Evidence map›Paper›PMID 42823743›Full record

ArticleActa neuropathologica communications2026

Cell-free DNA methylation profiling reveals injury types and severities in swine rotational and contusional models of traumatic brain injury.

Shih-Han Kao, Larry N Singh, Sanjeev Chawla, Hunter A Gaudio, Kevin D Browne, Samuel S Shin, Lucas J Hobson, Sarah Kenna, Jonathan Starr, M Katie Weeks and 7 more

Abstract read
In one paragraph

Article in Acta neuropathologica communications, 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

17 authors.

Shih-Han Kao *Resuscitation Science Center, Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. kaos@chop.edu.
Larry N Singh *Resuscitation Science Center, Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Sanjeev ChawlaDepartment of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Hunter A GaudioResuscitation Science Center, Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kevin D BrowneCenter for Brain Injury & Repair, Department of Neurosurgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Samuel S ShinDepartment of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Lucas J HobsonResuscitation Science Center, Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Sarah KennaResuscitation Science Center, Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Jonathan StarrResuscitation Science Center, Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
M Katie WeeksResuscitation Science Center, Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Nicholas J WidmannResuscitation Science Center, Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Anthony M DavisResuscitation Science Center, Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Takayuki SueishiResuscitation Science Center, Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Karli WulwickResuscitation Science Center, Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Jenna SittineriResuscitation Science Center, Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
D Kacy CullenCenter for Brain Injury & Repair, Department of Neurosurgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Todd J KilbaughResuscitation Science Center, Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. KILBAUGH@chop.edu.

Funding

Medical Technology Enterprise Consortium (MTEC) W81XWH-15-9-0001
6 · The paper itself

Abstract

Early diagnosis of traumatic brain injury (TBI) is crucial to guide treatment and improve recovery. Yet neuroimaging-the current gold standard for detection-cannot detect subtle biochemical changes and is insufficient to diagnose many TBI cases. Consequently, there is an urgent need for early, brain-associated biomarkers of TBI. Following injury, brain cells release cell-free DNA (cfDNA) into peripheral blood due to neurovascular disruption. DNA methylation patterns, which inform tissue specificity, could serve as biomarkers for TBI severity and progression. To test this hypothesis, we analyzed cfDNA from peripheral blood of swine models of TBI having injuries of differing severity and type: mild and moderate contusional, and mild and moderate rotational injuries. Using whole genome bisulfite sequencing, we identified distinct brain-associated cfDNA epigenetic signatures of affected brain regions, and the underlying biological processes associated with each injury type and severity. In these brain regions, proton magnetic resonance spectroscopic imaging (

Indexed as

Brain ContusionBrain Injuries, TraumaticCell-Free Nucleic AcidsDNA MethylationAnimalsBiomarkersBrainDisease Models, AnimalFemaleMaleSwineBiomarkersCell-Free Nucleic AcidscfDNAMethylomeTBI biomarkers

Identifiers

PMID42823743
PMCPMC13628837

What Socratic holds

Textmetadata
Read underepoch 390

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.