Evidence map›Paper›PMID 29425056›Full record

ArticleJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2019

Human brain trauma severity is associated with lectin complement pathway activation.

Daiana De Blasio, Stefano Fumagalli, Franca Orsini, Laura Neglia, Carlo Perego, Fabrizio Ortolano, Elisa R Zanier, Edoardo Picetti, Marco Locatelli, Nino Stocchetti and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

23 citing papers in PubMed, 42 citations in OpenAlex.

  1. 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
  2. Article
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  5. Review
  6. Article
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  9. Candidate neuroinflammatory markers of cerebral autoregulation dysfunction in human acute brain injury.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Review
  10. Article
  11. Tackling Neuroinflammation After Traumatic Brain Injury: Complement Inhibition as a Therapy for Secondary Injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  12. Review
  13. Comparative transcriptomic analysis of ratNeural regeneration research · 2021
    Article
  14. Article
  15. Aberrant Complement System Activation in Neurological Disorders.International journal of molecular sciences · 2021
    Review
  16. Article
  17. Observational
  18. Article
  19. Mannose-binding lectin has a direct deleterious effect on ischemic brain microvascular endothelial cells.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2020
    Article
  20. Traumatic brain injury increases plasma astrocyte-derived exosome levels of neurotoxic complement proteins.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2020
    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

13 authors at 6 institutions in 2 countries.

Daiana De Blasio1 IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milano, Italy.
Stefano Fumagalli1 IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milano, Italy.
Franca Orsini1 IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milano, Italy.
Laura Neglia1 IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milano, Italy.
Carlo Perego1 IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milano, Italy.
Fabrizio Ortolano2 Department of Anesthesia and Critical Care Medicine, Fondazione IRCCS Ca' Granda- Ospedale Maggiore Policlinico, Milano, Italy.
Elisa R Zanier1 IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milano, Italy.
Edoardo Picetti3 Division of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Marco Locatelli4 Department of Neurosurgery, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milano, Italy.
Nino Stocchetti2 Department of Anesthesia and Critical Care Medicine, Fondazione IRCCS Ca' Granda- Ospedale Maggiore Policlinico, Milano, Italy.
Luca Longhi6 Department of Anesthesia and Critical Care Medicine, Neurosurgical Intensive Care Unit, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.
Peter Garred7 Laboratory of Molecular Medicine, Department of Clinical Immunology, Rigshospitalet Faculty of Medical and Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Maria-Grazia De Simoni1 IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milano, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITMario Negri Institute for Pharmacological Research · ITOspedale di Parma · ITOspedale Papa Giovanni XXIII · ITUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We explored the involvement of the lectin pathway of complement in post-traumatic brain injury (TBI) pathophysiology in humans. Brain samples were obtained from 28 patients who had undergone therapeutic contusion removal, within 12 h (early) or from >12 h until five days (late) from injury, and from five non-TBI patients. Imaging analysis indicated that lectin pathway initiator molecules (MBL, ficolin-1, ficolin-2 and ficolin-3), the key enzymes MASP-2 and MASP-3, and the downstream complement components (C3 fragments and TCC) were present inside and outside brain vessels in all contusions. Only ficolin-1 was found in the parenchyma of non-TBI tissues. Immunoassays in brain homogenates showed that MBL, ficolin-2 and ficolin-3 increased in TBI compared to non-TBI (2.0, 2.2 and 6.0-times) samples. MASP-2 increased with subarachnoid hemorrhage and abnormal pupil reactivity, two indicators of structural and functional damage. C3 fragments and TCC increased, respectively, by 3.5 - and 4.0-fold in TBI compared to non-TBI tissue and significantly correlated with MBL, ficolin-2, ficolin-3, MASP-2 and MASP-3 levels in the homogenates. In conclusion, we show for the first time the direct presence of lectin pathway components in human cerebral contusions and their association with injury severity, suggesting a central role for the lectin pathway in the post-traumatic pathophysiology of human TBI.

Indexed as

Complement Pathway, Mannose-Binding LectinBrain Injuries, TraumaticComplement ActivationComplement C3FemaleFicolinsHumansLectinsMaleMannose-Binding LectinMiddle AgedComplement C3FicolinsLectinsMannose-Binding Lectincomplement systemlectin complement pathwayMBL-associated serine proteasesneuroinflammationTraumatic brain injury

Identifiers

PMID29425056
PMCPMC6501516
OpenAlexW2793744393

What OpenQuestion holds

Textmetadata
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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.