Evidence map›Paper›PMID 35455643›Full record

ArticleJournal of personalized medicine2022

Prospective Evaluation of Ghrelin and Des-Acyl Ghrelin Plasma Levels in Children with Newly Diagnosed Epilepsy: Evidence for Reduced Ghrelin-to-Des-Acyl Ghrelin Ratio in Generalized Epilepsies.

Anna-Maria Costa, Tommaso Lo Barco, Elisabetta Spezia, Valerio Conti, Laura Roli, Lorenza Marini, Sara Minghetti, Elisa Caramaschi, Laura Pietrangelo, Luca Pecoraro and 9 more

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 30% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Circulating microRNAs as Biomarkers of Various Forms of Epilepsy.Medical sciences (Basel, Switzerland) · 2025
    Article
  3. Article
  4. Article
  5. Review
  6. Article
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

19 authors at 4 institutions in 1 country.

Anna-Maria CostaDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via G. Campi 287, 41125 Modena, Italy.ORCID 0000-0003-3152-9890
Tommaso Lo BarcoChild Neuropsychiatry, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, 37126 Verona, Italy.ORCID 0000-0002-3103-230X
Elisabetta SpeziaPediatric Neurology Unit, Department of Mother and Child, University Hospital of Modena, 41125 Modena, Italy.
Valerio ContiPediatric Neurology, Neurogenetics, and Neurobiology Unit and Laboratories, A. Meyer Children's Hospital, 50139 Florence, Italy.ORCID 0000-0002-8326-6378
Laura RoliDepartment of Laboratory Medicine and Pathology, Azienda USL, 41126 Modena, Italy.
Lorenza MariniPediatric Neurology, Neurogenetics, and Neurobiology Unit and Laboratories, A. Meyer Children's Hospital, 50139 Florence, Italy.
Sara MinghettiPediatric Neurology, Neurogenetics, and Neurobiology Unit and Laboratories, A. Meyer Children's Hospital, 50139 Florence, Italy.ORCID 0000-0002-8167-6007
Elisa CaramaschiPediatric Neurology Unit, Department of Mother and Child, University Hospital of Modena, 41125 Modena, Italy.
Laura PietrangeloPediatric Neurology, Neurogenetics, and Neurobiology Unit and Laboratories, A. Meyer Children's Hospital, 50139 Florence, Italy.
Luca PecoraroPaediatric Clinic, ASST Mantua, 46100 Mantua, Italy.ORCID 0000-0002-9765-8006
Fabio D'AchilleDepartment of Laboratory Medicine and Pathology, Azienda USL, 41126 Modena, Italy.
Paola AccorsiPaediatric Clinic, ASST Mantua, 46100 Mantua, Italy.
Tommaso TrentiDepartment of Laboratory Medicine and Pathology, Azienda USL, 41126 Modena, Italy.
Federico MelaniPediatric Neurology, Neurogenetics, and Neurobiology Unit and Laboratories, A. Meyer Children's Hospital, 50139 Florence, Italy.
Carla MariniPediatric Neurology, Neurogenetics, and Neurobiology Unit and Laboratories, A. Meyer Children's Hospital, 50139 Florence, Italy.
Renzo GuerriniPediatric Neurology, Neurogenetics, and Neurobiology Unit and Laboratories, A. Meyer Children's Hospital, 50139 Florence, Italy.
Francesca DarraChild Neuropsychiatry, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, 37126 Verona, Italy.ORCID 0000-0002-1062-8438
Patrizia BergonziniPediatric Neurology Unit, Department of Mother and Child, University Hospital of Modena, 41125 Modena, Italy.
Giuseppe BiaginiDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via G. Campi 287, 41125 Modena, Italy.ORCID 0000-0002-7130-2511
Meyer Children's Hospital · ITUniversity of Modena and Reggio Emilia · ITAzienda Unita' Sanitaria Locale Di Modena · ITUniversity of Verona · IT

Funding

Fondazione Pierfranco e Luisa Mariani R-19-110
6 · The paper itself

Abstract

Children with epilepsy and identified as responders to antiseizure medications (ASMs) were found to present markedly higher ghrelin plasma levels when compared to drug-resistant patients. However, it was undetermined if this phenotype could be influenced by the ASMs. Here, we prospectively investigated total ghrelin and des-acyl ghrelin (DAG) plasma levels by enzyme-linked immunosorbent assay before and after ASM administration. Inclusion criteria were: (i) subject with a suspicion of epilepsy; (ii) age ranging from 0 to 16 years; and (iii) informed consent signed by parents or caregivers. Exclusion criteria were acute or chronic metabolic disorders with occasional convulsions but without epilepsy. Fifty patients were followed over a period of one year in Italian neuropediatric centers. Apart from a few exceptions, the majority of children were responsive to ASMs. No differences were found in total ghrelin and DAG levels before and after the treatment, but total ghrelin levels were significantly lower in children with generalized epilepsy compared to those with combined focal and generalized epilepsy. Moreover, the ghrelin-to-DAG ratio was also markedly lower in generalized epilepsies compared to all the other types of epilepsy. Finally, ghrelin was unchanged by ASMs, including the first (e.g., carbamazepine), second (levetiracetam), and third (lacosamide) generation of anticonvulsants.

Indexed as

antiseizure medicationschildrenepilepsygeneralized epilepsyghrelinplasma

Identifiers

PMID35455643
PMCPMC9029558
OpenAlexW4220968202

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.