Evidence map›Paper›PMID 29904350›Full record

ReviewFrontiers in physiology2018

Unique Contribution of Haptoglobin and Haptoglobin Genotype in Aneurysmal Subarachnoid Hemorrhage.

Spiros L Blackburn, Peeyush T Kumar, Devin McBride, Hussein A Zeineddine, Jenna Leclerc, H Alex Choi, Pramod K Dash, James Grotta, Jaroslaw Aronowski, Jessica C Cardenas and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in physiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.1field-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

21 citing papers in PubMed, 35 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Spiros L BlackburnDepartment of Neurosurgery, The University of Texas Houston Health Sciences Center, Houston, TX, United States.
Peeyush T KumarDepartment of Neurosurgery, The University of Texas Houston Health Sciences Center, Houston, TX, United States.
Devin McBrideDepartment of Neurosurgery, The University of Texas Houston Health Sciences Center, Houston, TX, United States.
Hussein A ZeineddineDepartment of Neurosurgery, The University of Texas Houston Health Sciences Center, Houston, TX, United States.
Jenna LeclercDepartment of Anesthesiology, University of Florida, College of Medicine, Gainesville, FL, United States.
H Alex ChoiDepartment of Neurosurgery, The University of Texas Houston Health Sciences Center, Houston, TX, United States.
Pramod K DashDepartment of Neurosurgery, The University of Texas Houston Health Sciences Center, Houston, TX, United States.
James GrottaDepartment of Neurology, The University of Texas Health Sciences Center, Houston, TX, United States.
Jaroslaw AronowskiDepartment of Neurology, The University of Texas Health Sciences Center, Houston, TX, United States.
Jessica C CardenasDepartment of Surgery, Division of Acute Care Surgery and Center for Translational Injury Research, The University of Texas Health Science Center, Houston, TX, United States.
Sylvain DoréDepartment of Anesthesiology, University of Florida, College of Medicine, Gainesville, FL, United States.
The University of Texas Health Science Center at Houston · USUniversity of Florida · US

Funding

Regulation and Implication of Hemoglobin Clearance in Subarachnoid Hemorrhagic PatientsR21NS095166 · NINDS · UNIVERSITY OF FLORIDA · PI DORE, SYLVAIN · 2016 to 2017
$426k
Role of Haptoglobin and CD163 in brain hemorrhageF31NS086441 · NINDS · UNIVERSITY OF FLORIDA · PI LECLERC, JENNA · 2014 to 2016
$86k
NINDS NIH HHS F31 NS086441NINDS NIH HHS R21 NS095166
6 · The paper itself

Abstract

Survivors of cerebral aneurysm rupture are at risk for significant morbidity and neurological deficits. Much of this is related to the effects of blood in the subarachnoid space which induces an inflammatory cascade with numerous downstream consequences. Recent clinical trials have not been able to reduce the toxic effects of free hemoglobin or improve clinical outcome. One reason for this may be the inability to identify patients at high risk for neurologic decline. Recently, haptoglobin genotype has been identified as a pertinent factor in diabetes, sickle cell, and cardiovascular disease, with the Hp 2-2 genotype contributing to increased complications. Haptoglobin is a protein synthesized by the liver that binds free hemoglobin following red blood cell lysis, and in doing so, prevents hemoglobin induced toxicity and facilitates clearance. Clinical studies in patients with subarachnoid hemorrhage indicate that Hp 2-2 patients may be a high-risk group for hemorrhage related complications and poor outcome. We review the relevance of haptoglobin in subarachnoid hemorrhage and discuss the effects of genotype and expression levels on the known mechanisms of early brain injury (EBI) and cerebral ischemia after aneurysm rupture. A better understanding of haptoglobin and its role in preventing hemoglobin related toxicity should lead to novel therapeutic avenues.

Indexed as

cerebral vasospasmgenetic biomarkerhememicrothrombosisneuroinflammationpersonalized medicineprognostic markersubarachnoid hemorrhage

Identifiers

PMID29904350
PMCPMC5991135
OpenAlexW2799856278

What OpenQuestion holds

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Registered trials

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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.