Evidence map›Paper›PMID 38014691›Full record

ArticleJournal of the American Heart Association2023

Vasoregulatory Autoantibodies and Clinical Outcome After Ischemic Stroke-PROSCIS-B.

Thomas G Liman, Bob Siegerink, Sophie Piper, Rusan Catar, Guido Moll, Gabriela Riemekasten, Harald Heidecke, Peter U Heuschmann, Mitchell S V Elkind, Duska Dragun and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01363856 (Center for Stroke Research Berlin), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 29% 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.

NCT01363856 unknown statusnot on this map

Center for Stroke Research Berlin (CSB) Prospective Stroke Cohort

TypeobservationalSponsorCharite University, Berlin, GermanyRan2010 to 2015Enrolled750ConditionsStroke
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
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 8 institutions in 3 countries.

Thomas G LimanCenter for Stroke Research Berlin (CSB) Charité - Universitätsmedizin Berlin Berlin Germany.ORCID 0000-0002-8471-8049
Bob SiegerinkLeiden University Medical Center, Leiden University Department of Clinical Epidemiology Leiden The Netherlands.ORCID 0000-0002-8454-9142
Sophie PiperInstitute for Biometry and Clinical Epidemiology; Charité - Universitätsmedizin Berlin Berlin Germany.ORCID 0000-0002-0147-8992
Rusan CatarDepartment of Nephrology and Intensive Care Medicine Charité - Universitätsmedizin Berlin Berlin Germany.ORCID 0000-0002-7000-7860
Guido MollDepartment of Nephrology and Intensive Care Medicine Charité - Universitätsmedizin Berlin Berlin Germany.ORCID 0000-0001-6173-5957
Gabriela RiemekastenClinic for Rheumatology and Clinical Immunology Universitätsklinikum Schleswig-Holstein Lübeck Germany.
Harald HeideckeCellTrend GmbH Luckenwalde Germany.
Peter U HeuschmannComprehensive Heart Failure Center University Hospital Würzburg Würzburg Germany.ORCID 0000-0002-2681-3515
Mitchell S V ElkindDepartment of Neurology, Vagelos College of Physicians and Surgeons, and Department of Epidemiology, Mailman School of Public Health Columbia University New York NY USA.ORCID 0000-0003-2562-1156
Duska DragunDepartment of Nephrology and Intensive Care Medicine Charité - Universitätsmedizin Berlin Berlin Germany.
Matthias EndresCenter for Stroke Research Berlin (CSB) Charité - Universitätsmedizin Berlin Berlin Germany.ORCID 0000-0001-6520-3720
Charité - Universitätsmedizin Berlin · DEGerman Center for Neurodegenerative Diseases · DEColumbia University · USInstitute of Pathology Celle · DELeiden University Medical Center · NLUniversity Hospital Schleswig-Holstein · DEUniversity of Würzburg · DEZimmer Biomet (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVasoregulatory autoantibodies including autoantibodies targeting G-protein-coupled receptors might play a functional role in vascular diseases. We investigated the impact of vasoregulatory autoantibodies on clinical outcome after ischemic stroke. METHODS AND

resultsData were used from the PROSCIS-B (Prospective Cohort With Incident Stroke-Berlin). Autoantibody-targeting receptors such as angiotensin II type 1 receptor (AT1R), endothelin-1 type A receptor, complement factor-3 and -5 receptors, vascular endothelial growth factor receptor-1 and -2, vascular endothelial growth factor A and factor B were measured. We explored associations of high antibody levels with (1) poor functional outcome defined as modified Rankin Scale >2 or Barthel Index <60 at 1 year after stroke, (2) Barthel Index scores over time using general estimating equations, and (3) secondary vascular events (recurrent stroke, myocardial infarction) or death up to 3 years using Cox proportional hazard models. We included 491 patients with ischemic stroke with data on autoantibody levels and outcome. In models adjusted for demographics and vascular risk factors, high autoantibody concentrations (quartile 4) targeting complement factor C3a receptor, vascular endothelial growth factor receptor-2, and vascular endothelial growth factor B were associated with poor functional outcome at 1 year: (odds ratio, 2.0 [95% CI, 1.1-3.6]; odds ratio, 1.8 [95% CI, 1.1-3.2]; and odds ratio, 2.1 [95% CI, 1.2-3.6], respectively) and with lower Barthel Index scores over 3 years (complement factor C3a receptor: adjusted β=-3.3 [95% CI, -5.7 to -0.5]; VEGF-B: adjusted β=-2.4 [95% CI, -4.8 to -0.06]). Patients with high autoantibody levels were not at higher risk for secondary vascular events or death.

conclusionsHigh levels of autoantibodies against vascular endothelial growth factor receptor-2, vascular endothelial growth factor B, and complement factor C3a receptor measured are associated with poor functional outcome after stroke but not with recurrent vascular events or death. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT01363856.

Indexed as

Ischemic StrokeStrokeAutoantibodiesHumansProspective StudiesVascular Endothelial Growth Factor AVascular Endothelial Growth Factor BVascular Endothelial Growth Factor Receptor-2AutoantibodiesVascular Endothelial Growth Factor AVascular Endothelial Growth Factor BVascular Endothelial Growth Factor Receptor-2autoantibodiesischemic strokeprospective studiesvascular endothelial growth factor Avascular endothelial growth factor Bvascular endothelial growth factor receptor‐1

Identifiers

PMID38014691
PMCPMC10727313
OpenAlexW4389087254

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.