Prognostic Value of Transforming Growth Factor-Beta 1 in Normal Pressure Hydrocephalus



Status:Completed
Conditions:Women's Studies
Therapuetic Areas:Reproductive
Healthy:No
Age Range:18 - Any
Updated:4/2/2016
Start Date:January 2008
End Date:July 2011
Contact:Noel Tulipan, M.D.
Email:noel.tulipan@Vanderbilt.Edu
Phone:615-322-6875

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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:

1. Correlate CSF levels of TGF-b1 with the clinical response of patients diagnosed with
NPH to VPS placement.

2. Correlate CSF levels of TGF-b1 with optimal VPS pressure settings.

Inclusion Criteria:

- Diagnosis of Normal Pressure Hydrocephalus

Exclusion Criteria:

- Patients not diagnosed with Normal Pressure Hydrocephalus
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