Evidence mapPaperPMID 40096964Full record

ArticleStroke and vascular neurology2025

MetS in the prediction of asymptomatic intracranial arterial stenosis: the potential mediating role of hsCRP.

Jie Liu, Yang Liu, Longyou Zhang, Wenbo Li, Ying Zhang, Yin Hong, Juan Li, Yun Yun Duan, Huaguang Zheng

Abstract read
In one paragraph

Article in Stroke and vascular neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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

1 citing paper in PubMed.

  1. 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

9 authors.

Jie LiuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yang LiuHealth Management Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Longyou ZhangHealth Management Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Wenbo LiDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Ying ZhangHealth Management Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yin HongHealth Management Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Juan LiHealth Management Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yun Yun DuanDepartment of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Huaguang ZhengHealth Management Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China zhgdoc@163.com.ORCID http://orcid.org/0000-0001-6400-5474

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to investigate the relationships between metabolic syndrome (MetS) and its severity score (Metsss) with asymptomatic intracranial arterial stenosis (aICAS) while also assessing the additional effect of high-sensitivity C reactive protein (hsCRP).

methodsThis cross-sectional study included 2390 individuals who underwent health examinations at our centre from June 2019 to August 2023. Participants received physical examinations, laboratory tests and magnetic resonance angiography evaluations. MetS was defined by the modified acknowledged criteria and quantified by Metsss. Logistic regression, interaction analysis and mediation analysis were employed.

resultsAmong the 2390 participants, 135 (5.65%) had aICAS, and 726 (30.40%) had MetS. After adjusting for confounders, MetS was significantly associated with aICAS (OR: 1.68, 95% CI: 1.16 to 2.43, p=0.006). The prevalence of aICAS increased significantly from 3.6% to 8.6% as the number of MetS components increased. Higher quartiles of Metsss also significantly increased aICAS risk (P for trend <0.001). After multivariable adjustment, MetS (p=0.001) and elevated Metsss (p<0.001) were only associated with posterior circulation aICAS (vs anterior). Furthermore, participants with both MetS and elevated hsCRP levels had a greater risk for aICAS (OR: 2.32, 95% CI: 1.36 to 3.96, p=0.002). hsCRP mediated the association between MetS and alCAS in participants ≤65 years old.

conclusionsMetS and Metsss were independently associated with the risk of aICAS. The mediating effect of hsCRP on the relationship between MetS and aICAS appears to be age-dependent. These findings offer valuable insights into clinical decision making of aICAS and further improve the primary stroke prevention.

Indexed as

C-Reactive ProteinInflammation MediatorsIntracranial Arterial DiseasesMetabolic SyndromeAdultAgedAsymptomatic DiseasesBiomarkersConstriction, PathologicCross-Sectional StudiesFemaleHumansMaleMiddle AgedPredictive Value of TestsPrevalenceBiomarkersC-Reactive ProteinInflammation MediatorsAtherosclerosisCerebrovascular DisordersInflammationRisk FactorsStroke

Identifiers

PMID40096964
PMCPMC12573320

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.