Evidence map›Paper›PMID 40175401›Full record

Observational studyScientific reports2025

Plasma biomarkers in patients with familial cavernous malformation and their first-degree relatives: a cross-sectional study.

Chunwang Li, Shuna Huang, Qixuan Li, Lingyun Zhuo, Yaqing Kang, Penghui Liu, Weilin Huang, Ke Ma, Xinru Lin, Weiheng Zhuang and 7 more

Registry-linked trialAbstract readMulticenter StudyObservational 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. It is linked to trial NCT03467295 (Treatments and Outcomes of Untreated Cerebral Cavernous Malformations in CHINA), which is not on this 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.

NCT03467295 unknown statusnot on this map

Treatments and Outcomes of Untreated Cerebral Cavernous Malformations in CHINA (TOUCH): A Nationwide Multicenter Prospective Cohort Study.

TypeobservationalSponsorFirst Affiliated Hospital of Fujian Medical UniversityRan2018 to 2023Enrolled2,000ConditionsCerebral Cavernous MalformationsArmsSurgery, Observation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Chunwang Li *Department of Neurosurgery, Neurosurgery Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Shuna Huang *Clinical Research and Translation Center, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Qixuan Li *Department of Neurosurgery, Neurosurgery Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Lingyun Zhuo *Department of Neurosurgery, Neurosurgery Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Yaqing Kang *Department of Radiology, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Penghui LiuDepartment of Neurosurgery, Neurosurgery Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Weilin HuangDepartment of Radiology, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Ke MaClinical Research and Translation Center, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Xinru LinClinical Research and Translation Center, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Weiheng ZhuangDepartment of Neurosurgery, Neurosurgery Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Darong ChenDepartment of Neurosurgery, Neurosurgery Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Huimin WangDepartment of Neurosurgery, Neurosurgery Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Lingjun YanFujian Provincial Institutes of Brain Disorders and Brain Sciences, First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Dengliang WangDepartment of Neurosurgery, Neurosurgery Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China.
Yuanxiang LinDepartment of Neurosurgery, Neurosurgery Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China. lyx99070@126.com.
Dezhi KangDepartment of Neurosurgery, Neurosurgery Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China. kdz99988@vip.sina.com.
Fuxin LinDepartment of Neurosurgery, Neurosurgery Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, Fujian, China. lfxstudy@126.com.

Funding

Technology Platform Construction Project of Fujian Province 2020Y2003the Government of Fujian Province HLNCC-FJFY-003
6 · The paper itself

Abstract

Familial cerebral cavernous malformation (FCCM), especially severe cases, impose a heavy physical and psychological burden on patients and their families. To explore the differences in plasma biomarker levels between patients with FCCM and their healthy first-degree relatives (FDRs) and between FCCM patients with and without severe chronic disease aggressiveness (CDA). In a cross - sectional study, magnetic resonance imaging (MRI) scanning and genetic testing were performed in patients with multiple CCMs and their FDRs. Subsequently, sixty-seven plasma biomarkers were tested using a customised multiplex bead immunoassay kit. Univariate and multivariate unconditional logistic regression analyses were conducted to determine the associations between plasma factors and the risk of developing FCCM and severe CDA. Receiver operating characteristic (ROC) curves were generated for each independent risk factor. As a result, plasma factors of 37 patients with FCCM and 37 FDRs were examined. Low CD31 (P < 0.001) and BDNF levels (P = 0.013) were independent risk factors for FCCM. The best model was achieved by combining the results of CD31 and BDNF (AUC = 0.845, sensitivity 0.838, specificity 0.784, cutoff score - 4.295) to distinguish patients with FCCM from healthy FDRs. Low Serpin E1/PAI-1 (P = 0.011) and high ROBO4 levels (P = 0.013) were independent risk factors for severe CDA in patients with FCCM. The best model was achieved by combining the results of Serpin E1/PAI-1 and ROBO4 levels (AUC = 0.913, sensitivity 1.000, specificity 0.760, cutoff score - 0.525) to identify patients with FCCM and severe CDA. In summary, the plasma concentrations of CD31 and BDNF seem to be lower in patients with FCCM than in their healthy FDRs. Low Serpin E1/PAI-1 and high ROBO4 concentrations may be correlated with high lesion burden and risk of recurrent bleeding.Trial registration: ClinicalTrials.gov Identifier: NCT03467295.

Indexed as

BiomarkersHemangioma, Cavernous, Central Nervous SystemAdultBrain-Derived Neurotrophic FactorCross-Sectional StudiesFamilyFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPlatelet Endothelial Cell Adhesion Molecule-1Risk FactorsROC CurveYoung AdultBDNF protein, humanBiomarkersBrain-Derived Neurotrophic FactorPlatelet Endothelial Cell Adhesion Molecule-1Autosomal dominant inheritanceCerebral cavernous malformationsChronic disease aggressivenessFamilial cerebral cavernous malformationsPlasma biomarkersVascular malformations

Identifiers

PMID40175401
PMCPMC11965505

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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 Socratic graph.