Evidence map›Paper›PMID 31076229›Full record

Observational studyThe Journal of pediatrics2019

Association of Circulating Proinflammatory and Anti-inflammatory Protein Biomarkers in Extremely Preterm Born Children with Subsequent Brain Magnetic Resonance Imaging Volumes and Cognitive Function at Age 10 Years.

Karl C K Kuban, Hernan Jara, T Michael O'Shea, Timothy Heeren, Robert M Joseph, Raina N Fichorova, Khalid Alshamrani, Adam Aakil, Forrest Beaulieu, Mitchell Horn and 7 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.5field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Cerebellar Development and the Burden of Prematurity.Cerebellum (London, England) · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. The neural and cardiovascular effects of exposure of gram-positive bacterial inflammation in preterm fetal sheep.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Extreme prematurity: Risk and resiliency.Current problems in pediatric and adolescent health care · 2022
    Review
  17. Article
  18. Article
  19. Review
  20. 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

17 authors at 8 institutions in 1 country.

Karl C K KubanDivision of Pediatric Neurology, Department of Pediatrics, Boston Medical Center, Boston, MA. Electronic address: karl.kuban@bmc.org.
Hernan JaraDepartment of Radiology, Boston University School of Medicine, Boston, MA.
T Michael O'SheaDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, University of North Carolina, Chapel Hill, NC.
Timothy HeerenDepartment of Biostatistics, Boston University School of Public Health, Boston, MA.
Robert M JosephDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA.
Raina N FichorovaLaboratory of Genital Tract Biology, Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Khalid AlshamraniDepartment of Radiology, Boston University School of Medicine, Boston, MA.
Adam AakilDepartment of Radiology, Boston University School of Medicine, Boston, MA.
Forrest BeaulieuDepartment of Radiology, Boston University School of Medicine, Boston, MA.
Mitchell HornDepartment of Radiology, Boston University School of Medicine, Boston, MA.
Laurie M DouglassDivision of Pediatric Neurology, Department of Pediatrics, Boston Medical Center, Boston, MA.
Jean A FrazierEunice Kennedy Shriver Center, Department of Psychiatry, UMASS Medical School/University of Massachusetts Memorial Health Care, Worcester, MA.
Deborah HirtzNational Institute of Neurological Disorders and Stroke, Bethesda, MD.
Julie Vanier RollinsDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, University of North Carolina, Chapel Hill, NC.
David CochranDepartment of Psychiatry, University of Massachusetts Medical School, Worcester, MA.
Nigel PanethDepartment of Epidemiology and Biostatistics and Pediatrics, Michigan State University, East Lansing, MI.
ELGAN Study Investigators
Boston University · USUniversity of North Carolina at Chapel Hill · USNational Institute of Neurological Disorders and Stroke · USBoston Medical Center · USBrigham and Women's Hospital · USEunice Kennedy Shriver Center · USMichigan State University · USUniversity of Massachusetts Chan Medical School · US

Funding

Neonatal Biomarkers in Extremely Preterm Babies Predict Childhood Brain DisordersU01NS040069 · NINDS · CHILDREN'S HOSPITAL BOSTON · PI KUBAN, KARL · 2001 to 2014
$34.0M
SYNAPTIC MECHANISMS IN HIPPOCAMPAL EPILEPTOGENESISP30HD018655 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI POMEROY, SCOTT LOREN · 1985 to 2015
$26.2M
The Role of the Placenta-Brain Axis in Children's NeurodevelopmentUH3OD023348 · OD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Rebecca Fry, Michael O'SHEA · 2018 to 2026
$21.9M
WIRELESS CAPSULE ENDOSCOPY TO EVALUATE THE SMALL INTESTINE M01RR002172 · NCRR · CHILDREN'S HOSPITAL BOSTON · PI MANDELL, JAMES WILLIAM · 1985 to 2008
$16.0M
Environment, Epigenetics, Neurodevelopment & Health of Extremely Preterm ChildrenUG3OD023348 · OD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FRY, REBECCA, O'SHEA, MICHAEL · 2016 to 2024
$7.4M
Exposing the Deep Content of the Publication: Knowledge Extraction for Neuroimaging in Child PsychiatryR01MH083320 · NIMH · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI FRAZIER, JEAN A, KENNEDY, DAVID NELSON · 2009 to 2020
$6.3M
Placental Epigenome and Brain Dysfunction after Preterm BirthR01HD092374 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FRY, REBECCA, O'SHEA, MICHAEL · 2017 to 2021
$3.2M
Circulating Immune Biomarkers and Retinopathy of PrematurityR01EY021820 · NEI · TUFTS UNIVERSITY BOSTON · PI DAMMANN, OLAF · 2013 to 2016
$1.7M
Imaging Biomarkers of Social Cognition and Pharmacologic Target Engagement in ASDK23MH113008 · NIMH · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI COCHRAN, DAVID M. · 2017 to 2020
$756k
NCRR NIH HHS M01 RR002172NEI NIH HHS R01 EY021820NICHD NIH HHS P30 HD018655NICHD NIH HHS R01 HD092374NIH HHS UG3 OD023348NIH HHS UH3 OD023348NIMH NIH HHS K23 MH113008NIMH NIH HHS R01 MH083320NINDS NIH HHS U01 NS040069
6 · The paper itself

Abstract

objectivesTo examine elevated neonatal inflammatory and neurotrophic proteins from children born extremely preterm in relation to later childhood brain Magnetic Resonance Imaging volumes and cognition. STUDY

designWe measured circulating inflammation-related proteins and neurotrophic proteins on postnatal days 1, 7, and 14 in 166 children at 10 years of age (73 males; 93 females). Top quartile levels on ≥2 days for ≥3 inflammation-related proteins and for ≥4 neurotrophic proteins defined exposure. We examined associations among protein levels, brain Magnetic Resonance Imaging volumes, and cognition with multiple linear and logistic regressions.

resultsAnalyses were adjusted for gestational age at birth and sex. Children with ≥3 elevated inflammation-related proteins had smaller grey matter, brain stem/cerebellar, and total brain volumes than those without elevated inflammation-related proteins, adjusted for neurotrophic proteins. When adjusted for inflammation-related proteins, children with ≥4 neurotrophic proteins, compared with children with no neurotrophic proteins, had larger grey matter and total brain volumes. Higher grey matter, white matter, and cerebellum and brainstem volumes were significantly correlated with higher IQ. Grey and white matter volumes were correlated with each other (r = -0.18; P = .021), and cerebellum and brainstem was highly correlated with grey matter (r = 0.55; P < .001) and white matter (r = 0.29; P < .001). Adjusting for other brain compartments, cerebellum and brainstem was associated with IQ (P = .016), but the association with white matter was marginally significant (P = .051). Grey matter was not associated with IQ. After adjusting for brain volumes, elevated inflammation-related proteins remained significantly associated with a lower IQ, and elevated neurotrophic proteins remained associated with a higher IQ.

conclusionsNewborn inflammatory and neurotrophin protein levels are associated with later brain volumes and cognition, but their effects on cognition are not entirely explained by altered brain volumes.

Indexed as

CognitionMagnetic Resonance ImagingBiomarkersBlood ProteinsBrainChildFemaleHumansInfant, Extremely PrematureInfant, NewbornInflammationMaleNerve Growth FactorsOrgan SizeProspective StudiesBiomarkersBlood ProteinsNerve Growth Factors

Identifiers

PMID31076229
PMCPMC7137312
OpenAlexW2944780343

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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.