Evidence map›Paper›PMID 21280084›Full record

ArticleAnnals of neurology2011

Identification of active loci of a human endogenous retrovirus in neurons of patients with amyotrophic lateral sclerosis.

Renée Douville, Jiankai Liu, Jeffrey Rothstein, Avindra Nath

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Annals of neurology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02437110 (HERV-K Suppression Using Antiretroviral Therapy in Volunteers With Amyotrophic Lateral Sclerosis), which is not on this map. Cited by 200 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
200citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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.

NCT02437110 phase1completednot on this mapstarted 2019, after this paper: background citation

HERV-K Suppression Using Antiretroviral Therapy in Volunteers With Amyotrophic Lateral Sclerosis (ALS)

TypeinterventionalSponsorNational Institute of Neurological Disorders and Stroke (NINDS)Ran2019 to 2023Enrolled122ConditionsAmyotrophic Lateral SclerosisArmsDarunavir, Ritonavir, Dolutegravir, Tenofovir alafenamide (TAF)
3 · Its place in the literature

Who cites it

200 citing papers in PubMed, 1 synthesis or guideline pooled it, 321 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. LINE-1 Retrotransposons and Amyotrophic Lateral Sclerosis.International journal of molecular sciences · 2026
    Review
  4. Article
  5. Article
  6. ERVK activity in CD8Journal of neuroinflammation · 2026
    Article
  7. TDP-43: [GU]-ardian of the transcriptome.Molecular neurodegeneration · 2026
    Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article

140 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Renée DouvilleDepartment of Neurology, Johns Hopkins University, Baltimore, MD, USA.
Jiankai Liu
Jeffrey Rothstein
Avindra Nath
Johns Hopkins University · USFirst Bethune Hospital of Jilin University · CN

Funding

Role of HIV Tat protein in pathogenesis of HIV dementiaR01NS039253 · NINDS · UNIVERSITY OF KENTUCKY · PI SCHNAAR, RONALD L · 1999 to 2014
$4.5M
Neuropathogenesis of Immune Reconstitution Syndrome with HIV InfectionR01NS056884 · NINDS · JOHNS HOPKINS UNIVERSITY · PI NATH, AVINDRA · 2006 to 2010
$1.7M
NINDS NIH HHS R01NS0333958NINDS NIH HHS R01 NS039253NINDS NIH HHS R01NS039253NINDS NIH HHS R01 NS056884
6 · The paper itself

Abstract

objectiveAmyotrophic lateral sclerosis (ALS) is characterized by the progressive loss of motor neurons, of unknown etiology. Previous studies showed reverse transcriptase in serum of ALS patients at levels comparable to human immunodeficiency virus-infected patients; however, the source and significance of the retroviral elements is uncertain.

methodsExpression of a human endogenous retrovirus (HERV-K) was determined in autopsy brain tissue of patients with ALS and compared to control populations by real-time polymerase chain reaction followed by sequencing of the amplified genes and confirmed by immunostaining.

resultsHERV-K pol transcripts were increased in patients with ALS compared to those with chronic systemic illness, but could not be detected in Parkinson disease or in the accidental death controls. Sequencing revealed several actively transcribed loci in the HML-2 and 3 subfamilies of HERV-K, with a specific pattern of expression including intact open reading frames and the transcription of a unique locus in ALS. The frequency of intact pol transcripts was highest in the motor cortex, and the reverse transcriptase protein was localized to cortical neurons of ALS patients. HERV-K expression strongly correlated with TDP-43, a multifunctional protein known to be dysregulated in ALS.

interpretationWe have identified a specific pattern of HERV-K expression in ALS, which may potentially define the pathophysiology of ALS. Targeting of activated genome-encoded retroviral elements may open new prospects for the treatment of ALS.

Indexed as

AgedAged, 80 and overAmyotrophic Lateral SclerosisBrainCerebral CortexCytogeneticsEndogenous RetrovirusesFemaleGene ExpressionGene FrequencyHumansMaleMiddle AgedMotor NeuronsReverse Transcriptase Polymerase Chain ReactionRNA, MessengerHERV-K cORF protein, Human endogenous retrovirus KRNA, MessengerViral Proteins

Identifiers

PMID21280084
PMCPMC3052883
OpenAlexW2116710635

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.