Evidence map›Paper›PMID 40607046›Full record

ArticleResuscitation plus2025

An untargeted metabolomics analysis suggests pathophysiological changes for post cardiac arrest syndrome.

Junhong Wang, Hua Zhang, Fan Yang, Ayijiang Jiamaliding, Yan Wang, Qingbian Ma

Abstract read
In one paragraph

Article in Resuscitation plus, 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

6 authors.

Junhong WangEmergency Department, Peking University Third Hospital. 49 Huayuan North Road, Beijing 100191, China.
Hua ZhangResearch Center of Clinical Epidemiology, Peking University Third Hospital,49 Huayuan North Road, Beijing 100191, China.
Fan YangEmergency Department, Peking University Third Hospital. 49 Huayuan North Road, Beijing 100191, China.
Ayijiang JiamalidingEmergency Department, Peking University Third Hospital. 49 Huayuan North Road, Beijing 100191, China.
Yan WangEmergency Department, Peking University Third Hospital. 49 Huayuan North Road, Beijing 100191, China.
Qingbian MaEmergency Department, Peking University Third Hospital. 49 Huayuan North Road, Beijing 100191, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cardiac arrest (CA) is a significant cause of mortality worldwide. However, the differences of untargeted metabolomics of CA patients have rarely been described. Methods: CA patients and controls were enrolled at the Emergency Department of Peking University Third Hospital between September 2022 and August 2023 in this prospective cohort study. Medical record data were utilized, and blood samples were analyzed via ultrahigh-performance liquid chromatography-tandem mass spectrometry. Comparison was made between CA patients vs controls and survivors vs non- survivors. Multivariate feature selection by sparse partial least squares discriminant analysis and metabolite set enrichment analysis were used to identify metabolites and biological pathways.Correlation analysis between these metabolites included in Significant enrichment pathways and clinical laboratory indicators was conducted. Results: 23 controls and 23 CA patients met the inclusion criteria. Principal component analysis and partial least squares discriminant analysis indicated a clear separation between the patients with CA and the healthy controls. A total of 348 differentially abundant metabolites, consisting of 132 upregulated metabolites and 216 downregulated metabolites, were screened between the above two groups. The CA group included 16 non-survivors and 7 survivors. Compared with non-survivors, 85 differentially abundant metabolites in survivors were upregulated, and 283 metabolites were downregulated. Choline metabolism in cancer and glycerophospholipid metabolism, were upregulated and enriched by Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis, whereas tryptophan metabolism, steroid hormone biosynthesis and alanine, aspartate and glutamate metabolism, and were downregulated. L-kynurenine, PLCs, cortisol and L-glutamate were correlated with some laboratory indicators. Conclusions: Differentially abundant metabolites and pathways discovered by metabolomics analysis may explained the pathophysiological changes of post CA syndrome. Some metabolites were hopeful to be prognostic biomarkers for post CA syndrome. Further pre-clinical and clinical researches need to study the mechanism of these findings.

Indexed as

Cardiac arrestKyoto Encyclopedia of Genes and Genomes pathwayMetabolomicsPost cardiac arrest syndrome

Identifiers

PMID40607046
PMCPMC12214122

What Socratic holds

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LicenceCC BY-NC-ND
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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.