Evidence map›Paper›PMID 34360799›Full record

Trial reportInternational journal of molecular sciences2021

Novel Insight in Idiopathic Normal Pressure Hydrocephalus (iNPH) Biomarker Discovery in CSF.

Enrica Torretta, Beatrice Arosio, Pietro Barbacini, Daniele Capitanio, Paolo Dionigi Rossi, Manuela Moriggi, Mario Clerici, Daniela Mari, Matteo Cesari, Cecilia Gelfi

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

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

  1. Pooled it
  2. Review
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  6. Sez6L2 autoimmunity induces cerebellar ataxia in mice.Journal of neuroinflammation · 2025
    Article
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  8. Review
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  15. Fat Checking: Emerging Role of Lipids in Metabolism and Disease.International journal of molecular sciences · 2022
    Article
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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 1 country.

Enrica TorrettaIRCCS Istituto Ortopedico Galeazzi, Via Galeazzi 4, 20161 Milan, Italy.ORCID 0000-0002-6374-3325
Beatrice ArosioDepartment of Clinical Sciences and Community Health, University of Milan, Via Pace 9, 20122 Milan, Italy.ORCID 0000-0002-0615-3580
Pietro BarbaciniDepartment of Biomedical Sciences for Health, University of Milan, Via F.lli Cervi 93, Segrate, 20090 Milan, Italy.ORCID 0000-0002-6230-8663
Daniele CapitanioDepartment of Biomedical Sciences for Health, University of Milan, Via F.lli Cervi 93, Segrate, 20090 Milan, Italy.ORCID 0000-0001-7701-728X
Paolo Dionigi RossiFondazione Ca' Granda, IRCCS Ospedale Maggiore Policlinico, Via F.lli Cervi 93, Segrate, 20090 Milan, Italy.
Manuela MoriggiGastroenterology and Digestive Endoscopy Unit, IRCCS Policlinico San Donato, 20097 Milan, Italy.ORCID 0000-0002-4718-0307
Mario ClericiIRCCS Fondazione Don Carlo Gnocchi, Via Capacelatro 66, 20148 Milan, Italy.ORCID 0000-0001-5920-6191
Daniela MariIRCCS Istituto Auxologico Italiano, Via Mercalli 28, 20122 Milan, Italy.
Matteo CesariDepartment of Clinical Sciences and Community Health, University of Milan, Via Pace 9, 20122 Milan, Italy.
Cecilia GelfiIRCCS Istituto Ortopedico Galeazzi, Via Galeazzi 4, 20161 Milan, Italy.ORCID 0000-0002-2996-6912
University of Milan · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIRCCS Istituto Auxologico Italiano · ITIRCCS Policlinico San Donato · ITIstituto Ortopedico Galeazzi · IT

Funding

Fondazione Cariplo 2017-0622
6 · The paper itself

Abstract

Idiopathic normal pressure hydrocephalus (iNPH) is a potentially reversible neurological disease, causing motor and cognitive dysfunction and dementia. iNPH and Alzheimer's disease (AD) share similar molecular characteristics, including amyloid deposition, t-tau and p-tau dysregulation; however, the disease is under-diagnosed and under-treated. The aim was to identify a panel of sphingolipids and proteins in CSF to diagnose iNPH at onset compared to aged subjects with cognitive integrity (C) and AD patients by adopting multiple reaction monitoring mass spectrometry (MRM-MS) for sphingolipid quantitative assessment and advanced high-resolution liquid chromatography-tandem mass spectrometry (LC-MS/MS) for proteomic analysis. The results indicated that iNPH are characterized by an increase in very long chains Cer C22:0, Cer C24:0 and Cer C24:1 and of acute-phase proteins, immunoglobulins and complement component fragments. Proteins involved in synaptic signaling, axogenesis, including BACE1, APP, SEZ6L and SEZ6L2; secretory proteins (CHGA, SCG3 and VGF); glycosylation proteins (POMGNT1 and DAG1); and proteins involved in lipid metabolism (APOH and LCAT) were statistically lower in iNPH. In conclusion, at the disease onset, several factors contribute to maintaining cell homeostasis, and the protective role of very long chains sphingolipids counteract overexpression of amyloidogenic and neurotoxic proteins. Monitoring specific very long chain Cers will improve the early diagnosis and can promote patient follow-up.

Indexed as

ProteomicsAgedAged, 80 and overBiomarkersFemaleHumansHydrocephalus, Normal PressureMaleMiddle AgedNerve Tissue ProteinsSphingolipidsBiomarkersNerve Tissue ProteinsSphingolipidscsfidiopathic normal pressure hydrocephalusmass spectrometryproteomesphingolipids

Identifiers

PMID34360799
PMCPMC8347603
OpenAlexW3184799149

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.