Evidence map›Paper›PMID 40385376›Full record

ArticleBrain communications2025

Plasma troponin T reflects lower motor neuron involvement on electromyography in amyotrophic lateral sclerosis.

Sanharib Chamoun, Sofia Imrell, Zane Upate, Ulf Kläppe, Linn Öijerstedt, Solmaz Yazdani, Mikael Andersson Franko, Juliette Foucher, Louisa Azizi, Anikó Lovik and 6 more

Abstract read
In one paragraph

Article in Brain communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 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

16 authors.

Sanharib ChamounDepartment of Neurology, Karolinska University Hospital, Stockholm, Sweden.
Sofia ImrellDepartment of Neurology, Faculty of Medicine and Health, School of Medical Sciences, Örebro University, Örebro, Sweden.
Zane UpateDepartment of Neurophysiology, Karolinska University Hospital, Stockholm, Sweden.
Ulf KläppeDepartment of Neurology, Karolinska University Hospital, Stockholm, Sweden.
Linn ÖijerstedtDepartment of Neurology, Karolinska University Hospital, Stockholm, Sweden.
Solmaz YazdaniDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Mikael Andersson FrankoDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Juliette FoucherDepartment of Neurology, Karolinska University Hospital, Stockholm, Sweden.
Louisa AziziDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Anikó LovikUnit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-6397-5011
Kristin SamuelssonDepartment of Neurology, Karolinska University Hospital, Stockholm, Sweden.
Rayomand PressDepartment of Neurology, Karolinska University Hospital, Stockholm, Sweden.
Fang FangUnit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-3310-6456
Emma SvennbergDepartment of Cardiology, Karolinska University Hospital, Stockholm, Sweden.
Alexander JutoDepartment of Neurology, Karolinska University Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-4412-0413
Caroline IngreDepartment of Neurology, Karolinska University Hospital, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac troponin T (cTnT) is elevated in neuromuscular conditions without apparent cardiac disease, including Amyotrophic Lateral Sclerosis (ALS). The reason for this increase is unclear. Since cTnT is found in both cardiomyocytes and skeletal muscle cells, we aimed to investigate the latter as a possible cTnT source. We examined the correlation of cTnT in venous blood to lower motor neuron (LMN) involvement on Electromyography (EMG). A positive correlation between EMG findings and cTnT levels would indicate that cTnT is a biomarker for LMN involvement in ALS. This observational cohort study was conducted on a tertiary referral centre for neuromuscular diseases in Stockholm, Sweden. Consecutive patients with ALS were included. EMG was performed during diagnostic work-up, and high-sensitive cardiac troponin T (hs-cTnT), plasma creatine kinase (CK), and serum neurofilament light (NfL) were analysed within 6 months of the EMG. King's stage and score on the Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R) closest to hs-cTnT sampling were noted. In total, 50 ALS patients diagnosed between 1 January 2014 and 31 December 2018 were included and followed until death, invasive ventilation, or the 14 August 2024. Hs-cTnT correlated positively with the number of muscular regions involved (

Indexed as

amyotrophic lateral sclerosisbiomarkerselectromyographymotor neuron diseasetroponin T

Identifiers

PMID40385376
PMCPMC12082033

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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.