Evidence map›Paper›PMID 41476236›Full record

ArticleEuropean journal of medical research2025

Fecal sulfatide as a non-invasive biomarker for predicting coronary heart disease.

Rui Hu, Yihan Li, Kefan Xue, Xiao Hu, Ran Guo, Hongxia Guo, Gang Li

Abstract read
In one paragraph

Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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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. Review
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

7 authors.

Rui Hu *Clinical Laboratory, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, chinese academy of medical scie, Beijing, China.
Yihan Li *Graduate School of Hebei Medical University, Shijiazhuang, Hebei, China.
Kefan Xue *Graduate School of Hebei Medical University, Shijiazhuang, Hebei, China.
Xiao HuDepartment of Pathophysiology, Hebei Medical University, Shijiazhuang, Hebei, China.
Ran GuoThe Third General Surgery Department, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Hongxia GuoDepartment of Anesthesiology, Hebei General Hospital, Shijiazhuang, Hebei, China.
Gang LiGraduate School of Hebei Medical University, Shijiazhuang, Hebei, China. lipidtougao@163.com.

Funding

Clinical Research Fund for Central High-level Hospitals BJ-2022-188Clinical Research Fund for Central High-level Hospitals BJ-2022-189Hebei Province Government-Funded Clinical Medicine Excellent Talent Training Program ZF2025013Hebei Province Medical Adaptation Technology Tracking Project GZ2024002National Natural Science Foundation of China 82103475Natural Science Foundation of Hebei Province H2023307028Natural Science Foundation of Hebei Province H2024206056the Medical Science Research Project of Hebei Provincial Health Commission 20240370
6 · The paper itself

Abstract

objectivesThe study aimed to investigate a non-invasive biomarker for predicting coronary heart disease by analyzing fecal sulfatide levels.

methodsA retrospective study was conducted on 593 patients with coronary heart disease, divided into acute myocardial infarction (AMI), unstable angina pectoris (UAP), and stable angina pectoris groups (SAP), and a control group of 200 healthy adults. General information was collected for analysis, and fecal sulfatide levels were compared among groups. Binary logistic regression analysis assessed the correlation between fecal sulfatide levels and coronary heart disease. Statistical analyses were performed to evaluate the risk factors, and predictive value was assessed using receiver operating characteristic (ROC) curves.

resultsStatistically significant differences were observed in the characteristics of age, complete blood cell count, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol between the group of patients with coronary heart disease and the control group (P < 0.05). Noteworthy, fecal sulfatide levels were notably higher in coronary heart disease groups. Furthermore, fecal sulfatide levels in AMI group significantly exceeded those in SAP and UAP groups (P < 0.05). Multivariate logistic regression analysis identified fecal sulfatide as an independent risk factor for coronary heart disease, with an area under the ROC curve of 0.893 (95% CI 0.869, 0.921), indicating strong predictive value.

conclusionsFecal sulfatide may serve as a novel, non-invasive biomarker for early coronary heart disease prediction and risk stratification. However, the retrospective and single-center design of this study limits the generalizability of the results, and future large-scale, multi-center prospective studies are needed to validate these findings.

Indexed as

BiomarkersCoronary DiseaseFecesSulfoglycosphingolipidsAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsROC CurveBiomarkersSulfoglycosphingolipidsAcute myocardial infarctionCoronary heart diseaseFecal sulfatideStable angina pectorisUnstable angina pectoris

Identifiers

PMID41476236
PMCPMC12814580

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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.