Evidence map›Paper›PMID 36442686›Full record

ArticleNeurochemistry international2023

The time dimension to stroke: Circadian effects on stroke outcomes and mechanisms.

Pradip K Kamat, Mohammad Badruzzaman Khan, Cameron Smith, Shahneela Siddiqui, Babak Baban, Krishnan Dhandapani, David C Hess

Open access · greenAbstract read
In one paragraph

Article in Neurochemistry international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 26% 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

11 citing papers in PubMed, 10 citations in OpenAlex.

  1. Improving physiological monitoring and reporting standards in preclinical stroke research.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
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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

7 authors at 1 institution in 1 country.

Pradip K KamatDepartments of Neurology, Medical College of Georgia, Augusta University, USA. Electronic address: pkamat@augusta.edu.
Mohammad Badruzzaman KhanDepartments of Neurology, Medical College of Georgia, Augusta University, USA.
Cameron SmithDepartments of Neurology, Medical College of Georgia, Augusta University, USA.
Shahneela SiddiquiDepartments of Neurology, Medical College of Georgia, Augusta University, USA.
Babak BabanDepartments of Oral Biology, Dental College of Georgia, Augusta University, USA.
Krishnan DhandapaniDepartment of Neurosurgery, Medical College of Georgia, Augusta University, USA.
David C HessDepartments of Neurology, Medical College of Georgia, Augusta University, USA.
Augusta University · US

Funding

Targeting RBC dysfunction in VCIDRF1NS122863 · NINDS · AUGUSTA UNIVERSITY · PI HESS, DAVID C. · 2021 to 2021
$1.6M
Rheoerythrocrine dysfunction in stroke and remote ischemic conditioning (REDS)R01NS112511 · NINDS · AUGUSTA UNIVERSITY · PI HESS, DAVID C. · 2020 to 2023
$1.3M
Remote Ischemic Conditioning: A collateral therapeutic and neuroprotectantU01NS113356 · NINDS · AUGUSTA UNIVERSITY · PI HESS, DAVID C. · 2019 to 2021
$1.1M
NINDS NIH HHS R01 NS112511NINDS NIH HHS RF1 NS122863NINDS NIH HHS U01 NS113356
6 · The paper itself

Abstract

The circadian system is widely involved in the various pathological outcomes affected by time dimension changes. In the brain, the master circadian clock, also known as the "pacemaker," is present in the hypothalamus's suprachiasmatic nucleus (SCN). The SCN consists of molecular circadian clocks that operate in each neuron and other brain cells. These circadian mechanisms are controlled by the transcription and translation of specific genes such as the clock circadian regulator (Clock) and brain and muscle ARNT-Like 1 (Bmal1). Period (Per1-3) and cryptochrome (Cry1 and 2) negatively feedback and regulate the clock genes. Variations in the circadian cycle and these clock genes can affect stroke outcomes. Studies suggest that the peak stroke occurs in the morning after patients awaken from sleep, while stroke severity and poor outcomes worsen at midnight. The main risk factor associated with stroke is high blood pressure (hypertension). Blood pressure usually dips by 15-20% during sleep, but many hypertensives do not display this normal dipping pattern and are non-dippers. A sleep blood pressure is the primary determinant of stroke risk. This article discusses the possible mechanism associated with circadian rhythm and stroke outcomes.

Indexed as

Circadian ClocksStrokeARNTL Transcription FactorsBrainCircadian RhythmCryptochromesHumansSuprachiasmatic NucleusARNTL Transcription FactorsCryptochromesAgingCircadian rhythmClock geneDiabetesHypertensionInflammationStroke

Identifiers

PMID36442686
PMCPMC9839555
OpenAlexW4309942230

What Socratic holds

Textmetadata
LicenceTDM
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.