Evidence map›Paper›PMID 33093191›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2021

CSF sphingomyelin: a new biomarker of demyelination in the diagnosis and management of CIDP and GBS.

Giovanna Capodivento, Chiara De Michelis, Marinella Carpo, Roberto Fancellu, Erika Schirinzi, Daniele Severi, Davide Visigalli, Diego Franciotta, Fiore Manganelli, Gabriele Siciliano and 7 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.0field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 46 citations in OpenAlex.

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  19. Novel Immunological and Therapeutic Insights in Guillain-Barré Syndrome and CIDP.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Review
  20. Fluid Biomarkers for Monitoring Structural Changes in Polyneuropathies: Their Use in Clinical Practice and Trials.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 8 institutions in 1 country.

Giovanna CapodiventoDINOGMI, University of Genoa, Genoa, Italy.
Chiara De MichelisDINOGMI, University of Genoa, Genoa, Italy.ORCID 0000-0002-3469-0113
Marinella CarpoASST Bergamo Ovest, Treviglio, Italy.
Roberto FancelluUO Neurologia, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Erika SchirinziDepartment of Clinical and Experimental Medicine, Neurological Clinic, University of Pisa, Pisa, Italy.ORCID 0000-0002-3736-0048
Daniele SeveriDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples, Italy.
Davide VisigalliDINOGMI, University of Genoa, Genoa, Italy.
Diego FranciottaNeuroimmunology Laboratory, IRCCS Mondino Foundation, Pavia, Italy.ORCID 0000-0002-3014-3913
Fiore ManganelliDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples, Italy.ORCID 0000-0001-9478-3744
Gabriele SicilianoDepartment of Clinical and Experimental Medicine, Neurological Clinic, University of Pisa, Pisa, Italy.
Alessandro BeronioSant'Andrea Hospital, La Spezia, Italy.
Elisabetta CapelloDINOGMI, University of Genoa, Genoa, Italy.
Paola LanteriNeurophysiology Center, IRCCS Istituto Neurologico Carlo Besta Foundation, Milan, Italy.ORCID 0000-0001-7561-7724
Eduardo Nobile-OrazioNeuromuscular and Neuroimmunology Service, IRCCS Humanitas Clinical and Research Institute, Department of Medical Biotechnology and Translational Medicine, Milan University, Milan, Italy.ORCID 0000-0003-2624-8138
Angelo SchenoneDINOGMI, University of Genoa, Genoa, Italy.ORCID 0000-0002-2604-7830
Luana BenedettiDINOGMI, University of Genoa, Genoa, Italy.ORCID 0000-0002-9540-9727
Lucilla NobbioDINOGMI, University of Genoa, Genoa, Italy lnobbio@neurologia.unige.it.ORCID 0000-0003-2150-3953
Ospedale Policlinico San Martino · ITUniversity of Naples Federico II · ITUniversity of Pisa · ITAzienda Ospedaliera Treviglio · ITCTO Andrea Alesini · ITFondazione IRCCS Istituto Neurologico Carlo Besta · ITFondazione Istituto Neurologico Nazionale Casimiro Mondino · ITHumanitas University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo validate sphingomyelin (SM) dosage in the cerebrospinal fluid (CSF) of patients affected by chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) and Guillain-Barré syndrome (GBS) as a reliably assessable biomarker.

methodsWe prospectively enrolled 184 patients from six Italian referral centres, in whom CSF SM levels were quantified by a fluorescence-based assay optimised and patented in our laboratory.

resultsWe confirmed increased levels of SM in the CSF of patients affected by typical CIDP (n=35), atypical CIDP (n=18) and acute inflammatory demyelinating polyradiculoneuropathy, AIDP (n=12) compared with patients affected by non-demyelinating neurological diseases, used as controls (n=85) (p<0.0001, p

conclusionsCSF SM is a diagnostic and staging wet biomarker for acquired demyelinating neuropathies and may effectively improve the management of patients affected by GBS and CIDP.

Indexed as

AdultAgedBiomarkersFemaleGuillain-Barre SyndromeHumansItalyMaleMiddle AgedPolyradiculoneuropathy, Chronic Inflammatory DemyelinatingPredictive Value of TestsProspective StudiesROC CurveSphingomyelinsBiomarkersSphingomyelins

Identifiers

PMID33093191
PMCPMC7892388
OpenAlexW3094338273

What OpenQuestion holds

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LicenceCC BY-NC
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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.