Evidence map›Paper›PMID 19811094›Full record

ArticleJournal of neurotrauma2009

A panel of neuron-enriched proteins as markers for traumatic brain injury in humans.

Robert Siman, Nikhil Toraskar, Antony Dang, Elizabeth McNeil, Micheal McGarvey, Justin Plaum, Eileen Maloney, M Sean Grady

Open access · greenAbstract read
In one paragraph

Article in Journal of neurotrauma, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 3% of its field
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

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 155 citations in OpenAlex.

  1. Potential Blood-based Biomarkers for Concussion.Sports medicine and arthroscopy review · 2016
    Pooled it
  2. Trial
  3. Trial
  4. Serum biomarkers of MRI brain injury in neonatal hypoxic ischemic encephalopathy treated with whole-body hypothermia: a pilot study.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2013
    Trial
  5. Trial
  6. Trial
  7. Research progress on biomarkers of traumatic brain injury.Animal models and experimental medicine · 2026
    Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Traumatic Brain Injury Biomarkers, Simulations and Kinetics.Bioengineering (Basel, Switzerland) · 2022
    Article
  13. Observational
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Biochemical Parameters in Cognitive Functions.Neuropsychiatric disease and treatment · 2020
    Review
  20. Review

8 more citing papers are in PubMed but not listed here.

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

8 authors at 1 institution in 1 country.

Robert SimanDepartment of Neurosurgery, Center for Brain Injury and Repair, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. siman@mail.med.upenn.edu
Nikhil Toraskar
Antony Dang
Elizabeth McNeil
Micheal McGarvey
Justin Plaum
Eileen Maloney
M Sean Grady
University of Pennsylvania · US

Funding

Surrogate markers for brain damageR01NS048234 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI SIMAN, ROBERT · 2005 to 2009
$1.4M
NINDS NIH HHS NS048234NINDS NIH HHS R01 NS048234
6 · The paper itself

Abstract

Surrogate markers have enormous potential for contributing to the diagnosis, prognosis, and therapeutic evaluation of acute brain damage, but extensive prior study of individual candidates has not yielded a biomarker in widespread clinical practice. We hypothesize that a panel of neuron-enriched proteins measurable in cerebrospinal fluid (CSF) and blood should vastly improve clinical evaluation and therapeutic management of acute brain injuries. Previously, we developed such a panel based initially on the study of protein release from degenerating cultured neurons, and subsequently on rodent models of traumatic brain injury (TBI) and ischemia, consisting of 14-3-3beta, 14-3-3zeta, three distinct phosphoforms of neurofilament H, ubiquitin hydrolase L1, neuron-specific enolase, alpha-spectrin, and three calpain- and caspase-derived fragments of alpha-spectrin. In the present study, this panel of 11 proteins was evaluated as CSF and serum biomarkers for severe TBI in humans. By quantitative Western blotting and sandwich immunoassays, the CSF protein levels were near or below the limit of detection in pre-surgical and most normal pressure hydrocephalus (NPH) controls, but following TBI nine of the 11 were routinely elevated in CSF. Whereas different markers peaked coordinately, the time to peak varied across TBI cases from 24-96 h post-injury. In serum, TBI increased all four members of the marker panel for which sandwich immunoassays are currently available: a calpain-derived NH(2)-terminal alpha-spectrin fragment and the three neurofilament H phosphoforms. Our results identify neuron-enriched proteins that may serve as a panel of CSF and blood surrogate markers for the minimally invasive detection, management, mechanistic, and therapeutic evaluation of human TBI.

Indexed as

AdolescentAdultAgedAged, 80 and overBiomarkersBlotting, WesternBrain InjuriesEnzyme-Linked Immunosorbent AssayFemaleHumansMaleMiddle AgedNeurofilament ProteinsSpectrinYoung AdultBiomarkersNeurofilament ProteinsSpectrin

Identifiers

PMID19811094
PMCPMC2822802
OpenAlexW2067934293

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.