Evidence map›Paper›PMID 33479350›Full record

ArticleScientific reports2021

Leakage of astrocyte-derived extracellular vesicles in stress-induced exhaustion disorder: a cross-sectional study.

Johanna Wallensten, Anna Nager, Marie Åsberg, Kristian Borg, Aniella Beser, Alexander Wilczek, Fariborz Mobarrez

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06042530 (Cognitive Impairment and Fatigue After Mild to Moderate COVID-19 - Relation to Biomarkers and Neuronal Network Functions), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.2field-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.

NCT06042530 unknown statusnot on this map

Cognitive Impairment and Fatigue After Mild to Moderate COVID-19 - Relation to Biomarkers and Neuronal Network Functions

TypeobservationalSponsorDanderyd HospitalRan2021 to 2025Enrolled100ConditionsPost COVID-19 Condition, Cognitive Impairment, Fatigue, MentalArmsNeuropsychological investigation, Optometric investigation, Magnetic Resonance Imaging, Immunological biomarkers
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Extracellular vesicle approach to major psychiatric disorders.European archives of psychiatry and clinical neuroscience · 2023
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Johanna WallenstenAcademic Primary Health Care Centre, Region Stockholm, Solnavägen 1E, Box 45436, 10431, Stockholm, Sweden. johanna.wallensten@ki.se.
Anna NagerDivision of Family Medicine and Primary Health Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14152, Stockholm, Sweden.
Marie ÅsbergDepartment of Clinical Sciences, Karolinska Institutet, Danderyd University Hospital, 18288, Stockholm, Sweden.
Kristian BorgDepartment of Clinical Sciences, Karolinska Institutet, Danderyd University Hospital, 18288, Stockholm, Sweden.
Aniella BeserDepartment of Clinical Sciences, Karolinska Institutet, Danderyd University Hospital, 18288, Stockholm, Sweden.
Alexander WilczekDepartment of Clinical Sciences, Karolinska Institutet, Danderyd University Hospital, 18288, Stockholm, Sweden.
Fariborz MobarrezDepartment of Medical Sciences, Uppsala University, 75185, Uppsala, Sweden.
Karolinska Institutet · SEStockholm Health Care Services · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with stress-induced exhaustion disorder (SED) demonstrate cognitive dysfunction similar to patients with minor traumatic brain injury (TBI). We have previously detected elevated concentrations of astrocyte-derived extracellular vesicles (EVs) in patients with TBI. As such, we hypothesized that astrocyte-derived EVs could be higher in patients with SED than in patients with major depressive disorder (MDD) and healthy controls. Patients with SED (n = 31), MDD (n = 31), and healthy matched controls (n = 61) were included. Astrocyte-derived EVs (previously known as microparticles) were measured in plasma with flow cytometry and labeled against glial fibrillary acidic protein (GFAP) and aquaporin 4 (AQP4). In addition, platelet EVs and their CD40 ligand expression were measured. Patients with SED had significantly higher concentrations of AQP4 and GFAP-positive EVs and EVs co-expressing AQP4/GFAP than patients with MDD and healthy controls. Patients with MDD had significantly higher concentrations of GFAP-positive EVs and EVs co-expressing AQP4/GFAP than healthy controls. Platelet EVs did not differ between groups. CD40 ligand expression was significantly higher in patients with SED and MDD than in controls. In conclusion, the present study suggests that patients with SED, and to some extent, patients with MDD, have increased leakage of astrocyte-derived EVs through the blood-brain barrier.

Indexed as

AdolescentAdultAgedAquaporin 4AstrocytesBlood-Brain BarrierBlood PlateletsBrainBrain Injuries, TraumaticExtracellular VesiclesFemaleFlow CytometryGlial Fibrillary Acidic ProteinHumansMajor Depressive DisorderMaleAquaporin 4Glial Fibrillary Acidic Protein

Identifiers

PMID33479350
PMCPMC7820323
OpenAlexW3122094010

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.