Evidence map›Paper›PMID 38871842›Full record

ArticleScientific reports2024

Neuroforensomics: metabolites as valuable biomarkers in cerebrospinal fluid of lethal traumatic brain injuries.

Simone Bohnert, Christoph Reinert, Stefanie Trella, Andrea Cattaneo, Ulrich Preiß, Michael Bohnert, Johann Zwirner, Andreas Büttner, Werner Schmitz, Benjamin Ondruschka

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

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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

4 citing papers in PubMed.

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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.

Simone Bohnert *Institute of Forensic Medicine, University of Würzburg, Würzburg, Germany.
Christoph Reinert *Institute of Forensic Medicine, University of Würzburg, Würzburg, Germany.
Stefanie TrellaInstitute of Forensic Medicine, University of Würzburg, Würzburg, Germany.
Andrea CattaneoDepartment of Neurosurgery, University Hospital of Würzburg, Würzburg, Germany.
Ulrich PreißInstitute of Forensic Medicine, University of Würzburg, Würzburg, Germany.
Michael BohnertInstitute of Forensic Medicine, University of Würzburg, Würzburg, Germany.
Johann ZwirnerInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Andreas BüttnerInstitute of Forensic Medicine, Rostock University Medical Center, Rostock, Germany.
Werner SchmitzInstitute of Biochemistry and Molecular Biology, Biozentrum, University of Würzburg, Würzburg, Germany.
Benjamin OndruschkaInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. b.ondruschka@uke.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traumatic brain injury (TBI) is a ubiquitous, common sequela of accidents with an annual prevalence of several million cases worldwide. In forensic pathology, structural proteins of the cellular compartments of the CNS in serum and cerebrospinal fluid (CSF) have been predominantly used so far as markers of an acute trauma reaction for the biochemical assessment of neuropathological changes after TBI. The analysis of endogenous metabolites offers an innovative approach that has not yet been considered widely in the assessment of causes and circumstances of death, for example after TBI. The present study, therefore, addresses the question whether the detection of metabolites by liquid-chromatography-mass spectrometry (LC/MS) analysis in post mortem CSF is suitable to identify TBI and to distinguish it from acute cardiovascular control fatalities (CVF). Metabolite analysis of 60 CSF samples collected during autopsies was performed using high resolution (HR)-LC/MS. Subsequent statistical and graphical evaluation as well as the calculation of a TBI/CVF quotient yielded promising results: numerous metabolites were identified that showed significant concentration differences in the post mortem CSF for lethal acute TBI (survival times up to 90 min) compared to CVF. For the first time, this forensic study provides an evaluation of a new generation of biomarkers for diagnosing TBI in the differentiation to other causes of death, here CVF, as surrogate markers for the post mortem assessment of complex neuropathological processes in the CNS ("neuroforensomics").

Indexed as

BiomarkersBrain Injuries, TraumaticAdultAgedAged, 80 and overAutopsyChromatography, LiquidFemaleHumansMaleMass SpectrometryMetabolomicsMiddle AgedYoung AdultBiomarkersBiomarkerCerebrospinal fluidForensic neuropathologyPost mortem biochemistryTraumatic brain injury

Identifiers

PMID38871842
PMCPMC11176198

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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.