Evidence map›Paper›PMID 40836221›Full record

ArticleBMC microbiology2025

Fecal metabolites as early-phase biomarkers and prediction panel for ischemic stroke.

Ke Xu, Zhe Ren, Shuang Zhao, Yi Ren, Jiaolin Wang, Wentao Wu, Zicheng Hu, Fei He, Dianji Tu, Qi Zhong and 2 more

Abstract read
In one paragraph

Article in BMC microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

12 authors.

Ke XuDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Zhe RenDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Shuang ZhaoDepartment of Infectious Diseases, Key Laboratory of Molecular Biology for Infectious Diseases, Ministry of Education, Institute for Viral Hepatitis, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Yi RenDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Jiaolin WangInstitute of Neuroscience, School of Basic Medical Sciences, Chongqing Medical University, No.1 Yixueyuan Road, Yuzhong District, Chongqing, 400016, China.
Wentao WuInstitute of Neuroscience, School of Basic Medical Sciences, Chongqing Medical University, No.1 Yixueyuan Road, Yuzhong District, Chongqing, 400016, China.
Zicheng HuDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Fei HeInstitute of Neuroscience, School of Basic Medical Sciences, Chongqing Medical University, No.1 Yixueyuan Road, Yuzhong District, Chongqing, 400016, China.
Dianji TuDepartment of Clinical Laboratory, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, 400037, China.
Qi ZhongInstitute of Neuroscience, School of Basic Medical Sciences, Chongqing Medical University, No.1 Yixueyuan Road, Yuzhong District, Chongqing, 400016, China.
Jianjun ChenInstitute of Neuroscience, School of Basic Medical Sciences, Chongqing Medical University, No.1 Yixueyuan Road, Yuzhong District, Chongqing, 400016, China. chenjianjun@cqmu.edu.cn.
Peng XieDepartment of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China. xiepeng@cqmu.edu.cn.

Funding

China Postdoctoral Science Foundation 2023MD734128China Postdoctoral Special Foundation 2024T171106Chongqing Postdoctoral Special Support Foundation 2023CQBSHTB2010CQMU Program for Youth Innovation in Future Medicine W0168National Key R&D Program of China 2017YFA0505700National Natural Science Foundation of China 81820108015National Natural Science Foundation of China 82301720Program for Youth Innovation in Future Medicine Chongqing Medical University to Peng ZhengQiande Talents Program of the First Affiliated Hospital of Chongqing Medical University 2025QDTS-04The First Affiliated Hospital of Chongqing Medical University Postdoctoral Science Foundation CYYY-BSHPYXM-202310
6 · The paper itself

Abstract

backgroundThere is growing research on the relationship between gut bacteria and various forms of strokes. This study aimed to investigate the relationship between fecal metabolites and ischemic stroke, providing a new perspective on predicting the latter.

resultsStool samples were taken from 60 patients with ischemic stroke and 60 healthy individuals, and non-targeted metabolomic analysis was used. The generalized boosted linear model was utilized for co-occurrence analysis to ascertain the noteworthy variation in fecal metabolites. The important differential metabolites were identified by the random forest algorithm, a prediction panel was developed to distinguish ischemic stroke patients from healthy individuals. Specifically, six differential metabolites (Ganoderic acid theta, Fructose-lysine, Pentaethylene glycol, 2-Chlorooctadecanoic acid, PA(2:0/PGF1alpha), and 4-[(E)-5,6-Dihydro-2,3'-bipyridin-3(4H)-ylidenemethyl]-3-methoxyphenol) were identified as potential independent stroke-associated metabolites. A prediction panel consisting of these six metabolites could yield an area under the curve of 0.989 in training set and 0.973 in testing set. There was a substantial correlation between all six independent stroke-associated metabolites and the severity of ischemic stroke, but it was not affected by depression or anxiety.

conclusionsThese six differential metabolites were independent stroke-associated metabolites, and the panel consisting of these metabolites could serve as a potential prediction panel for ischemic stroke. However, future external validation in multi-ethnic cohorts is necessary to confirm broader generalizability.

Indexed as

BiomarkersFecesIschemic StrokeAdultAgedFemaleGastrointestinal MicrobiomeHumansMaleMetabolomeMetabolomicsMiddle AgedBiomarkersBiomarkerGutIschemic strokeMetabolome

Identifiers

PMID40836221
PMCPMC12366175

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.