Evidence map›Paper›PMID 32228505›Full record

ArticleBMC neurology2020

Cytokine dysregulation persists in childhood post Neonatal Encephalopathy.

Zunera Zareen, Tammy Strickland, Victoria Mc Eneaney, Lynne A Kelly, Denise McDonald, Deirdre Sweetman, Eleanor J Molloy

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
11.1field-weighted citation impact, top 1% 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

31 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Infection and neonatal encephalopathy.Pediatric research · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. The MR1/MAIT cell axis in CNS diseases.Brain, behavior, and immunity · 2024
    Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Dysregulation of multiple signaling pathways: A possible cause of cerebral palsy.Experimental biology and medicine (Maywood, N.J.) · 2022
    Review
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

7 authors at 3 institutions in 1 country.

Zunera ZareenDiscipline of Paediatrics, Trinity College, The University of Dublin, Dublin, Ireland.
Tammy StricklandDiscipline of Paediatrics, Trinity College, The University of Dublin, Dublin, Ireland.
Victoria Mc EneaneyDiscipline of Paediatrics, Trinity College, The University of Dublin, Dublin, Ireland.
Lynne A KellyDiscipline of Paediatrics, Trinity College, The University of Dublin, Dublin, Ireland.
Denise McDonaldDiscipline of Paediatrics, Trinity College, The University of Dublin, Dublin, Ireland.
Deirdre SweetmanPaediatrics, National Maternity Hospital, Holles Street, Dublin, Ireland.
Eleanor J MolloyDiscipline of Paediatrics, Trinity College, The University of Dublin, Dublin, Ireland. elesean@hotmail.com.
Trinity College Dublin · IECoombe Women & Infants University Hospital · IENational Maternity Hospital · IE

Funding

National Children Hospital Funding committee, Tallaght, Dublin "CHAMPION" Award No 1304
6 · The paper itself

Abstract

backgroundCytokines are possible mediators of neuroinflammation and associated with adverse outcome in neonatal encephalopathy (NE). Our aim was to explore cytokine response in children with Neonatal Encephalopathy (NE) at school age compared to age-matched controls.

methodFollow up at school age, children who had NE and age-matched controls were assessed for their cytokine responses and neurodevelopment outcome. Pro- and anti-inflammatory cytokines in the serum, [Interleukin (IL)-1α, IL-1β, IL-2, IL-6, IL-8, IL-18, Tumor necrosis factor (TNF)-α, TNF β, Interferon (IFN)-γ, granulocyte-macrophage colony-stimulating factor (GM-CSF), vascular endothelial growth factor (VEGF), erythropoietin (EPO), IL-10 & IL-1RA] were measured at baseline and in response to in vitro stimulation with lipopolysaccharide (LPS: endotoxin).

resultsGM-CSF, TNF-β, IL-2 IL-6 and IL-8 were significantly elevated at school age following NE (n = 40) compared to controls (n = 37). A rise in GM-CSF, IL-8, TNF-α, IL-1β, & IL-6 were seen in NE group following LPS stimulation. Relative LPS hypo-responsiveness was also noted in children with severe NE with IL-10, VEGF, EPO and TNF-β. Elevated TNF-β was associated with low gross motor scores on assessment at school age.

conclusionSchool-age children post-NE had significantly altered cytokine responses to endotoxin compared to controls. TNF-β was associated with adverse developmental outcomes. This suggests the inflammatory process may persist into childhood and a longer therapeutic window may be available for neuroprotection therapies.

Indexed as

Asphyxia NeonatorumBrain DiseasesChildCytokinesFemaleHumansInfant, NewbornMaleNeurodevelopmental DisordersCytokinesCytokinesHypoxic-ischaemic encephalopathyInflammationNeonatal encephalopathyNeurodevelopmental

Identifiers

PMID32228505
PMCPMC7106837
OpenAlexW3013369990

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.