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Correlation of cerebrospinal fluid levels of transforming growth factor beta-1 with functional improvements after insertion of ventriculoperitoneal shunt for normal pressure hydrocephalus
The goal of this research is to investigate a potential CSF biomarker of NPH as a new tool for both the diagnosis of NPH and prognosis of VPS placement. Transforming growth factor-b1 (TGF-b1) is a signaling molecule involved in three fundamental activities; suppression of cell proliferation, immunosuppression, and deposition of extracellular matrix through promotion of synthesis and inhibition of degradation.8 Previously, TGF-b1 had been implicated in the development of communicating hydrocephalus secondary to pre-term infant intraventricular hemorrhage9 and adult aneurysmal sub-arachnoid hemorrhage.10, 11 Recently, an investigation demonstrated elevated levels of TGF-b1 in patients with shunt-responsive NPH compared to non-NPH patients.12
The specific aims of this research proposal are to:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Patients diagnosed with Normal Pressure Hydrocephalus |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CSF collection | Other | CSF collection at time of VPS insertion |
|
| Measure | Description | Time Frame |
|---|---|---|
| TGF beta-1 levels | Time of Surgery | |
| Mini-mental status exam | Pre-operative, 3 and 12 months post-operatively | |
| Modified barthel index | Pre-operative, 3 and 12 months post-operatively | |
| Tinetti mobility assessment | Pre-operative, 3 and 12 months post-operatively |
| Measure | Description | Time Frame |
|---|---|---|
| Programmable shunt setting | Pre-operative, 3 and 12 months post-operatively |
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Inclusion Criteria:
Exclusion Criteria:
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Primary care clinic and neurology clinic
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| Name | Affiliation | Role |
|---|---|---|
| Noel Tulipan, M.D. | Vanderbilt University Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vanderbilt University Medical Center | Nashville | Tennessee | 37232 | United States |
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| ID | Term |
|---|---|
| D006850 | Hydrocephalus, Normal Pressure |
| D003966 | Camurati-Engelmann Syndrome |
| ID | Term |
|---|---|
| D006849 | Hydrocephalus |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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CSF
| D010009 |
| Osteochondrodysplasias |
| D001848 | Bone Diseases, Developmental |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |