Evidence map›Paper›PMID 23687122›Full record

ArticleBrain : a journal of neurology2013

Disease-specific molecular events in cortical multiple sclerosis lesions.

Marie Therese Fischer, Isabella Wimmer, Romana Höftberger, Susanna Gerlach, Lukas Haider, Tobias Zrzavy, Simon Hametner, Don Mahad, Christoph J Binder, Markus Krumbholz and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 158 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
158citing papers in PubMed, 5 pooled it
17.7field-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

158 citing papers in PubMed, 5 syntheses or guidelines pooled it, 312 citations in OpenAlex.

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  5. Meta-analysis of associations between MTHFR and GST polymorphisms and susceptibility to multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2015
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98 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 3 countries.

Marie Therese FischerDepartment of Neuroimmunology, Centre for Brain Research, Medical University of Vienna, Austria.
Isabella Wimmer
Romana Höftberger
Susanna Gerlach
Lukas Haider
Tobias Zrzavy
Simon Hametner
Don Mahad
Christoph J Binder
Markus Krumbholz
Jan Bauer
Monika Bradl
Hans Lassmann
Medical University of Vienna · ATLudwig-Maximilians-Universität München · DENewcastle University · GB

Funding

Austrian Science Fund FWF P 24245
6 · The paper itself

Abstract

Cortical lesions constitute an important part of multiple sclerosis pathology. Although inflammation appears to play a role in their formation, the mechanisms leading to demyelination and neurodegeneration are poorly understood. We aimed to identify some of these mechanisms by combining gene expression studies with neuropathological analysis. In our study, we showed that the combination of inflammation, plaque-like primary demyelination and neurodegeneration in the cortex is specific for multiple sclerosis and is not seen in other chronic inflammatory diseases mediated by CD8-positive T cells (Rasmussen's encephalitis), B cells (B cell lymphoma) or complex chronic inflammation (tuberculous meningitis, luetic meningitis or chronic purulent meningitis). In addition, we performed genome-wide microarray analysis comparing micro-dissected active cortical multiple sclerosis lesions with those of tuberculous meningitis (inflammatory control), Alzheimer's disease (neurodegenerative control) and with cortices of age-matched controls. More than 80% of the identified multiple sclerosis-specific genes were related to T cell-mediated inflammation, microglia activation, oxidative injury, DNA damage and repair, remyelination and regenerative processes. Finally, we confirmed by immunohistochemistry that oxidative damage in cortical multiple sclerosis lesions is associated with oligodendrocyte and neuronal injury, the latter also affecting axons and dendrites. Our study provides new insights into the complex mechanisms of neurodegeneration and regeneration in the cortex of patients with multiple sclerosis.

Indexed as

AdolescentAdultAgedAged, 80 and overCerebral CortexFemaleHumansInflammation MediatorsMaleMiddle AgedMultiple SclerosisOxidative StressProtein Array AnalysisYoung AdultInflammation Mediatorscortexdemyelinationgene expressionmultiple sclerosisneurodegeneration

Identifiers

PMID23687122
PMCPMC3673462
OpenAlexW2143475221

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.