Evidence map›Paper›PMID 37721405›Full record

ArticleCNS neuroscience & therapeutics2024

SERPINA3: A novel inflammatory biomarker associated with cerebral small vessel disease burden in ischemic stroke.

Xiao Hu, Zhong-Song Xiao, Yi-Qing Shen, Wen-Song Yang, Peng Wang, Pei-Zheng Li, Zi-Jie Wang, Ming-Jun Pu, Li-Bo Zhao, Peng Xie and 1 more

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 15 citations in OpenAlex.

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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

11 authors at 3 institutions in 1 country.

Xiao HuDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0002-1295-3293
Zhong-Song XiaoDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yi-Qing ShenDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Wen-Song YangDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Peng WangDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Pei-Zheng LiDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Zi-Jie WangDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Ming-Jun PuDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Li-Bo ZhaoDepartment of Neurology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
Peng XieDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Qi LiDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0002-9144-148X
The Affiliated Yongchuan Hospital of Chongqing Medical University · CNAnhui Medical University · CNChongqing Medical University · CN

Funding

National Natural Science Foundation of China (No. 82071337)
6 · The paper itself

Abstract

BACKGROUND AND

objectiveInflammation has emerged as a prominent risk factor for cerebral small vessel disease (CSVD). However, the specific association between various inflammatory biomarkers and the development of CSVD remains unclear. Serine proteinase inhibitor A3 (SERPINA3), Matrix metalloproteinase-9 (MMP-9), Tissue inhibitor metalloproteinase-1 (TIMP-1), Monocyte Chemoattractant Protein-1 (MCP-1) are several inflammatory biomarkers that are potentially involved in the development of CSVD. In this present study, we aimed to investigate the relationship between candidate molecules and CSVD features.

methodThe concentration of each biomarker was measured in 79 acute ischemic stroke patients admitted within 72 h after symptom onset. The associations between blood levels of inflammatory markers and CSVD score were investigated, as well as each CSVD feature, including white matter hyperintensities (WMH), lacunes, and enlarged perivascular spaces (EPVS).

resultsThe mean age was 69.0 ± 11.8 years, and 65.8% of participants were male. Higher SERPINA3 level (>78.90 ng/mL) was significantly associated with larger WMH volume and higher scores on Fazekas's scale in all three models. Multiple regression analyses revealed the linear association between absolute WMH burden and SERPINA3 level, especially in model 3 (β = 0.14; 95% confidence interval [CI], 0.04-0.24

conclusionIn summary, among four inflammatory biomarkers that we investigated, SERPINA3 level at baseline was associated with WMH severity, which revealed a novel biomarker for CSVD and validated its relationship with inflammation and endothelial dysfunction.

Indexed as

Cerebral Small Vessel DiseasesIschemic StrokeSerpinsAgedAged, 80 and overBiomarkersFemaleHumansInflammationMagnetic Resonance ImagingMaleMiddle AgedSerine Proteinase InhibitorsBiomarkersSerine Proteinase InhibitorsSERPINA3 protein, humanSerpinscerebral small vessel diseaseinflammationSERPINA3white matter hyperintensity

Identifiers

PMID37721405
PMCPMC10916418
OpenAlexW4386817704

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.