Evidence map›Paper›PMID 25063686›Full record

ArticleNeurorehabilitation and neural repair

Variation in the BDNF gene interacts with age to predict mortality in a prospective, longitudinal cohort with severe TBI.

Michelle D Failla, Raj G Kumar, Andrew B Peitzman, Yvette P Conley, Robert E Ferrell, Amy K Wagner

Open access · bronzeAbstract read
In one paragraph

Article in Neurorehabilitation and neural repair. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 5% 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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
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  5. BDNF: New Views of an Old Player in Traumatic Brain Injury.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2024
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  13. AcuteNeurorehabilitation and neural repair · 2021
    Article
  14. The Role of BDNF in Experimental and Clinical Traumatic Brain Injury.International journal of molecular sciences · 2021
    Review
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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

6 authors at 1 institution in 1 country.

Michelle D FaillaDepartment of Physical Medicine & Rehabilitation, University of Pittsburgh, School of Medicine, Pittsburgh PA Center for Neuroscience, University of Pittsburgh, Pittsburgh, PA.
Raj G KumarDepartment of Physical Medicine & Rehabilitation, University of Pittsburgh, School of Medicine, Pittsburgh PA.
Andrew B PeitzmanDepartment of Surgery, University of Pittsburgh, School of Medicine, Pittsburgh PA.
Yvette P ConleyDepartment of Health Promotion & Development, University of Pittsburgh, School of Nursing, Pittsburgh, PA.
Robert E FerrellDepartment of Human Genetics, University of Pittsburgh, School of Public Health, Pittsburgh, PA.
Amy K WagnerDepartment of Physical Medicine & Rehabilitation, University of Pittsburgh, School of Medicine, Pittsburgh PA Center for Neuroscience, University of Pittsburgh, Pittsburgh, PA Safar Center for Resuscitation Research, University Pittsburgh, Pittsburgh, PA wagnerak@upmc.edu.
University of Pittsburgh · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Dopamine Genetic Variants Modulating Recovery After TBIR01HD048162 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WAGNER, AMY K · 2004 to 2008
$1.8M
Genomic Variability and Symptomatology After Traumatic Brain InjuryR01NR013342 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CONLEY, YVETTE P · 2011 to 2013
$1.2M
Mitochrondrial Genetics of Recovery After Brain InjuryR01NR008424 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CONLEY, YVETTE P · 2005 to 2008
$1.0M
NCATS NIH HHS UL1 TR000005NICHD NIH HHS R01 HD048162NICHD NIH HHS R01HD048162NINR NIH HHS R01 NR008424NINR NIH HHS R01NR008424NINR NIH HHS R01 NR013342NINR NIH HHS R01NR013342
6 · The paper itself

Abstract

backgroundMortality predictions following traumatic brain injury (TBI), and our understanding of TBI pathology, may be improved by including genetic risk in addition to traditional prognostic variables. One promising target is the gene coding for brain-derived neurotrophic factor (BDNF), a ubiquitous neurotrophin important for neuronal survival and neurogenesis.

objectiveWe hypothesized the addition of BDNF genetic variation would improve mortality prediction models and that BDNF Met-carriers (rs6265) and C-carriers (rs7124442) would have the highest mortality rates post-TBI.

methodsThis study examined BDNF functional single nucleotide polymorphisms rs6265 (val66met) and rs7124442 (T>C) in relation to mortality in a prospective, longitudinal cohort with severe TBI. We examined 315 individuals receiving care for a closed head injury within the University of Pittsburgh Medical Center, aged 16 to 74 years. Mortality was examined acutely (0-7 days postinjury) and postacutely (8-365 days postinjury). A gene risk score (GRS) was developed to examine both BDNF loci. Cox proportional hazards models were used to calculate hazard ratios for survivability post-TBI while controlling for covariates.

resultsBDNF GRS was significantly associated with acute mortality, regardless of age. Interestingly, subjects in the hypothesized no-risk allele group had the lowest survival probability. Postacutely, BDNF-GRS interacted with age such that younger participants in the no-risk group had the highest survival probability, while older participants in the hypothesized no-risk group had the lowest probability of survival.

conclusionsThese data suggest complex relationships between BDNF and TBI mortality that interact with age to influence survival predictions beyond clinical variables alone. Evidence supporting dynamic, temporal balances of pro-survival/pro-apoptotic target receptors may explain injury and age-related gene associations.

Indexed as

AdolescentAdultAgedAge FactorsBrain-Derived Neurotrophic FactorBrain InjuriesFemaleHumansKaplan-Meier EstimateLongitudinal StudiesMaleMiddle AgedMortalityPolymorphism, Single NucleotidePrognosisProspective StudiesBDNF protein, humanBrain-Derived Neurotrophic FactorageBDNFbrain injurygenetic association studymortalityTrkB

Identifiers

PMID25063686
PMCPMC4305354
OpenAlexW2021577947

What OpenQuestion holds

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LicenceTDM
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.