Evidence map›Paper›PMID 40323444›Full record

SynthesisBiogerontology2025

Circulating immune cells in cerebral small vessel disease: a systematic review.

L Van der Taelen, A M Briones, T Unger, J Staals, R J van Oostenbrugge, S Foulquier

Abstract readSystematic Review
In one paragraph

Synthesis in Biogerontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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

6 authors.

L Van der TaelenDepartment of Pharmacology and Toxicology, Maastricht University, Maastricht, The Netherlands.
A M BrionesDepartamento de Farmacología, Facultad de Medicina, CiberCV, Universidad Autónoma de Madrid, Instituto de Investigación Hospital Universitario La Paz, Madrid, Spain.
T UngerCARIM - Research institute of Cardiovascular Diseases, Maastricht University, Maastricht, The Netherlands.
J StaalsDepartment of Neurology, Maastricht University Medical Center, Maastricht, The Netherlands.
R J van OostenbruggeDepartment of Neurology, Maastricht University Medical Center, Maastricht, The Netherlands.
S FoulquierDepartment of Pharmacology and Toxicology, Maastricht University, Maastricht, The Netherlands. s.foulquier@maastrichtuniversity.nl.

Funding

H2020 Marie Skłodowska-Curie Actions 954798
6 · The paper itself

Abstract

Cerebral small vessel disease (cSVD) refers to all pathologies of the brain's arterioles, capillaries, and venules. cSVD is highly prevalent with ageing and is diagnosed by its characteristic neuro-imaging features. Emerging evidence suggests that circulating immune cells play an important role in cSVD's pathology. However, the specific immune cell populations involved remain poorly understood. This systematic review synthesizes current evidence on circulating immune cells in cSVD and their associations with cSVD features. A systematic search was conducted using PubMed, Embase, and Web of Science databases. All studies investigating the association between peripheral immune cells and imaging features of cSVD were included. Data were extracted on study design, immune cells and cSVD measures, and outcomes. A total of 18 studies were included. Pro-inflammatory monocytes were associated with the severity and progression of cSVD over time. The neutrophil-to-lymphocyte ratio (NLR) showed positive associations with white matter hyperintensities (WMH) and enlarged perivascular spaces. The monocyte-to-HDL ratio (MHR) demonstrated a stronger association than the NLR with WMH, lacunes, and cerebral microbleeds. The lymphocyte-to-monocyte ratio (LMR) was linked to slower WMH progression and lower cSVD prevalence. Key findings highlight a role for pro-inflammatory circulating monocytes, NLR, MHR, and LMR in cSVD patients. These derived ratios serve as more reliable disease predictors than individual blood counts, showing potential as innovative diagnostic and prognostic markers. However, the reviewed studies predominantly employed cross-sectional and retrospective designs, suggesting the need for large-scale, prospective investigations to determine the role of these inflammatory markers in cSVD's pathogenesis.

Indexed as

Cerebral Small Vessel DiseasesMonocytesHumansLymphocytesNeutrophilsCerebral small vessel diseaseCirculating immune cellsEnlarged perivascular spacesLacunesMicrobleedsWhite matter hyperintensities

Identifiers

PMID40323444
PMCPMC12052918

What Socratic holds

Textmetadata
LicenceCC BY
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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.