Evidence map›Paper›PMID 30596792›Full record

Trial reportPloS one2018

Inflammasome proteins as biomarkers of traumatic brain injury.

Nadine Kerr, Stephanie W Lee, Jon Perez-Barcena, Catalina Crespi, Javier Ibañez, M Ross Bullock, W Dalton Dietrich, Robert W Keane, Juan Pablo de Rivero Vaccari

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

82 citing papers in PubMed, 2 syntheses or guidelines pooled it, 115 citations in OpenAlex.

  1. Screening strategies for atrial fibrillation in the elderly population: a systematic review and network meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2023
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Research progress on biomarkers of traumatic brain injury.Animal models and experimental medicine · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Revisiting the critical roles of reactive microglia in traumatic brain injury.International journal of surgery (London, England) · 2025
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Immune Response in Traumatic Brain Injury.Current neurology and neuroscience reports · 2024
    Review

22 more citing papers are in PubMed but not listed here.

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

9 authors at 3 institutions in 2 countries.

Nadine KerrDepartment of Neurological Surgery, Neuroscience Program, The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, United States of America.
Stephanie W LeeDepartment of Neurological Surgery, Neuroscience Program, The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, United States of America.
Jon Perez-BarcenaIntensive Care Department, Son Espases Hospital, Palma de Mallorca, Spain.
Catalina CrespiFundacio Institut d'Investigacio Sanitaria Illes Balears (IdISBa), Son Espases Hospital, Palma de Mallorca, Spain.ORCID 0000-0003-0781-9708
Javier IbañezDepartment of Neurological Surgery, Son Espases Hospital, Palma de Mallorca, Spain.ORCID 0000-0003-3735-8332
M Ross BullockDepartment of Neurological Surgery, Neuroscience Program, The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, United States of America.
W Dalton DietrichDepartment of Neurological Surgery, Neuroscience Program, The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, United States of America.
Robert W KeaneDepartment of Neurological Surgery, Neuroscience Program, The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, United States of America.
Juan Pablo de Rivero VaccariDepartment of Neurological Surgery, Neuroscience Program, The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL, United States of America.ORCID 0000-0002-5460-8834
University of Miami · USHospital Universitario Son Espases · ESHealth Research Institute of the Balearic Islands · ES

Funding

The Importance of Temperature on Inflammation after TBIR01NS042133 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI DIETRICH, W DALTON · 2002 to 2020
$5.0M
A Novel Combination Strategy for Protection and Repair after TBIR01NS089443 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BRAMLETT, HELEN M, DIETRICH, W DALTON · 2015 to 2019
$2.0M
Therapeutic Neutralization of the Inflammasome After Spinal Cord InjuryR42NS086274 · NINDS · INFLAMACORE, LLC · PI KEANE, ROBERT W · 2014 to 2016
$1.5M
NINDS NIH HHS R01 NS042133NINDS NIH HHS R01 NS089443NINDS NIH HHS R42 NS086274
6 · The paper itself

Abstract

backgroundThe inflammasome plays an important role in the inflammatory innate immune response after central nervous system (CNS) injury. Inhibition of the inflammasome after traumatic brain injury (TBI) results in improved outcomes by lowering the levels of caspase-1 and interleukin (IL)-1b. We have previously shown that inflammasome proteins are elevated in the cerebrospinal fluid (CSF) of patients with TBI and that higher levels of these proteins were consistent with poorer outcomes after TBI when compared to patients that presented these inflammasome proteins at lower levels. METHODS AND

findingsHere we extend our work by analyzing serum from 21 TBI patients and CSF from 18 TBI patients compared to 120 serum samples and 30 CSF samples from no-TBI donor controls for the expression of caspase-1, apoptosis-associated speck-like protein containing a caspase recruitment domain (ASC), interleukin(IL)-1b and IL-18. Analysis was carried out using the Ella Simple Plex system (Protein Simple) to determine the sensitivity and specificity of inflammasome proteins as biomarkers of TBI. Receiver operator characteristic (ROC) curves, confidence intervals and likelihood ratios for each biomarker was determined. ROC curves, confidence intervals, sensitivity and specificity for each biomarker examined revealed that caspase-1 (0.93 area under the curve (AUC)) and ASC (0.90 AUC) in serum and ASC (1.0 AUC) and IL-18 (0.84 AUC) in CSF are promising biomarkers of TBI pathology. Importantly, higher protein levels (above 547.6 pg/ml) of ASC (0.91 AUC) were consistent with poorer outcomes after TBI as determined by the Glasgow Outcome Scale-Extended (GOSE).

conclusionThese findings indicate that inflammasome proteins are excellent diagnostic and predictive biomarkers of TBI.

Indexed as

Brain Injuries, TraumaticCARD Signaling Adaptor ProteinsCaspase 1InflammasomesInterleukin-18Interleukin-1betaAdultAgedAged, 80 and overBiomarkersFemaleHumansMaleMiddle AgedBiomarkersCARD Signaling Adaptor ProteinsCaspase 1IL1B protein, humanInflammasomesInterleukin-18Interleukin-1betaPYCARD protein, human

Identifiers

PMID30596792
PMCPMC6312377
OpenAlexW2907328820

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.