Evidence map›Paper›PMID 31440388›Full record

ArticleAging and disease2019

Plasma Lipoprotein-associated Phospholipase A2 and Superoxide Dismutase are Independent Predicators of Cognitive Impairment in Cerebral Small Vessel Disease Patients: Diagnosis and Assessment.

Shuzhen Zhu, Xiaobo Wei, Xiaohua Yang, Zifeng Huang, Zihan Chang, Fen Xie, Qin Yang, Changhai Ding, Wei Xiang, Hongjun Yang and 7 more

Open access · goldAbstract read
In one paragraph

Article in Aging and disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 4 pooled it
8.4field-weighted citation impact, top 2% 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

58 citing papers in PubMed, 4 syntheses or guidelines pooled it, 72 citations in OpenAlex.

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  10. Risk factors for cerebral artery stenosis in patients with minor ischemic stroke classified as large atherosclerosis.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025
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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

17 authors at 7 institutions in 4 countries.

Shuzhen Zhu1Department of Neurology and.
Xiaobo Wei1Department of Neurology and.
Xiaohua Yang1Department of Neurology and.
Zifeng Huang1Department of Neurology and.
Zihan Chang1Department of Neurology and.
Fen Xie1Department of Neurology and.
Qin Yang1Department of Neurology and.
Changhai Ding2Department of Orthopedics, Zhujiang Hospital of Southern Medical University, Guangdong, China.
Wei Xiang4Department of Neurology, Guangzhou General Hospital of Guangzhou Military Command, Guangdong, China.
Hongjun Yang4Department of Neurology, Guangzhou General Hospital of Guangzhou Military Command, Guangdong, China.
Ying Xia5Shanghai Key Laboratory of Acupuncture Mechanism and Acupoint Function, Fudan University, Shanghai, China.
Zhong-Ping Feng6Department of Physiology and.
Hong-Shuo Sun6Department of Physiology and.
Midori A Yenari8Department of Neurology, University of California, San Francisco & the San Francisco Veterans Affairs Medical Center, San Francisco, USA.
Lin Shi9Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China.
Vincent Ct Mok11Gerald Choa Neuroscience Centre, Department of Medicine and Therapeutics, Faculty of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.
Qing Wang1Department of Neurology and.
General Hospital of Guangzhou Military Command · CNChinese University of Hong Kong · CNFudan University · CNPrince of Wales Hospital · CNUniversity of California, San Francisco · USUniversity of Tasmania · AUUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lipoprotein-associated phospholipase A2 (Lp-PLA2) and superoxide dismutase (SOD) are linked to regulating vascular/neuro-inflammation and stroke. Using a retrospective design, we investigated whether circulating Lp-PLA2 and SOD in cerebral small vessel disease (CSVD) patients were associated with cognitive impairment. Eighty-seven CSVD patients were recruited. Plasma Lp-PLA2 and SOD were determined, and cognitive status was measured by the Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA). The severity of white matter hypoerintensities (WMHs) in CSVD patients was rated according to Fazekas scales, and Lp-PLA2/SOD levels and MMSE/MoCA were compared. Multiple linear regressions were used to evaluate the relationship between Lp-PLA2 and SOD and the cognitive impairment. Ordinal logistic regression and generalized linear models (OLRGLMs) were applied to confirm whether Lp-PLA2 and SOD are independent risk factors for cognitive impairment in CVSD. Lp-PLA2 and SOD with mild or severe cognitive impairment were lower than those with normal congnition. Lp-PLA2 and SOD in CSVD patients with severe WMHs were significantly lower than those with mild or moderate WMH lesions. We noted positive linear associations of Lp-PLA and SOD with cognitive impairment in CSVD, independent of LDL-C. OLRGLMs confirmed that Lp-PLA2 and SOD were independent risk factors of cognitive impairment in CSVD. Lp-PLA2 and SOD are independently associated with cognitive impairment and WMH lesion, and may be useful for the rapid evaluation of cognitive impairment in CSVD. Lp-PLA2/SOD are modifiable factors that may be considered as therapeutic targets for preventing cognitive impairment in CSVD.

Indexed as

cerebral small vessel diseasecognitionLp-PLA2superoxide dismutase

Identifiers

PMID31440388
PMCPMC6675532
OpenAlexW2965861983

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.