Evidence map›Paper›PMID 26478912›Full record

ArticleeNeuro2015

CSF and Blood Levels of GFAP in Alexander Disease

Paige L Jany, Guillermo E Agosta, William S Benko, Jens C Eickhoff, Stephanie R Keller, Wolfgang Köehler, David Koeller, Soe Mar, Sakkubai Naidu, Jayne Marie Ness and 9 more

Open access · goldAbstract read
In one paragraph

Article in eNeuro, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

27 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Neuroglial Pathophysiology of Leukodystrophies.Advances in neurobiology · 2025
    Review
  11. Plasma concentrations of glial fibrillary acidic protein, neurofilament light, and tau in Alexander disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  12. Leukodystrophy Imaging: Insights for Diagnostic Dilemmas.Medical sciences (Basel, Switzerland) · 2024
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Refining the concept of GFAP toxicity in Alexander disease.Journal of neurodevelopmental disorders · 2019
    Review
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

19 authors at 15 institutions in 6 countries.

Paige L JanyWaisman Center and Department of Comparative Biosciences, University of Wisconsin-Madison , Madison, Wisconsin 53705.
Guillermo E AgostaDepartment of Child Neurology, Hospital Italiano School of Medicine , C1181ACH Buenos Aires, Argentina.
William S BenkoDevelopmental and Metabolic Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health , Bethesda, Maryland 20814.
Jens C EickhoffDepartment of Biostatistics and Medical Informatics, University of Wisconsin-Madison , Madison, Wisconsin 53792.
Stephanie R KellerDivision of Pediatric Neurology, Emory University , Atlanta, Georgia 30322.
Wolfgang KöehlerChefarzt der Klinik für Neurologie und neurologische Intensivmedizin , D-04799 Wermsdorf, Germany.
David KoellerDepartment of Molecular & Medical Genetics, Oregon Health & Science University , Portland, Oregon 97239 ; Department of Pediatrics, Oregon Health & Science University , Portland, Oregon 97239.
Soe MarDivision of Pediatric Neurology, Washington University St. Louis , St. Louis, Missouri 63110.
Sakkubai NaiduDepartment of Neurology, Johns Hopkins University School of Medicine , Baltimore, Maryland 21205.
Jayne Marie NessDivision of Pediatric Neurology, University of Alabama-Birmingham , Birmingham, Alabama 35233.
Davide PareysonDepartment of Clinical Neurosciences, IRCCS Foundation, C. Besta Neurological Institute , 20133 Milan, Italy.
Deborah L RenaudDivision of Child and Adolescent Neurology, Departments of Neurology and Pediatrics, Mayo Clinic , Rochester, Minnesota 55901.
Ettore SalsanoDepartment of Clinical Neurosciences, IRCCS Foundation, C. Besta Neurological Institute , 20133 Milan, Italy.
Raphael SchiffmannDevelopmental and Metabolic Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health , Bethesda, Maryland 20814.
Julie SimonGenomics Institute, Multi-Care Health System , Tacoma, Washington 98415.
Adeline VanderverChildren's Research Institute , Children's National Health System, Washington, DC 20010.
Florian EichlerMassachusetts General Hospital , Boston, Massachusetts 02114.
Marjo S van der KnaapDepartment of Child Neurology, Free University Medical Center , Amsterdam, 1007 MB, The Netherlands.
Albee MessingWaisman Center and Department of Comparative Biosciences, University of Wisconsin-Madison , Madison, Wisconsin 53705.
University of Wisconsin–Madison · USNational Institutes of Health · USUrology Foundation · GBChildren's National · USEmory University · USHospital Italiano de Buenos Aires · ARJohns Hopkins University · USKlinik und Poliklinik für Neurologie · DEMassachusetts General Hospital · USMayo Clinic · USMultiCare Health System · USOregon Health & Science University · USUniversity Medical Center · USUniversity of Alabama at Birmingham · USWashington University in St. Louis · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
WISCONSIN CENTER ON MENTAL RETARDATION: CORE SUPPORTP30HD003352 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI MESSING, ALBEE · 1985 to 2015
$25.2M
The impact of GFAP mutations upon filament networksP01NS042803 · NINDS · UNIVERSITY OF WISCONSIN-MADISON · PI MESSING, ALBEE · 2002 to 2012
$11.1M
Patient-derived iPS cells as model systems for AxDP01HD076892 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI NEDERGAARD, MAIKEN · 2014 to 2018
$6.0M
Mouse Models of Alexander DiseaseR01NS060120 · NINDS · UNIVERSITY OF WISCONSIN-MADISON · PI MESSING, ALBEE · 2007 to 2011
$1.9M
NCATS NIH HHS UL1 TR000427NICHD NIH HHS P01 HD076892NICHD NIH HHS P30 HD003352NINDS NIH HHS P01 NS042803NINDS NIH HHS R01 NS060120
6 · The paper itself

Abstract

Alexander disease is a rare, progressive, and generally fatal neurological disorder that results from dominant mutations affecting the coding region of GFAP, the gene encoding glial fibrillary acidic protein, the major intermediate filament protein of astrocytes in the CNS. A key step in pathogenesis appears to be the accumulation of GFAP within astrocytes to excessive levels. Studies using mouse models indicate that the severity of the phenotype correlates with the level of expression, and suppression of GFAP expression and/or accumulation is one strategy that is being pursued as a potential treatment. With the goal of identifying biomarkers that indirectly reflect the levels of GFAP in brain parenchyma, we have assayed GFAP levels in two body fluids in humans that are readily accessible as biopsy sites: CSF and blood. We find that GFAP levels are consistently elevated in the CSF of patients with Alexander disease, but only occasionally and modestly elevated in blood. These results provide the foundation for future studies that will explore whether GFAP levels can serve as a convenient means to monitor the progression of disease and the response to treatment.

Indexed as

astrocytebiomarkerGFAP

Identifiers

PMID26478912
PMCPMC4603256
OpenAlexW2184491519

What OpenQuestion 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 OpenQuestion graph.