Evidence map›Paper›PMID 41168451›Full record

Observational studyScientific reports2025

Identifying new blood biomarkers of neuroplasticity associated with rehabilitation outcomes after stroke.

Nicolás Garcia-Rodriguez, Miguel Garcia-Gabilondo, Susana Rodriguez, Pedro Ignacio Tejada, Zuberoa Maite Miranda-Artieda, Natàlia Ridao, Xavier Buxó, María Engracia Pérez-Mesquida, Maria Rosario Beseler, Juan B Salom and 10 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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

20 authors.

Nicolás Garcia-RodriguezNeurovascular Research laboratory, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Miguel Garcia-GabilondoNeurovascular Research laboratory, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Susana RodriguezUnidad de Rehabilitación Neurológica y Daño Cerebral, Hospital Vall d'Hebron, Barcelona, Spain.
Pedro Ignacio TejadaUnidad de Daño Cerebral del Hospital de Górliz, Osakidetza, Spain.
Zuberoa Maite Miranda-ArtiedaUnidad de Daño Cerebral del Hospital de Górliz, Osakidetza, Spain.
Natàlia RidaoServei de Medicina Física i Rehabilitació, Parc Taulí Hospital Universitari, Institut d'Investigaciói Innovació Parc taulí I3PT, Sabadell, Spain.
Xavier BuxóUnidad de Rehabilitación Neurológica y Daño Cerebral, Hospital Vall d'Hebron, Barcelona, Spain.
María Engracia Pérez-MesquidaUnidad de Rehabilitación Neurológica y Daño Cerebral, Hospital Vall d'Hebron, Barcelona, Spain.
Maria Rosario BeselerServicio de Medicina Física y Rehabilitación, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Juan B SalomUnidad Mixta de Investigación Cerebrovascular, Instituto de Investigación Sanitaria La Fe-Universidad de Valencia, Valencia, Spain.
Laura M PérezRE-FiT Barcelona Research Group, Vall d'Hebron Institute of Research and Parc Sanitari Pere Virgili, Barcelona, Spain.
Marco InzitariRE-FiT Barcelona Research Group, Vall d'Hebron Institute of Research and Parc Sanitari Pere Virgili, Barcelona, Spain.
Sergio Otero-VillaverdeHospital Marítimo de Oza, A Coruña, Spain.
Rosa Martin-MourelleHospital Marítimo de Oza, A Coruña, Spain.
Mercedes MolledaHospital Universitari Germans Trias i Pujol, Barcelona, Spain.
Júlia Valor-BlanquerNeurovascular Research laboratory, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Marcel Lamana-VallverdúNeurovascular Research laboratory, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Pilar DelgadoNeurovascular Research laboratory, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Anna PenalbaNeurovascular Research laboratory, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
Anna RosellNeurovascular Research laboratory, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain. anna.rosell@vhir.org.

Funding

Agència de Gestió d'Ajuts Universitaris i de Recerca 2021-SGR-0656Departament de Salut, Generalitat de Catalunya PERIS, SLT017/20/000197Instituto de Salud Carlos III RD16/0019/0021Instituto de Salud Carlos III RD21/0006/0007Instituto de Salud Carlos III RD21/0006/0014
6 · The paper itself

Abstract

Blood biomarkers in stroke patients seek to guide decision-making in clinical practice, but research on those that respond to brain recovery and their relationship with rehabilitation is still limited. Our aim was to explore the value of known neuroplasticity-related molecules, such as endostatin, growth and differentiation factor-10 (GDF-10), urokinase-type plasminogen activator (uPA) and the uPA receptor (uPAR), as blood biomarkers of recovery during poststroke rehabilitation. In an observational, prospective and multicenter study, biomarker levels were assessed after stroke in a cohort of 62 stroke patients with outcome evaluations and blood sampling before starting rehabilitation and during therapy at 1, 3 and 6 months of first visit, and in 43 control subjects. Serum levels were determined by Enzyme-Linked Immunosorbent Assay (ELISA) together with a complete battery of sensorimotor and functional tests/scales: modified Rankin Scale (mRS), Barthel Index (BI), Fugl-Meyer Assessment (FMA) for the upper extremity, Functional Ambulation Categories (FAC), Chedoke Arm and Hand Activity Inventory (CAHAI), 10-m walk test and the Medical Research Council (MRC). Statistical mixed linear models were built to investigate its prognostic value. The results revealed that, compared to controls, only endostatin was significantly increased at baseline after stroke (p < 0.01). Interestingly, the highest baseline GDF-10 or uPAR values were related to unfavorable scores during the complete follow-up (p < 0.05 for walking speed or MRC with GDF-10, and for FMA or MRC with uPAR), whereas decreased endostatin or increased GDF-10 biomarker changes at first month of rehabilitation were related to greater sensorimotor and functional improvements during follow-up (p < 0.05 for FMA or MRC with endostatin, and CAHAI or BI with GDF-10). Our results position endostatin, GDF-10 and uPAR as potential blood biomarkers to monitor recovery during rehabilitation after stroke.

Indexed as

BiomarkersNeuronal PlasticityStrokeStroke RehabilitationAgedEndostatinsFemaleHumansMaleMiddle AgedProspective StudiesReceptors, Urokinase Plasminogen ActivatorRecovery of FunctionTreatment OutcomeBiomarkersEndostatinsReceptors, Urokinase Plasminogen ActivatorBiomarkerNeuroplasticityRecoveryRehabilitationRepairStroke

Identifiers

PMID41168451
PMCPMC12575871

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Registered trials

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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.