Evidence map›Paper›PMID 41714345›Full record

ArticleScientific reports2026

Altered NGF and GDNF levels reveal neuroimmune dysregulation in COVID-19 patients.

Lale Saka Baraz, Evrim Ataca, Nur Duzen Oflas, Seyma Canavar Kosali, Busra Usta, Alihan Oral, Mustafa Cihangiroglu, Metin Ozgen, Demet Yalcin Kehribar

Abstract read
In one paragraph

Article in Scientific reports, 2026. 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. Article
  2. Article
  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

9 authors.

Lale Saka BarazDepartment of Internal Medicine, Manisa City Hospital, Manisa, Türkiye, Turkey. lalesaka-6@hotmail.com.ORCID http://orcid.org/0000-0003-4387-6929
Evrim AtacaInstitute of Oncology, Dokuz Eylul University, Izmir, Turkey. evrimbayrakdar@gmail.com.ORCID http://orcid.org/0000-0001-6572-0277
Nur Duzen OflasFaculty of Medicine, Department of Internal Medicine, Yıl University, Van, Turkey.ORCID http://orcid.org/0000-0003-0897-2819
Seyma Canavar KosaliFaculty of Medicine, Department of Internal Medicine, Dokuz Eylül University, Izmir, Turkey. seymacanavar@gmail.com.ORCID http://orcid.org/0000-0001-5618-9525
Busra UstaFaculty of Medicine, Department of Microbiology, Samsun University, Samsun, Turkey.ORCID http://orcid.org/0000-0001-5976-9517
Alihan OralFaculty of Medicine, Department of Internal Medicine, Biruni University, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-1160-9340
Mustafa CihangirogluDepartment of Infectious Disease, State Hospital, Suluova, Turkey.ORCID http://orcid.org/0000-0001-6148-5142
Metin OzgenMedical Point Hospital, Department of Rheumatology, Izmir Ekonomi University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-6842-2918
Demet Yalcin KehribarFaculty of Medicine, Department of Internal Medicine, Dokuz Eylül University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-1852-7981

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurotrophins such as nerve growth factor (NGF) and glial cell line-derived neurotrophic factor (GDNF) are crucial for neuronal maintenance and immune regulation. However, their dynamics during coronavirus disease 2019 (COVID-19) remain unclear. In this prospective study, 30 hospitalized patients with PCR-confirmed COVID-19 were evaluated longitudinally. Serum NGF, GDNF, and conventional inflammatory markers (CRP, ESR, fibrinogen, ferritin, D-dimer, LDH, hematological counts) were measured on Day 1, Day 4, and at discharge. A control group of 37 healthy individuals was included for cross-sectional comparison. Both NGF and GDNF levels were significantly lower in COVID-19 patients at admission compared with healthy individuals. NGF showed a modest early decline from Day 1 to Day 4, followed by partial recovery at discharge, whereas GDNF remained stable throughout hospitalization. Inflammatory markers demonstrated expected clinical trajectories: CRP, ESR, LDH, and fibrinogen decreased during recovery, while WBC, neutrophils, and platelets increased. Ferritin and D-dimer showed no meaningful temporal changes. NGF appears to reflect acute neuroimmune activation in COVID-19 and may serve as a dynamic biomarker of early inflammatory resolution. Conversely, GDNF remained persistently suppressed, suggesting a distinct role in chronic neuroimmune regulation. These findings highlight NGF and GDNF as potential targets for monitoring and modulating neuroimmune responses in COVID-19 and other inflammation-driven conditions.

Indexed as

COVID-19Glial Cell Line-Derived Neurotrophic FactorNerve Growth FactorNeuroimmunomodulationAdultAgedBiomarkersCross-Sectional StudiesFemaleHumansMaleMiddle AgedProspective StudiesSARS-CoV-2BiomarkersGDNF protein, humanGlial Cell Line-Derived Neurotrophic FactorNerve Growth FactorNGF protein, humanBiomarkersCOVID-19GDNFInflammationNeurotrophinsNGF

Identifiers

PMID41714345
PMCPMC13018267

What Socratic holds

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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 Socratic graph.