Evidence map›Paper›PMID 29376087›Full record

ArticleAnnals of clinical and translational neurology2018

Diagnostic Potential of Neural Exosome Cargo as Biomarkers for Acute Brain Injury.

Laura Goetzl, Nana Merabova, Nune Darbinian, Diana Martirosyan, Erica Poletto, Keri Fugarolas, Ogechukwu Menkiti

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Can maternal metformin protect the developing fetal brain?American journal of obstetrics and gynecology · 2026
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  14. The role of exosomes in pathogenesis and the therapeutic efficacy of mesenchymal stem cell-derived exosomes against Parkinson's disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
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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

7 authors at 4 institutions in 1 country.

Laura GoetzlDepartments of Obstetrics & Gynecology Lewis Katz School of Medicine at Temple University Philadelphia Pennsylvania.
Nana MerabovaShriner's Hospital Pediatric Research Center for Neural Repair and Rehabilitation Philadelphia Pennsylvania.
Nune DarbinianShriner's Hospital Pediatric Research Center for Neural Repair and Rehabilitation Philadelphia Pennsylvania.
Diana MartirosyanShriner's Hospital Pediatric Research Center for Neural Repair and Rehabilitation Philadelphia Pennsylvania.
Erica PolettoDepartment of Radiology Drexel University School of Medicine St. Christopher's Hospital for Children Philadelphia Pennsylvania.
Keri FugarolasDepartments of Neonatology Drexel University School of Medicine St. Christopher's Hospital for Children Philadelphia Pennsylvania.
Ogechukwu MenkitiDepartments of Neonatology Drexel University School of Medicine St. Christopher's Hospital for Children Philadelphia Pennsylvania.
Shriners Hospitals for Children - Philadelphia · USSt. Christopher's Hospital for Children · USDrexel University · USTemple University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Neuronal exosomes purified from peripheral blood samples have been proposed as diagnostic tool in the setting of acute brain injury but never tested clinically. We hypothesized that exosome protein biomarkers would change over time following acute hypoxic brain injury and would predict response to therapy. Methods: Synaptopodin (SYNPO), an actin-associated protein present in postsynaptic spines, was evaluated as a potential biomarker as well as: synaptophysin, neuron-specific enolase, and mitochondrial cytochrome c oxidase. A secondary analysis was performed on neonatal samples collected at 8, 10, and 14 h after the initiation of therapeutic-controlled hypothermia for acute hypoxic-ischemic encephalopathy ( Results: The slope of change in neuronal exosome SYNPO between 8 and 14 h appeared to be the most promising biomarker for all three clinical study outcomes. SYNPO was highly correlated with LOS (-0.91, Interpretation: This report provides the first clinical evidence that neural exosomes turn over rapidly enough in the peripheral circulation to be used as a "troponin-like" test following acute brain injury. Optimal sampling and biomarkers likely vary with type of brain injury.

Identifiers

PMID29376087
PMCPMC5771318
OpenAlexW2769981087

What OpenQuestion holds

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LicenceCC BY
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.