Evidence map›Paper›PMID 19620721›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2009

Neural transplants in patients with Huntington's disease undergo disease-like neuronal degeneration.

F Cicchetti, S Saporta, R A Hauser, M Parent, M Saint-Pierre, P R Sanberg, X J Li, J R Parker, Y Chu, E J Mufson and 2 more

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed
9.2field-weighted citation impact, top 1% of its field
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

76 citing papers in PubMed, 191 citations in OpenAlex.

  1. Trial
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  3. Advancements in surgical treatments for Huntington disease: From pallidotomy to experimental therapies.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

F CicchettiCentre de Recherche du CHUL (CHUQ), 2705, Boulevard Laurier, Québec, QC, Canada G1V 4G2. Francesca.Cicchetti@crchul.ulaval.ca
S Saporta
R A Hauser
M Parent
M Saint-Pierre
P R Sanberg
X J Li
J R Parker
Y Chu
E J Mufson
J H Kordower
T B Freeman
Rush University Medical Center · USCentre hospitalier de l'Université Laval · CAUniversity of South Florida · USEmory University · USUniversité de Montréal · CAUniversity of Louisville · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical evaluation of neural transplantation as a potential treatment for Huntington's disease (HD) was initiated in an attempt to replace lost neurons and improve patient outcomes. Two of 3 patients with HD reported here, who underwent neural transplantation containing striatal anlagen in the striatum a decade earlier, have demonstrated marginal and transient clinical benefits. Their brains were evaluated immunohistochemically and with electron microscopy for markers of projection neurons and interneurons, inflammatory cells, abnormal huntingtin protein, and host-derived connectivity. Surviving grafts were identified bilaterally in 2 of the subjects and displayed classic striatal projection neurons and interneurons. Genetic markers of HD were not expressed within the graft. Here we report in patients with HD that (i) graft survival is attenuated long-term; (ii) grafts undergo disease-like neuronal degeneration with a preferential loss of projection neurons in comparison to interneurons; (iii) immunologically unrelated cells degenerate more rapidly than the patient's neurons, particularly the projection neuron subtype; (iv) graft survival is attenuated in the caudate in comparison to the putamen in HD; (v) glutamatergic cortical neurons project to transplanted striatal neurons; and (vi) microglial inflammatory changes in the grafts specifically target the neuronal components of the grafts. These results, when combined, raise uncertainty about this potential therapeutic approach for the treatment of HD. However, these observations provide new opportunities to investigate the underlying mechanisms involved in HD, as well as to explore additional therapeutic paradigms.

Indexed as

Nerve DegenerationAutopsyCD4 AntigensCD8 AntigensCorpus StriatumFemaleGlial Fibrillary Acidic ProteinGliosisGraft SurvivalHumansHuntington DiseaseImmunohistochemistryMicroscopy, ElectronMiddle AgedNeuronsSynaptophysinCD4 AntigensCD8 AntigensGlial Fibrillary Acidic ProteinSynaptophysinUbiquitin

Identifiers

PMID19620721
PMCPMC2713393
OpenAlexW2102446194

What OpenQuestion 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 OpenQuestion graph.