Evidence map›Paper›PMID 32326450›Full record

ArticleCells2020

Circulating Brain Injury Exosomal Proteins following Moderate-To-Severe Traumatic Brain Injury: Temporal Profile, Outcome Prediction and Therapy Implications.

Stefania Mondello, Vivian A Guedes, Chen Lai, Endre Czeiter, Krisztina Amrein, Firas Kobeissy, Yehia Mechref, Andreas Jeromin, Sara Mithani, Carina Martin and 6 more

Open access · goldAbstract read
In one paragraph

Article in Cells, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
4.0field-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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Does erythropoietin affect the outcome and complication rates of patient with traumatic brain injury? A pooled-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Pooled it
  3. Trial
  4. Review
  5. Research progress on biomarkers of traumatic brain injury.Animal models and experimental medicine · 2026
    Review
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  7. Article
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  10. Article
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  12. Article
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  15. Article
  16. Article
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  19. Traumatic Brain Injury Biomarkers, Simulations and Kinetics.Bioengineering (Basel, Switzerland) · 2022
    Article
  20. 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

16 authors at 6 institutions in 4 countries.

Stefania MondelloDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98125 Messina, Italy.ORCID 0000-0002-8587-3614
Vivian A GuedesNational Institutes of Health, National Institute of Nursing Research, Bethesda, MD 20892, USA.
Chen LaiNational Institutes of Health, National Institute of Nursing Research, Bethesda, MD 20892, USA.ORCID 0000-0002-2178-1585
Endre CzeiterDepartment of Neurosurgery, University of Pecs, H-7623 Pecs, Hungary.
Krisztina AmreinDepartment of Neurosurgery, University of Pecs, H-7623 Pecs, Hungary.
Firas KobeissyDepartment of Psychiatry and Neuroscience, McKnight Brain Institute, University of Florida, Gainesville, FL 32606, USA.ORCID 0000-0002-5008-6944
Yehia MechrefDepartment of Chemistry and Biochemistry, Texas Tech University, Lubbock, TX 79409-1061, USA.
Andreas JerominCohen Veterans Biosciences, Cambridge, MA 02142, USA.
Sara MithaniNational Institutes of Health, National Institute of Nursing Research, Bethesda, MD 20892, USA.
Carina MartinNational Institutes of Health, National Institute of Nursing Research, Bethesda, MD 20892, USA.
Chelsea L WagnerNational Institutes of Health, National Institute of Nursing Research, Bethesda, MD 20892, USA.
Andras CziglerDepartment of Neurosurgery, University of Pecs, H-7623 Pecs, Hungary.
Luca TóthDepartment of Neurosurgery, University of Pecs, H-7623 Pecs, Hungary.ORCID 0000-0002-5425-1863
Bálint FazekasDepartment of Neurosurgery, University of Pecs, H-7623 Pecs, Hungary.
Andras BukiNational Institutes of Health, National Institute of Nursing Research, Bethesda, MD 20892, USA.
Jessica GillNational Institutes of Health, National Institute of Nursing Research, Bethesda, MD 20892, USA.
National Institutes of Health · USUniversity of Pecs · HUCohen Veterans Bioscience · USTexas Tech University · USUniversity of Florida · USUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brain injury exosomal proteins are promising blood biomarker candidates in traumatic brain injury (TBI). A better understanding of their role in the diagnosis, characterization, and management of TBI is essential for upcoming clinical implementation. In the current investigation, we aimed to explore longitudinal trajectories of brain injury exosomal proteins in blood of patients with moderate-to-severe TBI, and to evaluate the relation with the free-circulating counterpart and patient imaging and clinical parameters. Exosomal levels of glial (glial fibrillary acidic protein (GFAP)) and neuronal/axonal (ubiquitin carboxy-terminal hydrolase L1 (UCH-L1), neurofilament light chain (NFL), and total-tau (t-tau)) proteins were measured in serum of 21 patients for up 5 days after injury using single molecule array (Simoa) technology. Group-based trajectory analysis was used to generate distinct temporal exosomal biomarker profiles. We found altered profiles of serum brain injury exosomal proteins following injury. The dynamics and levels of exosomal and related free-circulating markers, although correlated, showed differences. Patients with diffuse injury displayed higher acute exosomal NFL and GFAP concentrations in serum than those with focal lesions. Exosomal UCH-L1 profile characterized by acutely elevated values and a secondary steep rise was associated with early mortality (

Indexed as

AdultAgedBiomarkersBrain Injuries, TraumaticExosomesFemaleHumansMaleMiddle AgedSensitivity and SpecificityTime FactorsTreatment OutcomeYoung AdultBiomarkersbiomarkersexosomal proteinexosomesGFAPNFLserumtraumatic brain injuryt-tauUCH-L1

Identifiers

PMID32326450
PMCPMC7227241
OpenAlexW3016728765

What OpenQuestion holds

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LicenceCC BY
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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.