Evidence map›Paper›PMID 28910616›Full record

ReviewNeuron2017

Neuroimmunology of Traumatic Brain Injury: Time for a Paradigm Shift.

Yasir N Jassam, Saef Izzy, Michael Whalen, Dorian B McGavern, Joseph El Khoury

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Neuron, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06927063 (Long-term Recovery and Microbiota-Gut-Brain Axis Disruption After Traumatic Brain Injury), which is not on this map. Cited by 450 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
450citing papers in PubMed, 2 pooled it
37.6field-weighted citation impact, top 1% 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.

NCT06927063 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Long-term Recovery and Microbiota-Gut-Brain Axis Disruption After Traumatic Brain Injury

Typeobservational_patient_registrySponsorTurku University HospitalRan2025 to 2028Enrolled160ConditionsTraumatic Brain InjuryArmsblood-based protein biomarker assessments, blood-based metabolomic/lipidomic biomarker assessments, Diffusion-weighted magnetic resonance imaging (brain), Structural magnetic resonance imaging (brain), PET imaging (brain)
3 · Its place in the literature

Who cites it

450 citing papers in PubMed, 2 syntheses or guidelines pooled it, 813 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. First-in-human dosimetry and biodistribution of [European journal of nuclear medicine and molecular imaging · 2026
    Article
  5. Traumatic brain injury induces cell-type-specific remodelling of the proteostasis network.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2026
    Article
  6. Article
  7. Article
  8. Chlorogenic acid attenuates TBI-induced neuroinflammation by suppressing cGAS-STING signaling.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  9. Observational
  10. Article
  11. Article
  12. Review
  13. Bioenergetics of the combat sports brain: Between risk and resilience.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Research progress on biomarkers of traumatic brain injury.Animal models and experimental medicine · 2026
    Review

390 more citing papers are in PubMed but not listed here.

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

5 authors at 3 institutions in 1 country.

Yasir N JassamNational Institute of Neurological Disorders and Stroke (NINDS), NIH, Bethesda, MD 20892, USA.
Saef IzzyCenter for Immunology and Inflammatory Diseases, Massachusetts General Hospital, Boston, MA 02114, USA; Department of Neurology, Brigham and Women's Hospital, Boston, MA 02115, USA; Harvard Medical School, Boston, MA 02115, USA.
Michael WhalenDepartment of Pediatrics, Massachusetts General Hospital, Boston, MA 02114, USA; Harvard Medical School, Boston, MA 02115, USA.
Dorian B McGavernNational Institute of Neurological Disorders and Stroke (NINDS), NIH, Bethesda, MD 20892, USA. Electronic address: mcgavernd@mail.nih.gov.
Joseph El KhouryCenter for Immunology and Inflammatory Diseases, Massachusetts General Hospital, Boston, MA 02114, USA; Harvard Medical School, Boston, MA 02115, USA. Electronic address: jelkhoury@mgh.harvard.edu.
Harvard University · USNational Institute of Neurological Disorders and Stroke · USMassachusetts General Hospital · US

Funding

Pathogenesis of viral meningitisZIANS003112 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI MCGAVERN, DORIAN · 2009 to 2025
$33.6M
The Neuroimmune System in Alzheimer's DiseaseRF1AG051506 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI EL-KHOURY, JOSEPH EL · 2015 to 2015
$3.8M
Understanding Repetitive ConcussionR21HD086385 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI WHALEN, MICHAEL J · 2016 to 2017
$453k
Intramural NIH HHS ZIA NS003112NIA NIH HHS RF1 AG051506NICHD NIH HHS R21 HD086385
6 · The paper itself

Abstract

Traumatic brain injury (TBI) is a leading cause of morbidity and disability, with a considerable socioeconomic burden. Heterogeneity of pathoanatomical subtypes and diversity in the pathogenesis and extent of injury contribute to differences in the course and outcome of TBI. Following the primary injury, extensive and lasting damage is sustained through a complex cascade of events referred to as "secondary injury." Neuroinflammation is proposed as an important manipulable aspect of secondary injury in animal and human studies. Because neuroinflammation can be detrimental or beneficial, before developing immunomodulatory therapies, it is necessary to better understand the timing and complexity of the immune responses that follow TBI. With a rapidly increasing body of literature, there is a need for a clear summary of TBI neuroimmunology. This review presents our current understanding of the immune response to TBI in a chronological and compartment-based manner, highlighting early changes in gene expression and initial signaling pathways that lead to activation of innate and adaptive immunity. Based on recent advances in our understanding of innate immune cell activation, we propose a new paradigm to study innate immune cells following TBI that moves away from the existing M1/M2 classification of activation states toward a stimulus- and disease-specific understanding of polarization state based on transcriptomic and proteomic profiling.

Indexed as

Adaptive ImmunityAnimalsAstrocytesBrain Injuries, TraumaticHumansImmunity, InnateInflammationMicrogliaModels, ImmunologicalProteomicsTranscriptomeastrocytesM1M2microgliamodelsneurodegenerationneuroimmunologyneuroinflammationneutrophilsTBItranscriptome

Identifiers

PMID28910616
PMCPMC5678753
OpenAlexW2754554955

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.