Evidence map›Paper›PMID 42147245›Full record

ArticleFrontiers in oncology2026

Is creatine kinase a valid aid in early cardiac muscle damage detection during treatment for childhood acute lymphoblastic leukemia? A case report.

Grazia Fazio, Jari Intra, Orsola Montini, Laura Rachele Bettini, Giacomo Gotti, Alessandra Sala, Silvia Bungaro, Giovanni Cazzaniga, Carmelo Rizzari, Adriana Balduzzi and 1 more

Abstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Grazia FazioTettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Jari IntraClinical Chemistry Laboratory, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Orsola MontiniTettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Laura Rachele BettiniPediatrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Giacomo GottiPediatrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Alessandra SalaPediatrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Silvia BungaroLaboratorio Ultraspecialistico Patologia Clinica-Ematologia, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Giovanni CazzanigaSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Carmelo RizzariPediatrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Adriana BalduzziSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Marco CasatiClinical Chemistry Laboratory, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Creatine kinase (CK) is an enzyme that plays a pivotal role in various physiological processes, including metabolism and muscle function. This enzyme is found in high concentrations in skeletal muscle and the myocardium, with lower levels present in the brain. Increases in CK values have been observed in muscle damage and neuromuscular disorders. The potential for cardiotoxicity resulting from the administration of chemotherapeutic agents has been identified in subjects affected by hematological or solid tumors. In the present work, we describe the case story of a child diagnosed with acute lymphoblastic leukemia who exhibited two episodes of asymptomatic, markedly elevated CK values, identified during chemotherapy treatment. Our aim was to investigate the potential of CK as a biomarker for the early detection of cardiac muscle damage during therapy.

Indexed as

ALLbiomarkerscardiotoxicitychemotherapychildhood cancercreatine kinaseleukemia

Identifiers

PMID42147245
PMCPMC13175828

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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.