Evidence map›Paper›PMID 30246668›Full record

ArticleParasitology2019

Numerous Fasciola plasminogen-binding proteins may underlie blood-brain barrier leakage and explain neurological disorder complexity and heterogeneity in the acute and chronic phases of human fascioliasis.

J González-Miguel, M A Valero, M Reguera-Gomez, C Mas-Bargues, M D Bargues, F Simón, S Mas-Coma

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Parasitology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 54 citations in OpenAlex.

  1. Review
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  7. The Clinical Picture Caused byOpen forum infectious diseases · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Fascioliasis.Advances in experimental medicine and biology · 2024
    Article
  13. Article
  14. Article
  15. Emerging Human Fascioliasis: A Retrospective Study of Epidemiological Findings in Dali, Yunnan Province, China (2012-2021).Medical science monitor : international medical journal of experimental and clinical research · 2023
    Observational
  16. Article
  17. Review
  18. Review
  19. Article
  20. Paleobiogeographical origins ofFrontiers in veterinary science · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

J González-MiguelLaboratorio de Parasitología,Instituto de Recursos Naturales y Agrobiología de Salamanca (IRNASA-CSIC),Cordel de Merinas 40-52, 37008 Salamanca,Spain.
M A ValeroDepartamento de Parasitología,Facultad de Farmacia, Universidad de Valencia,Av. Vicent Andrés Estellés s/n, 46100 Burjassot, Valencia,Spain.
M Reguera-GomezDepartamento de Parasitología,Facultad de Farmacia, Universidad de Valencia,Av. Vicent Andrés Estellés s/n, 46100 Burjassot, Valencia,Spain.
C Mas-BarguesDepartamento de Fisiología,Facultad de Medicina,Universidad de Valencia,Av. Blasco Ibáñez No. 15, 46010 Valencia,Spain.
M D BarguesDepartamento de Parasitología,Facultad de Farmacia, Universidad de Valencia,Av. Vicent Andrés Estellés s/n, 46100 Burjassot, Valencia,Spain.
F SimónÁrea de Parasitología,Facultad de Farmacia,Universidad de Salamanca,Av. Licenciado Méndez Nieto s/n, 37007 Salamanca,Spain.
S Mas-ComaDepartamento de Parasitología,Facultad de Farmacia, Universidad de Valencia,Av. Vicent Andrés Estellés s/n, 46100 Burjassot, Valencia,Spain.ORCID 0000-0002-1685-7004
Universitat de València · ESInstituto de Recursos Naturales y Agrobiología de Salamanca · ESUniversidad de Salamanca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human fascioliasis is a worldwide, pathogenic food-borne trematodiasis. Impressive clinical pictures comprising puzzling polymorphisms, manifestation multifocality, disease evolution changes, sequelae and mortality, have been reported in patients presenting with neurological, meningeal, neuropsychic and ocular disorders caused at distance by flukes infecting the liver. Proteomic and mass spectrometry analyses of the Fasciola hepatica excretome/secretome identified numerous, several new, plasminogen-binding proteins enhancing plasmin generation. This may underlie blood-brain barrier leakage whether by many simultaneously migrating, small-sized juvenile flukes in the acute phase, or by breakage of encapsulating formations triggered by single worm tracks in the chronic phase. Blood-brain barrier leakages may subsequently occur due to a fibrinolytic system-dependent mechanism involving plasmin-dependent generation of the proinflammatory peptide bradykinin and activation of bradykinin B2 receptors, after different plasminogen-binding protein agglomeration waves. Interactions between diverse parasitic situations and non-imbalancing fibrinolysis system alterations are for the first time proposed that explain the complexity, heterogeneity and timely variations of neurological disorders. Additionally, inflammation and dilation of blood vessels may be due to contact system-dependent generation bradykinin. This baseline allows for search of indicators to detect neurological risk in fascioliasis patients and experimental work on antifibrinolytic treatments or B2 receptor antagonists for preventing blood-brain barrier leakage.

Indexed as

Acute DiseaseAnimalsBiological TransportBlood-Brain BarrierCarrier ProteinsChronic DiseaseFasciola hepaticaFascioliasisHelminth ProteinsHumansMass SpectrometryProteomicsCarrier ProteinsHelminth ProteinsAcute and chronic phasesblood-brain barrier leakagecontact systemFasciola excretome/secretomefibrinolysis systemhuman fascioliasisindicators and preventionneurological disordersplasminogen-binding proteinsproteomic and mass spectrometry analyses

Identifiers

PMID30246668
PMCPMC6402360
OpenAlexW2893060985

What OpenQuestion holds

Textmetadata
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.