Evidence map›Paper›PMID 27677908›Full record

ArticleNeurocritical care2017

ABCC8 Single Nucleotide Polymorphisms are Associated with Cerebral Edema in Severe TBI.

Ruchira M Jha, Ava M Puccio, David O Okonkwo, Benjamin E Zusman, Seo-Young Park, Jessica Wallisch, Philip E Empey, Lori A Shutter, Robert S B Clark, Patrick M Kochanek and 1 more

Open access · greenAbstract read
In one paragraph

Article in Neurocritical care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 4% 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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Glibenclamide for Brain Contusions: Contextualizing a Promising Clinical Trial Design that Leverages an Imaging-Based TBI Endotype.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Sulfonylurea Receptor 1 in Central Nervous System Injury: An Updated Review.International journal of molecular sciences · 2021
    Review
  12. Emerging therapeutic targets for cerebral edema.Expert opinion on therapeutic targets · 2021
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

11 authors at 1 institution in 1 country.

Ruchira M JhaDepartment of Critical Care Medicine, School of Medicine, University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA, 15261, USA. ruchirajha@gmail.com.ORCID 0000-0002-3047-7649
Ava M PuccioDepartment of Neurosurgery, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
David O OkonkwoDepartment of Neurosurgery, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Benjamin E ZusmanDepartment of Neurosurgery, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Seo-Young ParkDepartment of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Jessica WallischDepartment of Critical Care Medicine, School of Medicine, University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA, 15261, USA.
Philip E EmpeyDepartment of Pharmacy and Therapeutics, School of Pharmacy, University of Pittsburgh, Pittsburgh, PA, USA.
Lori A ShutterDepartment of Critical Care Medicine, School of Medicine, University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA, 15261, USA.
Robert S B ClarkDepartment of Critical Care Medicine, School of Medicine, University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA, 15261, USA.
Patrick M KochanekDepartment of Critical Care Medicine, School of Medicine, University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA, 15261, USA.
Yvette P ConleyClinical and Translational Science Institute, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
University of Pittsburgh · US

Funding

The Stroke Hyperglycemia Insulin Network Effort (SHINE) TrialU01NS069498 · NINDS · UNIVERSITY OF VIRGINIA · PI BRUNO, ASKIEL, HALL, CHRISTIANA · 2011 to 2017
$27.7M
University of Pittsburgh Clinical and Translational Science InstitutionKL2TR000146 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$8.7M
PEDIATRIC NEUROINTENSIVE CARE AND RESUSCITATION RESEARCHT32HD040686 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Robert S B Clark, PATRICK M KOCHANEK · 2000 to 2026
$7.1M
Multidisciplinary Training in Critical Care Outcomes ResearchT32HL007820 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Timothy D Girard, Jeremy M Kahn · 1996 to 2026
$6.4M
Genomic Variability and Symptomatology After Traumatic Brain InjuryR01NR013342 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CONLEY, YVETTE P · 2011 to 2013
$1.2M
Transcriptomics in Traumatic Brain Injury: Relationship to Brain Oxygenation and OutcomesR00NR013176 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PUCCIO, AVA M. · 2014 to 2016
$724k
NCATS NIH HHS KL2 TR000146NHLBI NIH HHS T32 HL007820NICHD NIH HHS T32 HD040686NINDS NIH HHS U01 NS069498NINR NIH HHS R00 NR013176NINR NIH HHS R01 NR013342
6 · The paper itself

Abstract

objectiveCerebral edema (CE) in traumatic brain injury (TBI) is the consequence of multiple underlying mechanisms and is associated with unfavorable outcomes. Genetic variability in these pathways likely explains some of the clinical heterogeneity observed in edema development. A role for sulfonylurea receptor-1 (Sur1) in CE is supported. However, there are no prior studies examining the effect of genetic variability in the Sur1 gene (ABCC8) on the development of CE. We hypothesize that ABCC8 single nucleotide polymorphisms (SNPs) are predictive of CE.

methodsDNA was extracted from 385 patients. SNPs in ABCC8 were genotyped using the Human Core Exome v1.2 (Illumina). CE measurements included acute CT edema, mean and peak intracranial pressure (ICP), and need for decompressive craniotomy.

resultsFourteen SNPs with minor allele frequency >0.2 were identified. Four SNPS rs2283261, rs3819521, rs2283258, and rs1799857 were associated with CE measures. In multiple regression models, homozygote-variant genotypes in rs2283261, rs3819521, and rs2283258 had increased odds of CT edema (OR 2.45, p = 0.007; OR 2.95, p = 0.025; OR 3.00, p = 0.013), had higher mean (β = 3.13, p = 0.000; β = 2.95, p = 0.005; β = 3.20, p = 0.008), and peak ICP (β = 8.00, p = 0.001; β = 7.64, p = 0.007; β = 6.89, p = 0.034). The homozygote wild-type genotype of rs1799857 had decreased odds of decompressive craniotomy (OR 0.47, p = 0.004).

conclusionsThis is the first report assessing the impact of ABCC8 genetic variability on CE development in TBI. Minor allele ABCC8 SNP genotypes had increased risk of CE, while major SNP alleles were protective-potentially suggesting an evolutionary advantage. These findings could guide risk stratification, treatment responders, and the development of novel targeted or gene-based therapies against CE in TBI and other neurological disorders.

Indexed as

Severity of Illness IndexAdolescentAdultAgedBrain EdemaBrain Injuries, TraumaticFemaleHumansMaleMiddle AgedPolymorphism, Single NucleotideProtective FactorsRisk FactorsSulfonylurea ReceptorsYoung AdultABCC8 protein, humanSulfonylurea ReceptorsABCC8Cerebral edemaSingle nucleotide polymorphism (SNP)Sulfonylurea receptor-1 (Sur1)Traumatic brain injury

Identifiers

PMID27677908
PMCPMC5550833
OpenAlexW2524401450

What OpenQuestion holds

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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.