Evidence map›Paper›PMID 27995945›Full record

ReviewSpinal cord2017

The developing landscape of diagnostic and prognostic biomarkers for spinal cord injury in cerebrospinal fluid and blood.

C H Hulme, S J Brown, H R Fuller, J Riddell, A Osman, J Chowdhury, N Kumar, W E Johnson, K T Wright

Open access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Spinal cord, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Smart closed-loop drug delivery systems.Nature reviews bioengineering · 2025
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  11. Promising Biomarkers for Spinal Cord Injury: A Brief Review.Current trends in biomedical engineering & biosciences · 2024
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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 4 institutions in 1 country.

C H HulmeInstitute of Science and Technology in Medicine (ISTM), Keele University, Keele, UK.
S J BrownInstitute of Science and Technology in Medicine (ISTM), Keele University, Keele, UK.
H R FullerInstitute of Science and Technology in Medicine (ISTM), Keele University, Keele, UK.
J RiddellInstitute of Neuroscience and Psychology, University of Glasgow, Glasgow, UK.
A OsmanMidland Centre for Spinal Injuries, RJAH Orthopaedic Hospital, Oswestry, UK.
J ChowdhuryMidland Centre for Spinal Injuries, RJAH Orthopaedic Hospital, Oswestry, UK.
N KumarMidland Centre for Spinal Injuries, RJAH Orthopaedic Hospital, Oswestry, UK.
W E JohnsonDepartment of Biological Sciences, University of Chester, Chester, UK.
K T WrightInstitute of Science and Technology in Medicine (ISTM), Keele University, Keele, UK.
Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Trust · GBKeele University · GBUniversity of Chester · GBUniversity of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designReview study.

objectivesThe identification of prognostic biomarkers of spinal cord injury (SCI) will help to assign SCI patients to the correct treatment and rehabilitation regimes. Further, the detection of biomarkers that predict permanent neurological outcome would aid in appropriate recruitment of patients into clinical trials. The objective of this review is to evaluate the current state-of-play in this developing field.

settingStudies from multiple countries were included.

methodsWe have completed a comprehensive review of studies that have investigated prognostic biomarkers in either the blood or cerebrospinal fluid (CSF) of animals and humans following SCI.

resultsTargeted and unbiased approaches have identified several prognostic biomarkers in CSF and blood. These proteins associate with cellular damage following SCI and include components from neurons, oligodendrocytes and reactive astrocytes, that is, neurofilament proteins, glial fibrillary acidic protein, Tau and S100 calcium-binding protein β. Unbiased approaches have also identified microRNAs that are specific to SCI, as well as other cell damage-associated proteins.

conclusionsThe discovery and validation of stable, specific, sensitive and reproducible biomarkers of SCI is a rapidly expanding field of research. So far, few studies have utilised unbiased approaches aimed at the discovery of biomarkers within the CSF or blood in this field; however, some targeted approaches have been successfully used. Several studies using various animal models and some with small human patient cohorts have begun to pinpoint biomarkers in the CSF and blood with putative prognostic value. An increased sample size will be required to validate these biomarkers in the heterogeneous clinical setting.

Indexed as

AnimalsBiomarkersHumansInflammation MediatorsNeurofilament ProteinsPrognosisSpinal Cord InjuriesBiomarkersInflammation MediatorsNeurofilament Proteins

Identifiers

PMID27995945
OpenAlexW2567669454

What OpenQuestion holds

Textmetadata
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.