Evidence map›Paper›PMID 38923228›Full record

Observational studyAnnals of clinical and translational neurology2024

Cardiac troponin T as a serum biomarker of respiratory impairment in amyotrophic lateral sclerosis.

Teresa Koch, Rachel Fabian, Leonie Weinhold, Franz-W Koch, Saman Barakat, Sergio Castro-Gomez, Torsten Grehl, Sarah Bernsen, Patrick Weydt

Abstract readObservational Study
In one paragraph

Observational study in Annals of clinical and translational neurology, 2024. 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
–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

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.

  1. Review
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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

9 authors.

Teresa KochDepartment of Neuromuscular Diseases, Center for Neurology, University Hospital Bonn, Bonn, 53127, Germany.ORCID 0009-0002-6925-8256
Rachel FabianDepartment of Neuromuscular Diseases, Center for Neurology, University Hospital Bonn, Bonn, 53127, Germany.
Leonie WeinholdDepartment for Medical Biometry, Informatics and Epidemiology, University Hospital Bonn, Bonn, 53127, Germany.
Franz-W KochDepartment of Pulmology, Neukölln Hospital, Berlin, Germany.
Saman BarakatDepartment of Neuromuscular Diseases, Center for Neurology, University Hospital Bonn, Bonn, 53127, Germany.
Sergio Castro-GomezDepartment of Parkinson, Sleep and Movement Disorders, Center for Neurology, University Hospital Bonn, Bonn, 53127, Germany.ORCID 0000-0002-1581-474X
Torsten GrehlDepartment of Neurology, Alfried - Krupp-Hospital, Essen, Germany.
Sarah Bernsen *Department of Neuromuscular Diseases, Center for Neurology, University Hospital Bonn, Bonn, 53127, Germany.
Patrick Weydt *Department of Neuromuscular Diseases, Center for Neurology, University Hospital Bonn, Bonn, 53127, Germany.ORCID 0000-0003-2344-5662

Funding

Alzheimer Forschung Initiative e.V 21060BONFOR-Forschungskommission der Medizinischen Fakultät BonnBoris Canessa FoundationDeutsche Forschungsgemeinschaft EXC2151-390873048Hertie Network of Excellence in Clinical Neuroscience 2021-1A-12Neuro-aCSis Bonn Neuroscience Clinician Scientist Program
6 · The paper itself

Abstract

objectiveInformative biomarkers are an urgent need in the management of amyotrophic lateral sclerosis. Serum cardiac troponin T is elevated in the majority of amyotrophic lateral sclerosis patients and increases with disease progression. We sought to establish the informative value of cardiac troponin T with regard to respiratory function, a major prognostic factor in amyotrophic lateral sclerosis.

methodsIn this retrospective observation, we analyzed two independent hospital-based cohorts (d = discovery cohort; v = validation cohort) regarding serum cardiac troponin T (n

resultsSerum cardiac troponin T, in contrast to serum neurofilament levels, was associated with the respiratory domain of the revised amyotrophic lateral sclerosis functional rating scale and with pulmonary function parameters, namely forced vital capacity % (r = -0.45, p = 0.001) and slow vital capacity % (r = -0.50, p = 0.001). Serum cardiac troponin T reliably discriminated benchmarks of slow vital capacity <80% (AUC 0.73, 95% CI 0.62-0.84) and <50% (AUC 0.80, 95% CI 0.68-0.93), forced vital capacity <80% (AUC 0.72, 95% CI 0.61-0.83) and <50% (AUC 0.79, 95% CI 0.67-0.91).

interpretationOur findings position cardiac Troponin T as a valuable serum biomarker in amyotrophic lateral sclerosis, complementing neurofilaments and expanding the understanding of underlying physiological mechanisms. In clinical practice, serum cardiac troponin T can flag benchmarks of compromised respiratory function.

Indexed as

Amyotrophic Lateral SclerosisBiomarkersTroponin TAdultAgedFemaleHumansMaleMiddle AgedNeurofilament ProteinsRespiratory InsufficiencyRetrospective StudiesVital CapacityBiomarkersNeurofilament ProteinsTroponin T

Identifiers

PMID38923228
PMCPMC11330226

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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.