Evidence map›Paper›PMID 27571524›Full record

ArticleNeurosurgery2017

Lumbar Cerebrospinal Fluid Biomarkers of Posthemorrhagic Hydrocephalus of Prematurity: Amyloid Precursor Protein, Soluble Amyloid Precursor Protein α, and L1 Cell Adhesion Molecule.

Diego M Morales, Shawgi A Silver, Clinton D Morgan, Deanna Mercer, Terri E Inder, David M Holtzman, Michael J Wallendorf, Rakesh Rao, James P McAllister, David D Limbrick

Open access · greenAbstract read
In one paragraph

Article in Neurosurgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 18% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pathophysiologic mechanisms and strategies for the treatment of post-hemorrhagic hydrocephalus of prematurity.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    Pooled it
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  17. Blood Exposure Causes Ventricular Zone Disruption and Glial Activation In Vitro.Journal of neuropathology and experimental neurology · 2018
    Article
  18. Review
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  20. Ventricular Zone Disruption in Human Neonates With Intraventricular Hemorrhage.Journal of neuropathology and experimental neurology · 2017
    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

10 authors at 3 institutions in 1 country.

Diego M MoralesDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.
Shawgi A SilverDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.
Clinton D MorganDepart-ment of Neurological Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee.
Deanna MercerDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.
Terri E InderDepartment of Pediatrics, Harvard University School of Medicine, Boston, Massachusetts.
David M HoltzmanDepartment of Neurology, Washington University School of Medicine, St. Louis, Missouri.
Michael J WallendorfDivision of Biostat-istics, Washington University School of Medicine, St. Louis, Missouri.
Rakesh RaoDepart-ment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
James P McAllisterDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.
David D LimbrickDepartment of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.
Neurological Surgery · USHope Center for Neurological Disorders · USVanderbilt University · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Intellectual and Developmental Disabilities Research Center-Administrative Down Syndrome SupplementU54HD087011 · NICHD · WASHINGTON UNIVERSITY · PI CONSTANTINO, JOHN N. · 2015 to 2019
$7.1M
Washington University Intellectual and Developmental Disabilities Research CenterP30HD062171 · NICHD · WASHINGTON UNIVERSITY · PI NEIL, JEFFREY J. · 2010 to 2014
$4.3M
CSF LEVELS OF L1CAM AND AMYLOID PRECURSOR PROTEIN IN POST-HEMORRHAGIC HYDROCEPHALK23NS075151 · NINDS · WASHINGTON UNIVERSITY · PI LIMBRICK, DAVID DELMAR · 2012 to 2016
$843k
Reducing infections and blockage associated with long-term implantation of ventriculoperitoneal and related shuntsR44NS139774 · NINDS · WYNNVISION, LLC · PI HARRIS, CAROLYN A, MCALLISTER, JAMES PATTERSON · 2025 to 2025
$306k
Howard Hughes Medical InstituteNCATS NIH HHS UL1 TR000448NICHD NIH HHS L40 HD066822NICHD NIH HHS P30 HD062171NICHD NIH HHS U54 HD087011NINDS NIH HHS K23 NS075151NINDS NIH HHS R44 NS139774
6 · The paper itself

Abstract

backgroundIntraventricular hemorrhage (IVH) is the most frequent, severe neurological complication of prematurity and is associated with posthemorrhagic hydrocephalus (PHH) in up to half of cases. PHH requires lifelong neurosurgical care and is associated with significant cognitive and psychomotor disability. Cerebrospinal fluid (CSF) biomarkers may provide both diagnostic information for PHH and novel insights into its pathophysiology.

objectiveTo explore the diagnostic ability of candidate CSF biomarkers for PHH.

methodsConcentrations of amyloid precursor protein (APP), soluble APPα (sAPPα), soluble APPβ, neural cell adhesion molecule-1 (NCAM-1), L1 cell adhesion molecule (L1CAM), tau, phosphorylated tau, and total protein (TP) were measured in lumbar CSF from neonates in 6 groups: (1) no known neurological disease (n = 33); (2) IVH grades I to II (n = 13); (3) IVH grades III to IV (n = 12); (4) PHH (n = 12); (5) ventricular enlargement without hydrocephalus (n = 10); and (6) hypoxic ischemic encephalopathy (n = 13). CSF protein levels were compared using analysis of variance, and logistic regression was performed to examine the predictive ability of each marker for PHH.

resultsLumbar CSF levels of APP, sAPPα, L1CAM, and TP were selectively increased in PHH compared with all other conditions (all P < .001). The sensitivity, specificity, and odds ratios of candidate CSF biomarkers for PHH were determined for APP, sAPPα, and L1CAM; cut points of 699, 514, and 113 ng/mL yielded odds ratios for PHH of 80.0, 200.0, and 68.75, respectively.

conclusionLumbar CSF APP, sAPPα, L1CAM, and TP were selectively increased in PHH. These proteins, and sAPPα, in particular, hold promise as biomarkers of PHH and provide novel insight into PHH-associated neural injury and repair.

Indexed as

Amyloid beta-Protein PrecursorBiomarkersCerebral HemorrhageFemaleHumansHydrocephalusInfant, NewbornInfant, PrematureInfant, Premature, DiseasesLogistic ModelsMaleNeural Cell Adhesion Molecule L1Odds RatioSensitivity and SpecificityAmyloid beta-Protein PrecursorBiomarkersNeural Cell Adhesion Molecule L1Amyloid precursor proteinBiomarkerCerebrospinal fluidIntraventricular hemorrhageL1CAMNeurosurgeryPosthemorrhagic hydrocephalusPretermsAPPα

Identifiers

PMID27571524
PMCPMC5326702
OpenAlexW2511895913

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.