Evidence map›Paper›PMID 29181002›Full record

ArticleFrontiers in immunology2017

The Effect of Propofol vs. Isoflurane Anesthesia on Postoperative Changes in Cerebrospinal Fluid Cytokine Levels: Results from a Randomized Trial.

Miles Berger, Vikram Ponnusamy, Nathaniel Greene, Mary Cooter, Jacob W Nadler, Allan Friedman, David L McDonagh, Daniel T Laskowitz, Mark F Newman, Leslie M Shaw and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01640275 (The Effect of Isoflurane Versus Propofol Anesthesia on Alzheimers Disease CSF Markers), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.8field-weighted citation impact, top 17% 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.

NCT01640275 phase1completednot on this map

The Effect of Isoflurane Versus Propofol Anesthesia on Alzheimers Disease CSF Markers

TypeinterventionalSponsorDuke UniversityRan2012 to 2015Enrolled105ConditionsGeneral AnesthesiaArmsPropofol, Isoflurane
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Acute kidney injury and postoperative delirium.Journal of biomedical research · 2025
    Article
  5. Article
  6. Middle aged CAMKII-Cre:CbsExperimental animals · 2024
    Article
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  12. Observational
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  20. Observational
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

14 authors at 6 institutions in 1 country.

Miles BergerDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, United States.
Vikram PonnusamyUniversity of Missouri School of Medicine, Columbia, MO, United States.
Nathaniel GreeneDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, United States.
Mary CooterDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, United States.
Jacob W NadlerNeurosurgical Anesthesiology, Postanesthesia Care Unit, Department of Anesthesiology, University of Rochester, Rochester, NY, United States.
Allan FriedmanDepartment of Neurosurgery, Duke University Medical Center, Durham, NC, United States.
David L McDonaghDepartment of Anesthesiology & Pain Management, Neurological Surgery, Neurology and Neurotherapeutics, University of Texas, Southwestern, Dallas, TX, United States.
Daniel T LaskowitzDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, United States.
Mark F NewmanDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, United States.
Leslie M ShawDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
David S WarnerDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, United States.
Joseph P MathewDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, United States.
Michael L JamesDepartment of Anesthesiology, Duke University Medical Center, Durham, NC, United States.
MAD-PIA Investigators
Duke Medical Center · USDuke University Hospital · USThe University of Texas Southwestern Medical Center · USUniversity of Missouri · USUniversity of Pennsylvania · USUniversity of Rochester · US

Funding

UPenn ADCC Biomarker CoreP30AG010124 · NIA · UNIVERSITY OF PENNSYLVANIA · PI XIE, SHARON XIANGWEN · 1991 to 2020
$35.1M
Neuro-inflammation in Postoperative Cognitive Dysfunction: CSF and fMRI StudiesK76AG057022 · NIA · DUKE UNIVERSITY · PI BERGER, MILES · 2017 to 2022
$1.4M
NIA NIH HHS K76 AG057022NIA NIH HHS P30 AG010124
6 · The paper itself

Abstract

introductionAside from direct effects on neurotransmission, inhaled and intravenous anesthetics have immunomodulatory properties. MATERIALS AND

methodsTo examine whether propofol and isoflurane differentially modulate neuroinflammation in humans, cytokines were measured in a secondary analysis of cerebrospinal fluid (CSF) samples from patients prospectively randomized to receive anesthetic maintenance with propofol vs. isoflurane (registered with http://www.clinicaltrials.gov, identifier NCT01640275). We measured CSF levels of EGF, eotaxin, G-CSF, GM-CSF, IFN-α2, IL-1RA, IL-6, IL-7, IL-8, IL-10, IP-10, MCP-1, MIP-1α, MIP-1β, and TNF-α before and 24 h after intracranial surgery in these study patients.

resultsAfter Bonferroni correction for multiple comparisons, we found significant increases from before to 24 h after surgery in G-CSF, IL-10, IL-1RA, IL-6, IL-8, IP-10, MCP-1, MIP-1α, MIP-1β, and TNF-α. However, we found no difference in cytokine levels at baseline or 24 h after surgery between propofol- ( DISCUSSION: These data clarify the magnitude of neuroinflammation after intracranial surgery, and raise the possibility that a coordinated neuroinflammatory response may play a role in neural injury after surgery.

Indexed as

anesthesiacerebrospinal fluidcytokineinflammationisofluraneneuroinflammationpropofolsurgery

Identifiers

PMID29181002
PMCPMC5694037
OpenAlexW2769241227

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.