Evidence map›Paper›PMID 23929743›Full record

Trial reportStroke2013

Genome-wide analysis of blood pressure variability and ischemic stroke.

Sunaina Yadav, Ioana Cotlarciuc, Patricia B Munroe, Muhammad S Khan, Michael A Nalls, Steve Bevan, Yu-Ching Cheng, Wei-Min Chen, Rainer Malik, Nina S McCarthy and 25 more

Erratum issuedOpen access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Stroke, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. GWAS of longitudinal trajectories at biobank scale.American journal of human genetics · 2022
    Article
  6. Article
  7. Article
  8. Finding a Signal in the Noise.Clinical journal of the American Society of Nephrology : CJASN · 2016
    Article
  9. Review
  10. Genetics of diabetic retinopathy.Current diabetes reports · 2014
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors at 4 institutions in 3 countries.

Sunaina Yadav *Imperial College Cerebrovascular Research Unit (ICCRU), Imperial College London, Fulham Palace Rd, London W6 8RF, United Kingdom.
Ioana Cotlarciuc *Imperial College Cerebrovascular Research Unit (ICCRU), Imperial College London, Fulham Palace Rd, London W6 8RF, United Kingdom.
Patricia B Munroe *Centre for Clinical Pharmacology, William Harvey Research Institute, Barts and the London Medical School, London, UK.
Muhammad S KhanImperial College Cerebrovascular Research Unit (ICCRU), Imperial College London, Fulham Palace Rd, London W6 8RF, United Kingdom.
Michael A NallsLaboratory of Neurogenetics, National Institute on Aging, US National Institutes of Health, Bethesda, Maryland, USA.
Steve BevanStroke and Dementia Research Centre, St. George's University of London, London, UK.
Yu-Ching ChengBaltimore Veterans Affairs Medical Centre, Baltimore, Maryland, USA.
Wei-Min ChenCenter for Public Health Genomics, University of Virginia, Charlottesville, VA, USA.
Rainer MalikInstitute for Stroke and Dementia Research (ISD), Medical Centre, Klinikum der Universität München, Ludwig-Maximilians-University, Munich, Germany and Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.
Nina S McCarthyCentre for Genetic Origins of Health and Disease, University of Western Australia, Crawley, WA 6009, Australia.
Elizabeth G HollidayCentre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.
Douglas SpeedUCL Genetics Institute, University College London, London, UK.
Nazeeha HasanImperial College Cerebrovascular Research Unit (ICCRU), Imperial College London, Fulham Palace Rd, London W6 8RF, United Kingdom.
Mateusz PucekImperial College Cerebrovascular Research Unit (ICCRU), Imperial College London, Fulham Palace Rd, London W6 8RF, United Kingdom.
Paul E RinneImperial College Cerebrovascular Research Unit (ICCRU), Imperial College London, Fulham Palace Rd, London W6 8RF, United Kingdom.
Peter SeverInternational Centre for Circulatory Health, Imperial College London, London W2 1PG, UK.
Alice StantonMolecular and Cellular Therapeutics, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Denis C ShieldsConway Institute of Biomolecular & Biomedical Research, University College Dublin, Dublin 4, Ireland.
Jane M MaguireHunter Medical Research Institute, Newcastle, New South Wales, Australia.
Mark McEvoyCentre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.
Rodney J ScottHunter Medical Research Institute, Newcastle, New South Wales, Australia.
Luigi FerrucciLongitudinal Studies Section, Clinical Research Branch, National Institute on Aging, National Institutes of Health, Baltimore, MD 21225, USA.
Mary J MacleodDivision of Applied Medicine, University of Aberdeen, Aberdeen, UK.
John AttiaCentre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.
Hugh S MarkusStroke and Dementia Research Centre, St. George's University of London, London, UK.
Michele M SaleDivision of Cardiovascular Medicine, Department of Internal Medicine, University of Virginia, Charlottesville, VA, USA.
Bradford B WorrallDepartments of Neurology and Public Health Sciences, University of Virginia, Charlottesville, Virginia, USA.
Braxton D MitchellDepartment of Medicine, University of Maryland, Baltimore, Maryland, USA.
Martin DichgansInstitute for Stroke and Dementia Research (ISD), Medical Centre, Klinikum der Universität München, Ludwig-Maximilians-University, Munich, Germany and Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.
Cathy SudlowDivision of Clinical Neurosciences, University of Edinburgh, Edinburgh, UK.
James F MeschiaDepartment of Neurology, Mayo Clinic, Jacksonville, Florida, USA.
Peter M RothwellDepartment of Clinical Neurology, John Radcliffe Hospital, Oxford, UK.
Mark Caulfield *Centre for Clinical Pharmacology, William Harvey Research Institute, Barts and the London Medical School, London, UK.
Pankaj Sharma *Imperial College Cerebrovascular Research Unit (ICCRU), Imperial College London, Fulham Palace Rd, London W6 8RF, United Kingdom.
International Stroke Genetics Consortium
Baltimore VA Medical Center · USUniversity College Dublin · IEUniversity of Aberdeen · GBWinnMed · US

