StrokeNeoplasmsAgedAged, 80 and overBiomarkersCase-Control StudiesDisability EvaluationFecesFemaleFunctional StatusHumansMaleBiomarkersFatty Acids, VolatileCerebral InfarctionClinical TrialStroke

Identifiers

PMID40738752
PMCPMC13151867

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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.