Evidence map›Paper›PMID 31417126›Full record

ArticleScientific reports2019

Survival-time dependent increase in neuronal IL-6 and astroglial GFAP expression in fatally injured human brain tissue.

Florian Trautz, Heike Franke, Simone Bohnert, Niels Hammer, Wolf Müller, Ruth Stassart, Rexson Tse, Johann Zwirner, Jan Dreßler, Benjamin Ondruschka

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Multi-dimensional plasma proteomic profiling elucidates molecular mechanisms and pathophysiological networks in pediatric severe traumatic brain injury.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Forensic neuropathology in the past decade: a scoping literature review.Forensic science, medicine, and pathology · 2024
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Forensic biomarkers of lethal traumatic brain injury.International journal of legal medicine · 2022
    Review
  17. Article
  18. Review
  19. GFAP positivity in neurons following traumatic brain injuries.International journal of legal medicine · 2021
    Article
  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

10 authors at 5 institutions in 2 countries.

Florian TrautzInstitute of Legal Medicine, Medical Faculty University of Leipzig, Leipzig, Germany.
Heike FrankeRudolf Boehm Institute of Pharmacology and Toxicology, Medical Faculty University of Leipzig, Leipzig, Germany.
Simone BohnertInstitute of Forensic Medicine, University of Würzburg, Würzburg, Germany.
Niels HammerDepartment of Anatomy, University of Otago, Dunedin, New Zealand.
Wolf MüllerDepartment of Neuropathology, University Hospital of Leipzig, Leipzig, Germany.
Ruth StassartDepartment of Neuropathology, University Hospital of Leipzig, Leipzig, Germany.
Rexson TseDepartment of Forensic Pathology, LabPLUS, Auckland City Hospital, Auckland, New Zealand.
Johann ZwirnerDepartment of Anatomy, University of Otago, Dunedin, New Zealand.
Jan DreßlerInstitute of Legal Medicine, Medical Faculty University of Leipzig, Leipzig, Germany.
Benjamin OndruschkaInstitute of Legal Medicine, Medical Faculty University of Leipzig, Leipzig, Germany. benjamin.ondruschka@medizin.uni-leipzig.de.
Leipzig University · DEUniversity Hospital Leipzig · DEAuckland City Hospital · NZUniversity of Otago · NZUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Knowledge on trauma survival time prior to death following a lethal traumatic brain injury (TBI) may be essential for legal purposes. Immunohistochemistry studies might allow to narrow down this survival interval. The biomarkers interleukin-6 (IL-6) and glial fibrillary acidic protein (GFAP) are well known in the clinical setting for their usability in TBI prediction. Here, both proteins were chosen in forensics to determine whether neuronal or glial expression in various brain regions may be associated with the cause of death and the survival time prior to death following TBI. IL-6 positive neurons, glial cells and GFAP positive astrocytes all concordantly increase with longer trauma survival time, with statistically significant changes being evident from three days post-TBI (p < 0.05) in the pericontusional zone, irrespective of its definite cortical localization. IL-6 staining in neurons increases significantly in the cerebellum after trauma, whereas increasing GFAP positivity is also detected in the cortex contralateral to the focal lesion. These systematic chronological changes in biomarkers of pericontusional neurons and glial cells allow for an estimation of trauma survival time. Higher numbers of IL-6 and GFAP-stained cells above threshold values in the pericontusional zone substantiate the existence of fatal traumatic changes in the brain with reasonable certainty.

Indexed as

AdolescentAdultAgedAged, 80 and overAstrocytesBiomarkersBrainBrain Injuries, TraumaticCell DeathFemaleGene ExpressionGlial Fibrillary Acidic ProteinHumansImmunohistochemistryInterleukin-6MaleBiomarkersGlial Fibrillary Acidic ProteinInterleukin-6

Identifiers

PMID31417126
PMCPMC6695416
OpenAlexW2968721317

What OpenQuestion holds

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LicenceCC BY
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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.