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ArticleScientific reports2016

Serum Concentrations of Ubiquitin C-Terminal Hydrolase-L1 and Glial Fibrillary Acidic Protein after Pediatric Traumatic Brain Injury.

Stefania Mondello, Firas Kobeissy, Annarita Vestri, Ronald L Hayes, Patrick M Kochanek, Rachel P Berger

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06537713 (Diagnostic Role of Serum Testican and Ubiquitin Levels in Patients With Head Trauma), which is not on this map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
8.8field-weighted citation impact, top 2% 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.

NCT06537713 completednot on this mapstarted 2020, after this paper: background citation

Diagnostic Role of Serum Testican and Ubiquitin Levels in Patients With Head Trauma

TypeobservationalSponsorKanuni Sultan Suleyman Training and Research HospitalRan2020 to 2021Enrolled89ConditionsModerate Traumatic Brain Injury, Testican-1, UbiquitinArmsTestican-1
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Blood-based biomarkers GFAP/UCH-L1 for the diagnosis of mild traumatic brain injury (mTBI): a single-center implementation experience.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  5. Research progress on biomarkers of traumatic brain injury.Animal models and experimental medicine · 2026
    Review
  6. Article
  7. Serum Biomarkers in Paediatric Neurosurgery: Traumatic Brain Injury and Beyond.Advances and technical standards in neurosurgery · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Observational
  20. 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

6 authors at 5 institutions in 2 countries.

Stefania MondelloDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
Firas KobeissyDepartment of Psychiatry, University of Florida, Gainesville, FL, USA.
Annarita VestriDepartment of Public Health and Infectious Disease, Sapienza University of Rome, Rome, Italy.
Ronald L HayesBanyan Biomarkers, Inc. Alachua, FL, USA.
Patrick M KochanekDepartment of Critical Care Medicine, Safar Center for Resuscitation Research, Pittsburgh, PA, USA.
Rachel P BergerChildren's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA.
Banyan Biomarkers (United States) · USChildren's Hospital of Pittsburgh · USSapienza University of Rome · ITUniversity of Florida · USUniversity of Messina · IT

Funding

Biochemical Markers of Traumatic Brain InjuryR01NS052831 · NINDS · UNIVERSITY OF FLORIDA · PI ROBICSEK, STEVEN ANDREW · 2006 to 2010
$4.9M
Using Biochemical Markers to Detect Abusive Head TraumaK23HD043843 · NICHD · CHILDREN'S HOSP PITTSBURGH/UPMC HLTH SYS · PI BERGER, RACHEL P · 2003 to 2007
$677k
NICHD NIH HHS K23 HD043843NINDS NIH HHS R01 NS052831
6 · The paper itself

Abstract

Objective reliable markers to assess traumatic brain injury (TBI) and predict outcome soon after injury are a highly needed tool for optimizing management of pediatric TBI. We assessed serum concentrations of Glial Fibrillary Acidic Protein (GFAP) and Ubiquitin C-Terminal Hydrolase-L1 (UCH-L1) in a cohort of 45 children with clinical diagnosis of TBI (Glasgow Coma Scale [GCS] 3-15) and 40 healthy subjects, evaluated their associations with clinical characteristics and outcomes, and compared their performance to previously published data on two well-studied blood biomarkers, S100B and MBP. We observed higher serum levels of GFAP and UCH-L1 in brain-injured children compared with controls and also demonstrated a step-wise increase of biomarker concentrations over the continuum of severity from mild to severe TBI. Furthermore, while we found that only the neuronal biomarker UCH-L1 holds potential to detect acute intracranial lesions as assessed by computed tomography (CT), both markers were substantially increased in TBI patients even with a normal CT suggesting the presence of undetected microstructural injuries. Serum UCH-L1 and GFAP concentrations also strongly predicted poor outcome and performed better than S100B and MBP. Our results point to a role of GFAP and UCH-L1 as candidate biomarkers for pediatric TBI. Further studies are warranted.

Indexed as

BiomarkersBrain Injuries, TraumaticCase-Control StudiesChildChild, PreschoolFemaleGlial Fibrillary Acidic ProteinHumansMaleMyelin Basic ProteinProspective StudiesS100 Calcium Binding Protein beta SubunitTomography, X-Ray ComputedTreatment OutcomeUbiquitin ThiolesteraseBiomarkersGlial Fibrillary Acidic ProteinMBP protein, humanMyelin Basic ProteinS100B protein, humanS100 Calcium Binding Protein beta SubunitUbiquitin ThiolesteraseUCHL1 protein, human

Identifiers

PMID27319802
PMCPMC4913316
OpenAlexW2461067695

What OpenQuestion holds

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Registered trials

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.