Evidence map›Paper›PMID 29720216›Full record

Trial reportJournal of neuroinflammation2018

Decreased level of irisin, a skeletal muscle cell-derived myokine, is associated with post-stroke depression in the ischemic stroke population.

Wen-Jun Tu, Han-Cheng Qiu, Qiang Liu, Xuemei Li, Ji-Zong Zhao, Xianwei Zeng

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of neuroinflammation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
–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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

6 authors.

Wen-Jun TuInstitute of Radiation Medicine, China Academy of Medical Science and Peking Union Medical College, Tianjin, China.
Han-Cheng QiuDepartment of Neurosurgery, Beijing Tiantan Hospital of Capital Medical University, Beijing, China.
Qiang LiuInstitute of Radiation Medicine, China Academy of Medical Science and Peking Union Medical College, Tianjin, China. liuqiang_cams@163.com.
Xuemei LiCenter for Translational Medicine, Institutes of Stroke, Weifang Medical University, Weifang, China.
Ji-Zong ZhaoDepartment of Neurosurgery, Beijing Tiantan Hospital of Capital Medical University, Beijing, China. zhaojztj205@163.com.
Xianwei ZengCenter for Translational Medicine, Institutes of Stroke, Weifang Medical University, Weifang, China.

Funding

CAMS Innovation Fund for Medical Science 2017-I2M-1-016National Natural Science Foundation of China 81671175
6 · The paper itself

Abstract

backgroundDepression is a frequent mood disorder in stroke patient. Our aim was to determine irisin levels in serum and investigate their associations with post-stroke depression (PSD) in a 6-month follow-up study in Chinese patients with first-ever acute ischemic stroke (AIS).

methodsThe subjects were first-ever AIS patients who were hospitalized at three stroke centers during the period from January 2015 to December 2016. Neurological and neuropsychological evaluations were conducted at the 6-month follow-up. Serum irisin concentrations were measured by enzyme-linked immunosorbent assay (ELISA).

resultsDuring the study period, 1205 patients were included in the analysis. There were 370 patients (30.7%) classified as depression. The depression distribution across the irisin quartiles ranged between 49.8% (first quartile) and 9.9% (fourth quartile). In the patients with depression, serum irisin levels were lower compared with those in patients without depression (P < 0.001). In a multivariate model using the first (Q1) quartile of irisin vs. Q2-4 together with the clinical variables, the marker displayed predictive information and increased risk of PSD by 75% (odds ratio [OR] for Q1, 1.75 [95% confidence interval [CI], 1.15-2.65]). In addition, a model containing known risk factors plus irisin compared with a model containing known risk factors without irisin showed a greater discriminatory ability; the area under the curve (AUC) increased from 0.77 to 0.81 (95% CI, 0.76-0.86).

conclusionsThe data suggested that reduced serum levels of irisin were powerful biological markers of risk of developing PSD even after adjustment by variables. Further studies are necessary to confirm this association, which may open the way to the proposal of new therapeutic options.

trial registrationChiCTR-OPC-17013501 . Retrospectively registered 23 September 2017.

Indexed as

Population SurveillanceAgedBiomarkersBrain IschemiaChinaCohort StudiesDepressionFemaleFibronectinsFollow-Up StudiesHumansMaleMiddle AgedMuscle, SkeletalProspective StudiesRetrospective StudiesBiomarkersFibronectinsFNDC5 protein, humanAcute ischemic strokeChineseDepressionIrisin

Identifiers

PMID29720216
PMCPMC5932807

What Socratic holds

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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 Socratic graph.