Evidence map›Paper›PMID 41182649›Full record

SynthesisMolecular and cellular biochemistry2026

Investigating the role of the kynurenine pathway in traumatic brain injury: a systematic review.

João Luís Vieira Monteiro de Barros, Maíra Glória de Freitas Cardoso, Thiago Martins da Silva, Vivian Vasconcelos Costa, Antônio Lúcio Teixeira, Aline Silva de Miranda

Abstract readSystematic ReviewReview
PubMed Publisher
In one paragraph

Synthesis in Molecular and cellular biochemistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

João Luís Vieira Monteiro de BarrosLaboratório Interdisciplinar de Investigação Médica (LIIM), Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Av. Antônio Carlos, 6627-Pampulha, Belo Horizonte, MG, 31270-901, Brazil.
Maíra Glória de Freitas CardosoLaboratório Interdisciplinar de Investigação Médica (LIIM), Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Av. Antônio Carlos, 6627-Pampulha, Belo Horizonte, MG, 31270-901, Brazil.
Thiago Martins da SilvaLaboratório Interdisciplinar de Investigação Médica (LIIM), Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Av. Antônio Carlos, 6627-Pampulha, Belo Horizonte, MG, 31270-901, Brazil.
Vivian Vasconcelos CostaCentro de Pesquisa E Desenvolvimento de Fármacos (CPDF), Laboratórios Temáticos, Departamento de Morfologia, Instituto de Ciências Biológicas, UFMG, Belo Horizonte, MG, Brazil.
Antônio Lúcio TeixeiraThe Glenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, Lozano Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Aline Silva de MirandaLaboratório Interdisciplinar de Investigação Médica (LIIM), Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Av. Antônio Carlos, 6627-Pampulha, Belo Horizonte, MG, 31270-901, Brazil. mirandas.aline@gmail.com.

Funding

Brain and Behavior Research Foundation 25414Fundação de Amparo à Pesquisa do Estado de Minas Gerais APQ-02556-17
6 · The paper itself

Abstract

Traumatic brain injury (TBI) disrupts normal brain function through inflammatory cascades that may persist for months or years. This review aimed to gather the evidence regarding kynurenine pathway (KP) dysregulation following TBI and to examine how altered KP metabolites correlate with clinical outcomes. We systematically identified relevant human studies in PubMed and Lilacs databases using descriptors linked to TBI and KP metabolites. We included original research in English, Portuguese, or Spanish with no publication date restriction. We extracted data on participant characteristics, TBI severity, metabolite levels, and clinical endpoints. We appraised risk of bias using standardized checklists for cohort and cross‑sectional designs. Twelve studies met inclusion criteria. TBI increases circulating levels of quinolinic acid (QUIN), with higher QUIN linked to mortality in severe TBI and worse mood or cognitive sequelae in mild TBI. Kynurenine and kynurenic acid changes varied across cohorts, reflecting the complexity of post-injury inflammatory processes. TBI can disrupt KP metabolism and increased levels of QUIN are associated with poor neurological outcomes. Future research should define the dynamics of KP metabolite production over time and assess whether targeted interventions can lessen neurotoxic load. Post‑injury neuroinflammation remains a critical focus for potential therapeutic intervention strategies.

Indexed as

Brain Injuries, TraumaticKynurenineHumansQuinolinic AcidKynurenineQuinolinic AcidCognitionInflammationKynurenine PathwayQuinolinic AcidTraumatic Brain InjuryTryptophan

Identifiers

PMID41182649

What OpenQuestion holds

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Read underepoch 390

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.