Evidence map›Paper›PMID 40493233›Full record

ArticleJournal of neurology2025

Osteopontin levels in the serum reflect anatomical disease progression in patients with amyotrophic lateral sclerosis.

Tommaso Russo, Teuta Domi, Paride Schito, Yuri Matteo Falzone, Laura Pozzi, Massimo Locatelli, Nilo Riva, Edoardo G Spinelli, Federica Agosta, Massimo Filippi and 1 more

Abstract read
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In one paragraph

Article in Journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Context-dependent roles of osteopontin in aging-related neurological disorders.The Journal of international medical research · 2026
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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

11 authors.

Tommaso RussoExperimental Neuropathology Unit, Institute of Experimental Neurology, Division of Neuroscience, IRCCS Ospedale San Raffaele, Milan, Italy.
Teuta DomiExperimental Neuropathology Unit, Institute of Experimental Neurology, Division of Neuroscience, IRCCS Ospedale San Raffaele, Milan, Italy.
Paride SchitoExperimental Neuropathology Unit, Institute of Experimental Neurology, Division of Neuroscience, IRCCS Ospedale San Raffaele, Milan, Italy.
Yuri Matteo FalzoneNeurology Unit, IRCCS Ospedale San Raffaele, Via Olgettina, 60, 20132, Milan, Italy.
Laura PozziExperimental Neuropathology Unit, Institute of Experimental Neurology, Division of Neuroscience, IRCCS Ospedale San Raffaele, Milan, Italy.
Massimo LocatelliLaboratory Medicine, IRCCS Ospedale San Raffaele, Milan, Italy.
Nilo RivaExperimental Neuropathology Unit, Institute of Experimental Neurology, Division of Neuroscience, IRCCS Ospedale San Raffaele, Milan, Italy.
Edoardo G SpinelliNeurology Unit, IRCCS Ospedale San Raffaele, Via Olgettina, 60, 20132, Milan, Italy.
Federica AgostaNeurology Unit, IRCCS Ospedale San Raffaele, Via Olgettina, 60, 20132, Milan, Italy.
Massimo FilippiNeurology Unit, IRCCS Ospedale San Raffaele, Via Olgettina, 60, 20132, Milan, Italy. filippi.massimo@hsr.it.ORCID http://orcid.org/0000-0002-5485-0479
Angelo QuattriniExperimental Neuropathology Unit, Institute of Experimental Neurology, Division of Neuroscience, IRCCS Ospedale San Raffaele, Milan, Italy.

Funding

Ministero della Salute RF-2021-12374238Ministero dell'Università e della Ricerca Age-It: "Ageing Well in an Ageing Society"
6 · The paper itself

Abstract

backgroundAmyotrophic lateral sclerosis (ALS) lacks biomarkers for diagnosis, prognostic stratification, and evaluation of response to potential treatments. Previous research supported the role of serum osteopontin (OPN) levels as a potential biomarker in ALS. However, the associations of OPN serum levels with clinical features and their trend over the disease course have not been explored yet.

methodsWe measured OPN serum levels in a retrospective cohort of 110 well-characterized patients with ALS, using a commercial ELISA kit, and analyzed their association with demographic and clinical features, as well as with other serum biomarkers. For a subset of patients, longitudinal measurements were available.

resultsOPN serum levels differed significantly between patients with ALS and a cohort of 45 age and sex-matched healthy controls. However, when considering potential differential diagnoses, elevated OPN serum levels were not specific for ALS. Patients with an advanced disease stage (King's stage 3 or 4) exhibited significantly higher OPN serum levels compared to patients at earlier disease stages, whereas we did not observe any correlation with ALSFRS-R and progression rate. We observed an inverse correlation between OPN serum levels and BMI at diagnosis. Higher OPN serum levels predicted a shorter survival time and a shorter time to King's stage 4. No significant association between serum OPN and serum neurofilament light or glial fibrillary acid protein levels was observed. OPN serum levels were substantially stable over a 9-month observation time.

conclusionOur findings indicate that serum OPN is an informative biomarker in ALS, providing valuable prognostic insights, potentially reflecting the extent of disease, and demonstrating potential applications in clinical trials.

Indexed as

Amyotrophic Lateral SclerosisDisease ProgressionOsteopontinAdultAgedBiomarkersCohort StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedNeurofilament ProteinsRetrospective StudiesSeverity of Illness IndexBiomarkersNeurofilament ProteinsOsteopontinAmyotrophic lateral sclerosisBiomarkersDifferential diagnosisOsteopontinPrognosis

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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.