Evidence map›Paper›PMID 40427506›Full record

ArticleBiomolecules2025

Acute Neurovascular Inflammatory Profile in Patients with Aneurysmal Subarachnoid Hemorrhage.

Ruby R Taylor, Robert W Keane, Begoña Guardiola, Raul Martí, Daniel Alegre, W Dalton Dietrich, Jon Perez-Barcena, Juan Pablo de Rivero Vaccari

Abstract read
In one paragraph

Article in Biomolecules, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

8 authors.

Ruby R TaylorDepartment of Neurological Surgery and The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Robert W KeaneDepartment of Neurological Surgery and The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0000-0003-4068-9511
Begoña GuardiolaIntensive Care Department, Son Espases University Hospital, 07120 Palma de Mallorca, Spain.
Raul MartíNeurosurgical Department, Son Espases University Hospital, 07120 Palma de Mallorca, Spain.ORCID 0009-0007-6118-4981
Daniel AlegreNeurosurgical Department, Son Espases University Hospital, 07120 Palma de Mallorca, Spain.
W Dalton DietrichDepartment of Neurological Surgery and The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Jon Perez-BarcenaIntensive Care Department, Son Espases University Hospital, 07120 Palma de Mallorca, Spain.
Juan Pablo de Rivero VaccariDepartment of Neurological Surgery and The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0000-0002-5460-8834

Funding

The Importance of Abnormal Inflammasome Activation as a Risk Factor between Traumatic Brain Injury and Alzheimer’s DiseaseRF1NS125578 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI DE RIVERO VACCARI, JUAN PABLO, DIETRICH, W DALTON · 2021 to 2023
$2.8M
Human Schwann Cell-Derived Exosome Treatment for Traumatic Brain InjuryR37NS133195 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI W Dalton Dietrich · 2023 to 2026
$1.7M
Fondo de Investigación Sanitaria FISPI16/00737NIH HHS R01NS113969, 1RF1NS125578NINDS NIH HHS R37 NS133195NINDS NIH HHS RF1 NS125578
6 · The paper itself

Abstract

Aneurysmal subarachnoid hemorrhage (aSAH) is a life-threatening condition that results from intracranial aneurysm rupture, leading to the accumulation of blood between the arachnoid and pia mater. The blood breakdown products and damage-associated molecule patterns (DAMPs), which are released as a result of vascular and cellular compromise following aneurysm rupture, elicit local endothelial reactions leading to the narrowing of cerebral arteries and ischemia. In addition, vascular inflammation, characterized by activated endothelial cells, perpetuates disruption of the neurovascular unit and the blood-brain barrier. The uncertain prognosis of aSAH patients contributes to the necessity of a fluid biomarker that can serve as a valuable adjunct to radiological and clinical evaluation. Limited studies have investigated vascular inflammation and angiogenic protein expression following aSAH. Reliable markers of the vascular inflammatory and angiogenic response associated with aSAH may allow for the earlier detection of patients at risk for complications and aid in the identification of novel pharmacologic targets. We investigated whether vascular inflammatory and angiogenesis signaling proteins may serve as potential biomarkers of aSAH. Serum and cerebrospinal fluid (CSF) from fifteen aSAH subjects and healthy age-matched controls as well as hydrocephalus (CSF) no-aneurysm controls were evaluated for levels of vascular inflammatory and angiogenesis proteins. Protein measurement was carried out using electrochemiluminescence. The area under the curve (AUC) was calculated using receiver operating characteristics (ROC) to obtain information on biomarker reliability, specificity, sensitivity, cut-off points, and likelihood ratio. In addition, patients were grouped by Glasgow Outcome Score-Extended at 3 months post-injury to determine the correlation between vascular inflammatory protein levels and clinical outcome measures. aSAH subjects demonstrated elevated vascular inflammatory protein levels in serum and CSF when compared to controls. Certain vascular injury and angiogenic proteins were found to be promising biomarkers of inflammatory response in aSAH in the CSF and serum. In particular, elevated levels of serum amyloid-alpha (SAA) were found to be correlated with unfavorable outcomes following aSAH. Determination of these protein levels in CSF and serum in aSAH may be utilized as reliable biomarkers of inflammation in aSAH and used clinically to monitor patient outcomes.

Indexed as

InflammationIntracranial AneurysmSubarachnoid HemorrhageAdultAgedBiomarkersCase-Control StudiesFemaleHumansMaleMiddle AgedBiomarkersaneurysmangiogenesisbiomarkersblood–brain barrierinflammationneurovascular unitsubarachnoid hemorrhagevascular inflammation

Identifiers

PMID40427506
PMCPMC12108773

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.