Evidence map›Paper›PMID 30297502›Full record

ArticleNeurology2018

CNS disease-related protein variants as blood-based biomarkers in traumatic brain injury.

Stephanie M Williams, Carrie Peltz, Kristine Yaffe, Philip Schulz, Michael R Sierks

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 42% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. 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

5 authors at 2 institutions in 1 country.

Stephanie M WilliamsFrom the School for Engineering of Matter, Transport and Energy (S.M.W., P.S., M.R.S.), Arizona State University, Tempe; Northern California Institute for Research and Education (C.P.); San Francisco Veterans Affairs Medical Center (C.P., K.Y.); and Departments of Psychiatry, Neurology, and Epidemiology and Biostatistics (K.Y.), University of California, San Francisco.
Carrie PeltzFrom the School for Engineering of Matter, Transport and Energy (S.M.W., P.S., M.R.S.), Arizona State University, Tempe; Northern California Institute for Research and Education (C.P.); San Francisco Veterans Affairs Medical Center (C.P., K.Y.); and Departments of Psychiatry, Neurology, and Epidemiology and Biostatistics (K.Y.), University of California, San Francisco.
Kristine YaffeFrom the School for Engineering of Matter, Transport and Energy (S.M.W., P.S., M.R.S.), Arizona State University, Tempe; Northern California Institute for Research and Education (C.P.); San Francisco Veterans Affairs Medical Center (C.P., K.Y.); and Departments of Psychiatry, Neurology, and Epidemiology and Biostatistics (K.Y.), University of California, San Francisco.
Philip SchulzFrom the School for Engineering of Matter, Transport and Energy (S.M.W., P.S., M.R.S.), Arizona State University, Tempe; Northern California Institute for Research and Education (C.P.); San Francisco Veterans Affairs Medical Center (C.P., K.Y.); and Departments of Psychiatry, Neurology, and Epidemiology and Biostatistics (K.Y.), University of California, San Francisco.
Michael R SierksFrom the School for Engineering of Matter, Transport and Energy (S.M.W., P.S., M.R.S.), Arizona State University, Tempe; Northern California Institute for Research and Education (C.P.); San Francisco Veterans Affairs Medical Center (C.P., K.Y.); and Departments of Psychiatry, Neurology, and Epidemiology and Biostatistics (K.Y.), University of California, San Francisco. sierks@asu.edu.
University of California, San Francisco · USNorthern California Institute for Research and Education · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo utilize a panel of 11 single chain variable fragments (scFvs) that selectively bind disease-related variants of TAR DNA-binding protein (TDP)-43, β-amyloid, tau, and α-synuclein to assess damage following traumatic brain injury (TBI), and determine if the presence of protein variants could account for the increased risk of various neurodegenerative diseases following TBI.

methodsWe utilized the panel of 11 scFvs in a sensitive ELISA format to analyze sera from 43 older veterans, 25 who had experienced at least 1 TBI incident during their lifetime (∼29.4 years after TBI), and 18 controls who did not incur TBI, in a cross-sectional study.

resultsEach of the 11 scFvs individually could significantly distinguish between TBI and control samples, though they did not detect each TBI sample. Comparing the levels of all 11 variants, all 25 TBI cases displayed higher reactivity compared to the controls and receiver operating characteristic analysis revealed 100% sensitivity and specificity. Higher total protein variants levels correlated with TBI severity and with loss of consciousness. Oligomeric tau levels distinguished between single and multiple TBI incidents. While all TBI cases were readily selected with the panel, the binding pattern varied from patient to patient, suggesting subgroups that are at increased risk for different neurodegenerative diseases.

conclusionThe panel of protein variants-specific scFvs can be used to identify blood-based biomarkers indicative of TBI even 20 years or more after the initial TBI. Being able to identify subgroups of biomarker profiles allows for the possibility of individually targeted treatments.

Indexed as

AgedAged, 80 and overBiomarkersBrain Injuries, TraumaticCross-Sectional StudiesDiagnosis, DifferentialEnzyme-Linked Immunosorbent AssayFemaleHumansMaleMiddle AgedSensitivity and SpecificitySeverity of Illness Indextau ProteinsVeteransBiomarkersMAPT protein, humantau Proteins

Identifiers

PMID30297502
PMCPMC6177276
OpenAlexW2897841547

What OpenQuestion holds

Textmetadata
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.