Evidence map›Paper›PMID 41356251›Full record

ArticleFrontiers in neurology2025

Inflammatory proteins as acute biomarkers of post-traumatic epilepsy.

Hild Flatmark Sødal, Silvia Balosso, Annamaria Vezzani, Laura Pasetto, Valentina Bonetto, Stefano Fabrizio Columbro, Robert McCarter, Eirik Helseth, Erik Taubøll, Pavel Klein

Abstract read
In one paragraph

Article in Frontiers in neurology, 2025. 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

10 authors.

Hild Flatmark SødalInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Silvia BalossoDepartment of Acute Brain and Cardiovascular Injury, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Annamaria VezzaniDepartment of Acute Brain and Cardiovascular Injury, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Laura PasettoDepartment of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Valentina BonettoDepartment of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Stefano Fabrizio ColumbroDepartment of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Robert McCarterDepartment of Biostatistics and Research Design, Children's National Medical Center, Washington, DC, United States.
Eirik HelsethInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Erik TaubøllInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Pavel KleinMid-Atlantic Epilepsy and Sleep Center, Bethesda, MD, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the potential of targeted inflammatory proteins high mobility group box 1 (HMGB1), matrix metalloproteinase 9 (MMP-9) and interleukins (IL)-6, IL-8 and IL-10 as early biomarkers for post-traumatic epilepsy (PTE) prediction. Methods: In this prospective, international study, adult patients with traumatic brain injury (TBI) and an anticipated high risk of PTE based on radiological and clinical findings were recruited from Level 1 trauma centers in the USA and Europe. Blood was collected on days 2 and 4 post-TBI. Patients were followed clinically for 24 months for PTE development. Serum levels of the inflammatory markers were assessed using commercially available ELISA and AlphaLISA kits and compared between patients who did and did not develop PTE, and between PTE and a subgroup of non-PTE patients matched for age, sex, and Glasgow Coma Scale using non-parametric tests. Results: We found no statistically significant differences in serum levels of the inflammatory markers between PTE patients ( Significance: Based on our findings, serum levels of HMGB1, MMP-9, IL-6, IL-8 and IL-10 measured at early time points after TBI may not serve as sensitive biomarkers of PTE. However, a faster decline in IL-6 levels in the non-PTE groups suggests a more rapid resolution of inflammation among patients who do not develop PTE, supporting the role of neuroinflammatory mechanisms in epileptogenesis. The potential of IL-6's temporal profile as a biomarker of PTE warrants further exploration.

Indexed as

epilepsyHMGB1interleukinsMMP-9neuroinflammationseizures

Identifiers

PMID41356251
PMCPMC12676904

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