PMID- 26555864 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20180816 IS - 1362-301X (Electronic) IS - 0269-9052 (Linking) VI - 30 IP - 1 DP - 2016 TI - Plasma brain-derived neurotrophic factor levels after severe traumatic brain injury. PG - 23-8 LID - 10.3109/02699052.2015.1077993 [doi] AB - OBJECTIVE: Severe traumatic brain injury (TBI) is associated with a 30-70% mortality rate. Nevertheless, in clinical practice there are no effective biomarkers for the prediction of fatal outcome following severe TBI. Therefore, the aim was to determine whether brain-derived neurotrophic factor (BDNF) plasma levels are associated with intensive care unit (ICU) mortality in patients with severe TBI. METHODS: This prospective study enrolled 120 male patients who suffered severe TBI (Glasgow Coma Scale 3-8 at emergency room admission). The plasma BDNF level was determined at ICU admission (mean 6.4 hours after emergency room admission). RESULTS: Severe TBI was associated with a 35% mortality rate and 64% of the patients presented severe TBI with multi-trauma. The mean plasma BDNF concentration among the severe TBI victims was 704.2 +/- 63.4 pg ml(-1) (+/-SEM). Nevertheless, there were no significant differences between BDNF levels in the survivor (700.2 +/- 82.8 pg ml(-1)) or non-survivor (711.6 +/- 97.4 pg ml(-1)) groups (p = 0.238) or in the isolated TBI (800.4 +/- 117.4 pg ml(-1)) or TBI with multi-trauma groups (650.5 +/- 73.9 pg ml(-1)) (p = 0.109). CONCLUSIONS: Plasma BDNF concentrations did not correlate with either short-term fatal outcome or type of injury following severe TBI. FAU - Simon, Daniel AU - Simon D AD - a Programa de Pos-Graduacao em Biologia Celular e Molecular Aplicada a Saude . AD - b Laboratorio de Biomarcadores do Trauma , Universidade Luterana do Brasil , Canoas , Brazil , and. AD - c Curso de Medicina , Universidade Luterana do Brasil , Canoas , Brazil. FAU - Nascimento, Rita Iara Moreira do AU - Nascimento RI AD - a Programa de Pos-Graduacao em Biologia Celular e Molecular Aplicada a Saude . FAU - Filho, Edison Moraes Rodrigues AU - Filho EM AD - a Programa de Pos-Graduacao em Biologia Celular e Molecular Aplicada a Saude . FAU - Bencke, Jane AU - Bencke J AD - b Laboratorio de Biomarcadores do Trauma , Universidade Luterana do Brasil , Canoas , Brazil , and. FAU - Regner, Andrea AU - Regner A AD - a Programa de Pos-Graduacao em Biologia Celular e Molecular Aplicada a Saude . AD - b Laboratorio de Biomarcadores do Trauma , Universidade Luterana do Brasil , Canoas , Brazil , and. AD - c Curso de Medicina , Universidade Luterana do Brasil , Canoas , Brazil. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151110 PL - England TA - Brain Inj JT - Brain injury JID - 8710358 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Adult MH - Biomarkers/blood MH - Brain Injuries, Traumatic/*blood MH - Brain-Derived Neurotrophic Factor/*blood MH - Glasgow Coma Scale MH - Humans MH - Male MH - Middle Aged MH - Prospective Studies MH - ROC Curve MH - Treatment Outcome OTO - NOTNLM OT - BDNF OT - biomarker OT - multi-trauma OT - outcome OT - severe TBI EDAT- 2015/11/12 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/11/12 06:00 PHST- 2015/11/12 06:00 [entrez] PHST- 2015/11/12 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 10.3109/02699052.2015.1077993 [doi] PST - ppublish SO - Brain Inj. 2016;30(1):23-8. doi: 10.3109/02699052.2015.1077993. Epub 2015 Nov 10.