Evidence map›Paper›PMID 42494139›Full record

Observational studyAddiction biology2026

The Predictive Value of Tenascin-C, Neopterin and Pro-Inflammatory Cytokines (IFN-γ, TNF-α, IL-6) in Alcohol Use Disorder Treatment Response.

Guleser Akpinar, Gulsen Sener, Enes Faruk Altunkiliç, Emre Yazgec, Alp Batuhan Ozturk, Nuri Mehmet Basan, Huseyin Aycan Ozsemerci

Abstract readObservational Study
In one paragraph

Observational study in Addiction biology, 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

7 authors.

Guleser AkpinarDepartment of Emergency Medicine, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.ORCID https://orcid.org/0000-0001-8559-5098
Gulsen SenerDepartment of Medical Biochemistry, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
Enes Faruk AltunkiliçDepartment of Child and Adolescent Mental Health and Disorders, Bakirkoy Prof. Dr. Mazhar Osman Mental Health and Neurological Diseases Training and Research Hospital, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-0051-0281
Emre YazgecDepartment of Child and Adolescent Mental Health and Disorders, Bakirkoy Prof. Dr. Mazhar Osman Mental Health and Neurological Diseases Training and Research Hospital, Istanbul, Turkey.
Alp Batuhan OzturkDepartment of Emergency Medicine, Faculty of Medicine, Biruni University, Istanbul, Turkey.ORCID https://orcid.org/0009-0000-0584-5131
Nuri Mehmet BasanDepartment of Neurology, Istanbul Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
Huseyin Aycan OzsemerciDepartment of Emergency Medicine, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The underlying neurobiological mechanisms of chronic alcohol consumption, particularly neuroinflammation and immune system dysregulation, have been extensively studied in recent years. In this process, the identification of objective biomarkers that can predict treatment response and enable personalized medicine approaches is of critical importance. This study aimed to evaluate the potential predictive value of tenascin-C (TNC), an extracellular matrix protein, neopterin, a marker of cellular immune activation and pro-inflammatory cytokines interferon-gamma (IFN-γ), tumour necrosis factor-alpha (TNF-α) and interleukin-6 (IL-6), during the treatment process for alcohol use disorder (AUD). This prospective observational cohort study included 30 patients admitted to an AUD treatment centre and 31 healthy controls. Serum TNC, IL-6, TNF-α and IFN-γ levels were measured using the ELISA method. Clinical outcomes were assessed using the SCL-90-R and API-K scales. Serum samples were collected from patients at admission and on the 7th day of detoxification treatment. Baseline serum TNC levels in the alcohol group (131.78 ± 50.92 ng/mL) were significantly higher than in the healthy control group (63.92 ± 23.85 ng/mL). In the alcohol group, TNC (p = 0.007) and AST (p = 0.025) levels decreased significantly, while vitamin B12 (p = 0.002) and platelet count (p = 0.012) increased. No significant difference was observed in neopterin and cytokine levels (TNF-α, IL-6 and IFN-γ) between baseline and follow-up measurements. Clinical assessments showed significant improvements in depression (p = 0.041), anxiety (p = 0.014) and total symptom scores (p = 0.026) on the SCL-90-R scale. ROC analysis showed that a reduction of 28.22% or more in TNC predicted clinical improvement with an overall accuracy rate of 73.33%.

Indexed as

AlcoholismCytokinesInterferon-gammaInterleukin-6NeopterinTenascinAdultBiomarkersCase-Control StudiesFemaleHumansMaleMiddle AgedPredictive Value of TestsProspective StudiesTreatment OutcomeBiomarkersCytokinesInterferon-gammaInterleukin-6NeopterinTenascinTNC protein, humanTumor Necrosis Factor-alphaalcohol use disorderneopterinpsychiatric symptomstenascin‐C

Identifiers

PMID42494139
PMCPMC13396875

What Socratic holds

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LicenceCC BY
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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 Socratic graph.