Cerebrospinal fluid proteomics identifies calcyphosine and follistatin-like 1 as exploratory candidate proteins of interest in hydrocephalus - Report - MDSpire

Cerebrospinal fluid proteomics identifies calcyphosine and follistatin-like 1 as exploratory candidate proteins of interest in hydrocephalus

  • By

  • Hao Han

  • Xun Xie

  • Mingchen Xie

  • Yahui Zhang

  • Jianhua Cheng

  • Jian Xu

  • May 29, 2026

  • 0 min

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Clinical Report: Cerebrospinal Fluid Proteomic Analysis Reveals Calcyphosine and Follistatin-like 1 as Potential Biomarkers in Hydrocephalus

Overview

This study identifies distinct cerebrospinal fluid (CSF) proteomic profiles in post-hemorrhagic hydrocephalus (PHH) and idiopathic normal pressure hydrocephalus (iNPH).

Background

Hydrocephalus is characterized by ventricular enlargement due to disturbed CSF dynamics, affecting both secondary and idiopathic forms.

Data Highlights

GroupProteinsExpression Change
PHHCAPSElevated
iNPHFSTL1Elevated
BothGeneral Proteomic ProfileDownregulated

Key Findings

  • Both PHH and iNPH showed predominantly downregulated CSF proteomic profiles compared to non-hydrocephalus controls.
  • CAPS was elevated in PHH, while FSTL1 was elevated in iNPH.
  • Functional annotation analyses identified inflammatory signaling and neural pathways as overrepresented in PHH.
  • In iNPH, decreased proteins were associated with synaptic function and cellular stress responses.
  • ELISA confirmed the proteomic findings for CAPS and FSTL1 in an expanded cohort.

Clinical Implications

Further validation in larger cohorts is necessary before clinical application can be considered.

Conclusion

Distinct CSF proteomic signatures in PHH and iNPH warrant further investigation.

Related Resources & Content

  1. the analytical scientist, The Analytical Scientist, 2026 -- CSF Proteomics Identifies New Biomarkers for Multiple Sclerosis
  2. Journal of Neuro-Oncology, Journal of Neuro-Oncology, 2013 -- GC/MS-based metabolomic analysis of cerebrospinal fluid (CSF) from glioma patients
  3. Proteomic Analysis of Ventricular Cerebrospinal Fluid and Its Role in Predicting Surgical Outcomes for Chronic Hydrocephalus, 2023
  4. the asco post, ASCO Post, 2025 -- Identifying CNS Tumors With Multianalyte Cerebrospinal Fluid Test
  5. Guidelines for Diagnosis and Management of Idiopathic Normal Pressure Hydrocephalus - PubMed, 2025
  6. A Randomized Trial of Shunting for Idiopathic Normal Pressure Hydrocephalus - PMC, 2026
  7. Management of Posthemorrhagic Hydrocephalus in Premature Infants - Congress of Neurological Surgeons (CNS), 2025
  8. Guidelines for Diagnosis and Management of Idiopathic Normal Pressure Hydrocephalus - PubMed
  9. A Randomized Trial of Shunting for Idiopathic Normal Pressure Hydrocephalus - PMC
  10. 2. Management of Posthemorrhagic Hydrocephalus in Premature Infants - Congress of Neurological Surgeons (CNS)

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