Evidence map›Paper›PMID 26828714›Full record

ArticleThe Journal of head trauma rehabilitation

Genetic Variation in the Vesicular Monoamine Transporter: Preliminary Associations With Cognitive Outcomes After Severe Traumatic Brain Injury.

Steven M Markos, Michelle D Failla, Anne C Ritter, C Edward Dixon, Yvette P Conley, Joseph H Ricker, Patricia M Arenth, Shannon B Juengst, Amy K Wagner

Abstract read
In one paragraph

Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

Steven M MarkosDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania (Drs Markos, Failla, Ritter, Dixon, Arenth, Juengst, and Wagner); Department of Neuroscience, University of Pittsburgh, Pittsburgh Pennsylvania (Dr Wagner); Center for Neuroscience, University of Pittsburgh, Pittsburgh, Pennsylvania (Drs Dixon and Wagner); Safar Center for Resuscitation Research, University of Pittsburgh, Pittsburgh, Pennsylvania (Drs Dixon and Wagner); Pittsburgh VA Healthcare System, and Department of Neurological Surgery, School of Medicine, University of Pittsburgh (Dr Dixon); Department of Rehabilitation Medicine, New York University, School of Medicine, New York, New York (Dr Ricker); and Department of Human Genetics, University of Pittsburgh, School of Public Health, and Health Promotion and Development, University of Pittsburgh, School of Nursing, Pittsburgh, Pennsylvania (Dr Conley).
Michelle D Failla
Anne C Ritter
C Edward Dixon
Yvette P Conley
Joseph H Ricker
Patricia M Arenth
Shannon B Juengst
Amy K Wagner
Willmott Dixon (United Kingdom) · GBUniversity of Pittsburgh · US

Funding

TBI, Amyloid Metabolism and Statin TherapyP01NS030318 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DIXON, C EDWARD · 2008 to 2010
$3.7M
Dopamine Genetic Variants Modulating Recovery After TBIR01HD048162 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WAGNER, AMY K · 2004 to 2008
$1.8M
Mitochrondrial Genetics of Recovery After Brain InjuryR01NR008424 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CONLEY, YVETTE P · 2005 to 2008
$1.0M
Student Research Training in Integrative, Complementary, and Altenative MedicineT35AT005933 · NCCIH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DICIANNO, BRAD E. · 2010 to 2014
$137k
NCCIH NIH HHS T35 AT005933NICHD NIH HHS R01 HD048162NINDS NIH HHS P01 NS030318NINR NIH HHS R01 NR008424
6 · The paper itself

Abstract

introductionTraumatic brain injury (TBI) frequently results in impaired cognition, a function that can be modulated by monoaminergic signaling. Genetic variation among monoaminergic genes may affect post-TBI cognitive performance. The vesicular monoamine transporter-2 (VMAT2) gene may be a novel source of genetic variation important for cognitive outcomes post-TBI given VMAT2's role in monoaminergic neurotransmission.

objectiveTo evaluate associations between VMAT2 variability and cognitive outcomes post-TBI.

methodsWe evaluated 136 white adults with severe TBI for variation in VMAT2 using a tagging single nucleotide polymorphism (tSNP) approach (rs363223, rs363226, rs363251, and rs363341). We show genetic variation interacts with assessed cognitive impairment (cognitive composite [Comp-Cog] T-scores) to influence functional cognition (functional independence measure cognitive [FIM-Cog] subscale] 6 and 12 months postinjury.

resultsMultivariate analyses at 6 months postinjury showed rs363226 genotype was associated with Comp-Cog (P = .040) and interacted with Comp-Cog to influence functional cognition (P < .001). G-homozygotes had the largest cognitive impairment, and their cognitive impairment had the greatest adverse effect on functional cognition. DISCUSSION: We provide the first evidence that genetic variation within VMAT2 is associated with cognitive outcomes after TBI. Further work is needed to validate this finding and elucidate mechanisms by which genetic variation affects monoaminergic signaling, mediating differences in cognitive outcomes.

Indexed as

Genetic VariationAdolescentAdultAgedBrain Injuries, TraumaticCognition DisordersCohort StudiesFemaleGlasgow Coma ScaleHumansInjury Severity ScoreMaleMiddle AgedPolymorphism, Single NucleotidePrognosisRetrospective StudiesSLC18A2 protein, humanVesicular Monoamine Transport Proteins

Identifiers

PMID26828714
PMCPMC4967045
OpenAlexW2327191631

What OpenQuestion holds

Textmetadata
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.