Funding

Vitamin Intervention for Stroke Prevention (VISP)R01NS034447 · NINDS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI TOOLE, JAMES F · 1996 to 2006
$18.0M
THE BALTIMORE LONGITUDINAL STUDY OF HUMAN AGINGZ01AG000015 · NIA · NATIONAL INSTITUTE ON AGING · PI FERRUCCI, LUIGI · 1985 to 2008
$11.4M
The NINDS International Stroke Genetics Consortium StudyU01NS069208 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI KITTNER, STEVEN J · 2010 to 2013
$9.4M
Siblings With Ischemic Stroke Study (SWISS)R01NS039987 · NINDS · MAYO CLINIC JACKSONVILLE · PI MESCHIA, JAMES F · 2000 to 2009
$9.2M
Genome Wide Association Coordinating CenterU01HG004446 · NHGRI · UNIVERSITY OF WASHINGTON · PI WEIR, BRUCE S. · 2007 to 2011
$6.6M
ISGS: The Ischemic Stroke Genetics StudyR01NS042733 · NINDS · MAYO CLINIC JACKSONVILLE · PI MESCHIA, JAMES F · 2002 to 2006
$3.7M
Genetics of Early Onset-StrokeR01NS045012 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI KITTNER, STEVEN J · 2003 to 2007
$3.3M
Pharmacogenomic studies in VISP: results & implications for clinical trial designU01HG005160 · NHGRI · UNIVERSITY OF VIRGINIA · PI SALE, MICHELE M, WORRALL, BRADFORD B · 2009 to 2011
$1.9M
Genetic Risk to Stroke in Smokers and Nonsmokers in Two Ethnic GroupsU01HG004436 · NHGRI · UNIVERSITY OF MARYLAND BALTIMORE · PI MITCHELL, BRAXTON D · 2008 to 2009
$1.1M
Genetics Of StrokeZ01AG000954 · NIA · NATIONAL INSTITUTE ON AGING · PI SINGLETON, ANDREW · 2002 to 2008
$831k
Department of HealthIntramural NIH HHS Z01 AG000015Intramural NIH HHS Z01 AG000954Medical Research Council G0600237Medical Research Council G9521010Medical Research Council MR/K006584/1NHGRI NIH HHS HHSN268200782096CNHGRI NIH HHS U01 HG004436NHGRI NIH HHS U01 HG 004446NHGRI NIH HHS U01 HG004446NHGRI NIH HHS U01 HG005160NIA NIH HHS Z01 AG-000015-50NIA NIH HHS Z01 AG-000954-06NINDS NIH HHS R01 NS034447NINDS NIH HHS R01 NS039987NINDS NIH HHS R01 NS042733NINDS NIH HHS R01 NS045012NINDS NIH HHS R01 NS34447NINDS NIH HHS R01 NS-39987NINDS NIH HHS R01 NS-42733NINDS NIH HHS R01 NS45012NINDS NIH HHS U01 NS069208NINDS NIH HHS U01 NS069208-01Wellcome Trust 085475/B/08/ZWellcome Trust 085475/Z/08/ZWellcome Trust 095626Wellcome Trust WT084724MA
6 · The paper itself

Abstract

background and purposeVisit-to-visit variability in blood pressure (vBP) is associated with ischemic stroke. We sought to determine whether such variability has genetic causes and whether genetic variants associated with BP variability are also associated with ischemic stroke.

methodsA Genome Wide Association Study (GWAS) for loci influencing BP variability was undertaken in 3802 individuals from the Anglo-Scandinavian Cardiac Outcome Trial (ASCOT) study, in which long-term visit-to-visit and within-visit BP measures were available. Because BP variability is strongly associated with ischemic stroke, we genotyped the sentinel single nucleotide polymorphism in an independent ischemic stroke population comprising 8624 cases and 12 722 controls and in 3900 additional (Scandinavian) participants from the ASCOT study to replicate our findings.

resultsThe ASCOT discovery GWAS identified a cluster of 17 correlated single nucleotide polymorphisms within the NLGN1 gene (3q26.31) associated with BP variability. The strongest association was with rs976683 (P=1.4×10(-8)). Conditional analysis of rs976683 provided no evidence of additional independent associations at the locus. Analysis of rs976683 in patients with ischemic stroke found no association for overall stroke (odds ratio, 1.02; 95% CI, 0.97-1.07; P=0.52) or its subtypes: cardioembolic (odds ratio, 1.07; 95% CI, 0.97-1.16; P=0.17), large vessel disease (odds ratio, 0.98; 95% CI, 0.89-1.07; P=0.60), and small vessel disease (odds ratio, 1.07; 95% CI, 0.97-1.17; P=0.19). No evidence for association was found between rs976683 and BP variability in the additional (Scandinavian) ASCOT participants (P=0.18).

conclusionsWe identified a cluster of single nucleotide polymorphisms at the NLGN1 locus showing significant association with BP variability. Follow-up analyses did not support an association with risk of ischemic stroke and its subtypes.

Indexed as

Blood PressureBrain IschemiaGenome-Wide Association StudyPolymorphism, Single NucleotideStrokeAdultAgedCell Adhesion Molecules, NeuronalChromosomes, Human, Pair 3FemaleGenetic LociHumansMaleMiddle AgedCell Adhesion Molecules, Neuronalneuroligin 1blood pressure variabilitygenesGWASpolymorphismstroke

Identifiers

PMID23929743
PMCPMC3904673
OpenAlexW2130652409

What Socratic holds

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Registered trials

None linked

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 Socratic graph.