Evidence map›Paper›PMID 23169655›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2012

Inhibition of glutamate carboxypeptidase II (GCPII) activity as a treatment for cognitive impairment in multiple sclerosis.

Kristen A Rahn, Crystal C Watkins, Jesse Alt, Rana Rais, Marigo Stathis, Inna Grishkan, Ciprian M Crainiceau, Martin G Pomper, Camilo Rojas, Mikhail V Pletnikov and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  4. Modulating glutamate neurotransmission inFrontiers in immunology · 2026
    Review
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  6. Targeting NAAG metabolism restores cognition and synaptic integrity in EcoHIV-infected mice.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
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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

15 authors at 3 institutions in 2 countries.

Kristen A RahnDepartment of Psychiatry and Behavioral Sciences, Brain Science Institute, Johns Hopkins University, Baltimore, MD 21287, USA.
Crystal C Watkins
Jesse Alt
Rana Rais
Marigo Stathis
Inna Grishkan
Ciprian M Crainiceau
Martin G Pomper
Camilo Rojas
Mikhail V Pletnikov
Peter A Calabresi
Jason Brandt
Peter B Barker
Barbara S Slusher
Adam I Kaplin
Institute of Behavioral Sciences · JPJohns Hopkins University · USCancer Research And Biostatistics · US

Funding

TR&D 4: Algorithms for functional and anatomical brain analysisP41EB015909 · NIBIB · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI VAN ZIJL, PETER CM · 2012 to 2020
$13.1M
INTERDISCIPLINARY TRAINING PROGRAM IN NEUROSCIENCEST32MH015330 · NIMH · JOHNS HOPKINS UNIVERSITY · PI MARGOLIS, RUSSELL L · 1985 to 2024
$6.2M
Depression and Cognitive Impairment in Transverse MyelitisK23MH069702 · NIMH · JOHNS HOPKINS UNIVERSITY · PI KAPLIN, ADAM IAN · 2006 to 2010
$912k
NIBIB NIH HHS P41 EB015909NIBIB NIH HHS P41EB015909NIMH NIH HHS K23 MH069702NIMH NIH HHS T32 MH015330
6 · The paper itself

Abstract

Half of all patients with multiple sclerosis (MS) experience cognitive impairment, for which there is no pharmacological treatment. Using magnetic resonance spectroscopy (MRS), we examined metabolic changes in the hippocampi of MS patients, compared the findings to performance on a neurocognitive test battery, and found that N-acetylaspartylglutamate (NAAG) concentration correlated with cognitive functioning. Specifically, MS patients with cognitive impairment had low hippocampal NAAG levels, whereas those with normal cognition demonstrated higher levels. We then evaluated glutamate carboxypeptidase II (GCPII) inhibitors, known to increase brain NAAG levels, on cognition in the experimental autoimmune encephalomyelitis (EAE) model of MS. Whereas GCPII inhibitor administration did not affect physical disabilities, it increased brain NAAG levels and dramatically improved learning and memory test performance compared with vehicle-treated EAE mice. These data suggest that NAAG is a unique biomarker for cognitive function in MS and that inhibition of GCPII might be a unique therapeutic strategy for recovery of cognitive function.

Indexed as

AdultAnalysis of VarianceAnimalsCognitive DysfunctionDipeptidesEncephalomyelitis, Autoimmune, ExperimentalFemaleFlow CytometryGlutamate Carboxypeptidase IIHippocampusHumansMagnetic Resonance SpectroscopyMaleMass SpectrometryMiceMice, Inbred C57BL2-(phosphonomethyl)pentanedioic acidDipeptidesGlutamate Carboxypeptidase IIisospaglumic acidOrganophosphorus Compounds

Identifiers

PMID23169655
PMCPMC3523869
OpenAlexW2139505125

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.