Evidence map›Paper›PMID 27656877›Full record

ArticlePloS one

The Cerebral Surfactant System and Its Alteration in Hydrocephalic Conditions.

Stefan Schob, Donald Lobsien, Benjamin Friedrich, Matthias K Bernhard, Corinna Gebauer, Julia Dieckow, Matthias Gawlitza, Mandy Pirlich, Dorothee Saur, Lars Bräuer and 5 more

Open access · goldAbstract read
In one paragraph

Article in PloS one. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.3field-weighted citation impact, top 21% 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, 14 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

15 authors at 3 institutions in 1 country.

Stefan SchobDepartment of Neuroradiology, University Leipzig, Germany.
Donald LobsienDepartment of Neuroradiology, University Leipzig, Germany.
Benjamin FriedrichDepartment of Diagnostic and Interventional Radiology, University Leipzig, Germany.
Matthias K BernhardDivision of Neuropediatrics, University Leipzig, Germany.
Corinna GebauerDepartment of Neonatology, University Leipzig, Germany.
Julia DieckowDepartment of Ophthalmology, University Leipzig, Germany.
Matthias GawlitzaDepartment of Neuroradiology, University Leipzig, Germany.
Mandy PirlichDepartment of Neurology, University Leipzig, Germany.
Dorothee SaurDepartment of Neurology, University Leipzig, Germany.
Lars BräuerInstitute of Anatomy, University of Erlangen-Nuremberg, Germany.
Ingo BechmannInstitute of Anatomy, University Leipzig, Germany.
Karl-Titus HoffmannDepartment of Neuroradiology, University Leipzig, Germany.
Cynthia V MahrDepartment of Neurosurgery, University Leipzig, Germany.
Ulf NestlerDepartment of Neurosurgery, University Leipzig, Germany.
Matthias PreußDepartment of Neurosurgery, University Leipzig, Germany.
Leipzig University · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEUniversity Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPulmonary Surfactant reduces surface tension in the terminal airways thus facilitating breathing and contributes to host's innate immunity. Surfactant Proteins (SP) A, B, C and D were recently identified as inherent proteins of the CNS. Aim of the study was to investigate cerebrospinal fluid (CSF) SP levels in hydrocephalus patients compared to normal subjects. PATIENTS AND

methodsCSF SP A-D levels were quantified using commercially available ELISA kits in 126 patients (0-84 years, mean 39 years). 60 patients without CNS pathologies served as a control group. Hydrocephalus patients were separated in aqueductal stenosis (AQS, n = 24), acute hydrocephalus without aqueductal stenosis (acute HC w/o AQS, n = 16) and idiopathic normal pressure hydrocephalus (NPH, n = 20). Furthermore, six patients with pseudotumor cerebri were investigated.

resultsSP A-D are present under physiological conditions in human CSF. SP-A is elevated in diseases accompanied by ventricular enlargement (AQS, acute HC w/o AQS) in a significant manner (0.67, 1.21 vs 0.38 ng/ml in control, p<0.001). SP-C is also elevated in hydrocephalic conditions (AQS, acute HC w/o AQS; 0.87, 1.71 vs. 0.48 ng/ml in controls, p<0.001) and in Pseudotumor cerebri (1.26 vs. 0.48 ng/ml in controls, p<0.01). SP-B and SP-D did not show significant alterations.

conclusionThe present study confirms the presence of SPs in human CSF. There are significant changes of SP-A and SP-C levels in diseases affecting brain water circulation and elevation of intracranial pressure. Cause of the alterations, underlying regulatory mechanisms, as well as diagnostic and therapeutic consequences of cerebral SP's requires further thorough investigations.

Identifiers

PMID27656877
PMCPMC5033422
OpenAlexW2521475486

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.