Evidence map›Paper›PMID 25628968›Full record

ArticleAmerican journal of neurodegenerative disease2014

Select small nucleolar RNAs in blood components as novel biomarkers for improved identification of comorbid traumatic brain injury and post-traumatic stress disorder in veterans of the conflicts in Afghanistan and Iraq.

Lap Ho, Gudrun Lange, Wei Zhao, Jun Wang, Robert Rooney, Divyen H Patel, Malusha M Fobler, Drew A Helmer, Gregory Elder, Michael C Shaughness and 3 more

Open access · greenAbstract read
In one paragraph

Article in American journal of neurodegenerative disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 35% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Blast Scaling Parameters: Transitioning from Lung to Skull Base Metrics.Journal of surgery and emergency medicine · 2017
    Article
  9. 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

13 authors at 5 institutions in 1 country.

Lap HoDepartment of Neurology, Icahn School of Medicine at Mount Sinai New York, USA.
Gudrun LangeWar-Related Illness and Injury Study Center, VA-New Jersey Healthcare System East Orange, NJ, USA.
Wei ZhaoDepartment of Neurology, Icahn School of Medicine at Mount Sinai New York, USA ; Neurology Service, James J. Peters Department of Veterans Affairs Medical Center Bronx, New York, USA.
Jun WangDepartment of Neurology, Icahn School of Medicine at Mount Sinai New York, USA ; Neurology Service, James J. Peters Department of Veterans Affairs Medical Center Bronx, New York, USA.
Robert RooneyGenomic Explorations, Inc. Memphis TN 38105, USA.
Divyen H PatelGenomic Explorations, Inc. Memphis TN 38105, USA.
Malusha M FoblerWar-Related Illness and Injury Study Center, VA-New Jersey Healthcare System East Orange, NJ, USA.
Drew A HelmerWar-Related Illness and Injury Study Center, VA-New Jersey Healthcare System East Orange, NJ, USA.
Gregory ElderNeurology Service, James J. Peters Department of Veterans Affairs Medical Center Bronx, New York, USA.
Michael C ShaughnessDepartment of Neurotrauma, Operational and Undersea Medicine Directorate, Naval Medical Research Center Silver Spring, MD, USA.
Stephen T AhlersDepartment of Neurotrauma, Operational and Undersea Medicine Directorate, Naval Medical Research Center Silver Spring, MD, USA.
Scott J RussoDepartment of Neuroscience, Icahn School of Medicine at Mount Sinai New York, USA.
Giulio Maria PasinettiDepartment of Neurology, Icahn School of Medicine at Mount Sinai New York, USA ; Neurology Service, James J. Peters Department of Veterans Affairs Medical Center Bronx, New York, USA ; Geriatric Research and Clinical Center, James J. Peter Veterans Affairs Medical Center Bronx, NY, USA.
James J. Peters VA Medical Center · USVA New Jersey Health Care System · USGenomic Health (United States) · USIcahn School of Medicine at Mount Sinai · USNaval Medical Research Command · US

Funding

Anti-hypertensive drugs that prevent Alzheimer's disease beta-amyloid pathology aU01AG029310 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI PASINETTI, GIULIO MARIA · 2007 to 2010
$909k
The Neurobiology of Blast-Related Brain Injury in a Rat Model of mTBII01RX000996 · VA · JAMES J PETERS VA MEDICAL CENTER · PI ELDER, GREGORY A. · 2014 to 2018
–
NIA NIH HHS U01 AG029310RRD VA I01 RX000996
6 · The paper itself

Abstract

backgroundThe present study was designed to validate the ability of our recently identified set of small noncoding RNA candidate mild traumatic brain injury (mTBI) biomarkers to diagnose mTBI in the presence or absence of post-traumatic stress disorder (PTSD) comorbidity. Using qPCR, we explored the regulation of the candidate biomarkers in peripheral blood mononuclear cells (PBMC) from 58 veterans.

resultsWe confirmed that 4 small nucleolar RNAs (snoRNAs), ACA48, U35, U55, and U83A, are significantly down-regulated in PBMC from veterans with mTBI and PTSD compared to non-TBI, control subjects with PTSD only. We found that the snoRNA biomarkers are able to dissect subjects with comorbid mTBI and PTSD from PTSD subjects without mTBI with 100% sensitivity, 81% accuracy, and 72% specificity. No significant differential expression of snoRNA biomarkers was found in mTBI subjects without comorbid PTSD. However, we found significantly lower U55 contents in subjects with PTSD. We explored the regulation of ACA48 in rodent models of PTSD or blast-induced mTBI to gather proof-of-concept evidence that would connect the regulation of the biomarkers and the development of mTBI or PTSD. We found no change in the regulation of ACA48 in the mTBI rat model. We did, however, find significant down-regulation of ACA48 in the PTSD mouse model 24 hours following psychological trauma exposure. This may reflect a short-term response to trauma exposure, since we found no change in the regulation of ACA48 in veteran PTSD subjects 3.6 years post-deployment.

conclusionsAdditional application of the 4 snoRNA biomarker to current diagnostic criteria may provide an objective biomarker pattern to help identify veterans with comorbid mTBI and PTSD. Our observations suggest that biological interactions between TBI and PTSD may contribute to the clinical features of veterans with comorbid mTBI and PTSD. Future investigations on mTBI mechanisms or TBI biomarkers should consider their interactions with PTSD.

Indexed as

biomarkerMild traumatic brain injurypost-traumatic stress disordersmall nucleolar RNAs

Identifiers

PMID25628968
PMCPMC4299721
OpenAlexW2155514410

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.