Evidence map›Paper›PMID 30982131›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2019

Cerebrospinal fluid vitamin D-binding protein as a new biomarker for the diagnosis of meningitis.

Dong-Hyun Lee, Heeyoung Kang, Jin Hyun Kim, Myeong Hee Jung, Min-Chul Cho

Abstract read
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In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 17% 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, 14 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

5 authors at 2 institutions in 1 country.

Dong-Hyun LeeDepartment of Laboratory Medicine, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Gangnam-ro, Jinju-si, Gyeongsangnam-do, 52727, Republic of Korea.
Heeyoung KangDepartment of Neurology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Jinju, Republic of Korea.
Jin Hyun KimBiomedical Research Institute, Gyeongsang National University Hospital, Jinju, Republic of Korea.
Myeong Hee JungBiomedical Research Institute, Gyeongsang National University Hospital, Jinju, Republic of Korea.
Min-Chul ChoDepartment of Laboratory Medicine, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Gangnam-ro, Jinju-si, Gyeongsangnam-do, 52727, Republic of Korea. mccho@gnu.ac.kr.ORCID http://orcid.org/0000-0002-0609-7734
Gyeongsang National University Hospital · KRGyeongsang National University · KR

Funding

Lee Jung Ja research grant of Gyeongsang National University Hospital LJJ-GNUH-2018-001National Research Foundation of Korea (NRF) 2018R1C1B5040593
6 · The paper itself

Abstract

backgroundMeningitis is an inflammatory process involving meninges. It is difficult to diagnose because of the absence of a diagnostic biomarker. We first report here the possibility of cerebrospinal fluid (CSF) vitamin D-binding protein (VDBP) as a new biomarker for the diagnosis of meningitis.

methodsThis prospective study enrolled a total of 102 subjects (58 patients with non-neurologic disease, 17 patients with meningitis, and 27 patients with other neurologic diseases) from 2017 to 2018. CSF and blood samples were collected in pairs. Total 25(OH)D in CSF and serum and VDBP levels in serum were measured. GC genotyping was also performed to determine polymorphisms of rs4588 and rs7041. CSF total 25(OH)D and VDBP levels were compared with serum total 25(OH)D and VDBP levels according to disease (meningitis vs. non-meningitis). Receiver operating characteristic (ROC) analysis for the diagnosis of meningitis using CSF VDBP level was performed.

resultsMean CSF VDBP and serum VDBP levels of all patients were 1.48 ± 1.32 and 181.28 ± 56.90 μg/mL, respectively. CSF VDBP level in the meningitis disease group (3.20 ± 1.49 μg/mL) was significantly (P < 0.001) higher than that in other disease groups. According to ROC curve analysis, the appropriate cut-off value for CSF VDBP was 1.96 μg/mL, showing sensitivity of 82.4% and specificity of 85.9%. AUC of CSF VDBP was 0.879 (95% CI: 0.789-0.962).

conclusionsCSF VDBP level showed very good diagnostic performance. It could be used as a potential biomarker for the diagnosis of meningitis.

Indexed as

AdolescentAdultAgedBiomarkersChildChild, PreschoolFemaleHumansInfantMaleMeningitisMiddle AgedProspective StudiesSensitivity and SpecificityVitamin D-Binding ProteinYoung AdultBiomarkersGC protein, humanVitamin D-Binding ProteinBiomarkerCerebrospinal fluidMeningitisVitamin D-binding protein

Identifiers

PMID30982131
OpenAlexW2937200446

What OpenQuestion holds

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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.