Evidence map›Paper›PMID 40869247›Full record

ReviewInternational journal of molecular sciences2025

Immunological and Inflammatory Biomarkers in the Prognosis, Prevention, and Treatment of Ischemic Stroke: A Review of a Decade of Advancement.

Marius P Iordache, Anca Buliman, Carmen Costea-Firan, Teodor Claudiu Ion Gligore, Ioana Simona Cazacu, Marius Stoian, Doroteea Teoibaș-Şerban, Corneliu-Dan Blendea, Mirela Gabriela-Irina Protosevici, Cristiana Tanase and 1 more

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  6. Interleukin-8 in health and disease.Molecular biomedicine · 2026
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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

11 authors.

Marius P IordacheFaculty of Medicine, "Titu Maiorescu" University, 040441 Bucharest, Romania.ORCID 0009-0008-7065-3708
Anca BulimanFaculty of Medicine, "Titu Maiorescu" University, 040441 Bucharest, Romania.ORCID 0009-0004-1123-3974
Carmen Costea-FiranIlfov County Clinical Emergency Hospital, 022104 Bucharest, Romania.
Teodor Claudiu Ion GligoreNational Institute of Medical Expertise and Work Capacity Recovery, 050659 Bucharest, Romania.
Ioana Simona CazacuNeuromuscular Rehabilitation Clinic Division, Clinical Emergency Hospital "Bagdasar-Arseni", 041915 Bucharest, Romania.
Marius StoianHermes Medical Clinic, 077167 Ilfov, Romania.
Doroteea Teoibaș-ŞerbanFaculty of Medicine, "Titu Maiorescu" University, 040441 Bucharest, Romania.
Corneliu-Dan BlendeaFaculty of Medicine, "Titu Maiorescu" University, 040441 Bucharest, Romania.ORCID 0009-0005-1911-829X
Mirela Gabriela-Irina ProtoseviciFaculty of Medicine, "Titu Maiorescu" University, 040441 Bucharest, Romania.
Cristiana TanaseFaculty of Medicine, "Titu Maiorescu" University, 040441 Bucharest, Romania.ORCID 0000-0002-2122-0235
Maria-Linda PopaDepartment of Cell Biology and Histology, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischemic stroke triggers a dynamic immune response that influences both acute damage and long-term recovery. This review synthesizes a decade of evidence on immunological and inflammatory biomarkers in ischemic stroke, emphasizing their prognostic and therapeutic significance. Following ischemic insult, levels of pro-inflammatory cytokines, such as interleukin-1β (IL-1β), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α), and chemokines like interleukin-8 (IL-8) rapidly rise, promoting blood-brain barrier disruption, leukocyte infiltration, and neuronal death. Conversely, anti-inflammatory mediators such as interleukin-10 (IL-10) and transforming growth factor-β (TGF-β) facilitate repair, neurogenesis, and immune regulation in later phases. The balance between these pathways determines outcomes and is reflected in circulating biomarkers. Composite hematological indices including the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII) offer accessible and cost-effective prognostic tools. Several biomarkers correlate with infarct size, neurological deterioration, and mortality, and may predict complications like hemorrhagic transformation or infection. Therapeutic strategies targeting cytokines, especially IL-1 and IL-6, have shown promise in modulating inflammation and improving outcomes. Future directions include personalized immune profiling, real-time cytokine monitoring, and combining immunotherapy with neurorestorative approaches. By integrating immune biomarkers into stroke care, clinicians may enhance risk stratification, optimize treatment timing, and identify candidates for novel interventions. This review underscores inflammation's dual role and evolving therapeutic and prognostic relevance in ischemic stroke.

Indexed as

BiomarkersInflammationIschemic StrokeAnimalsCytokinesHumansPrognosisBiomarkersCytokinesbiomarkerscytokinesimmune responseinflammationischemic strokeoutcomepreventionprognosis

Identifiers

PMID40869247
PMCPMC12386479

What Socratic holds

Textmetadata
LicenceCC BY
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.