Evidence map›Paper›PMID 24347577›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2014

Fetal striatal grafting slows motor and cognitive decline of Huntington's disease.

Marco Paganini, Annibale Biggeri, Anna Maria Romoli, Claudia Mechi, Elena Ghelli, Valentina Berti, Silvia Pradella, Sandra Bucciantini, Dolores Catelan, Riccardo Saccardi and 7 more

Open access · hybridAbstract readControlled Clinical Trial
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. [European journal of nuclear medicine and molecular imaging · 2023
    Pooled it
  2. Review
  3. Article
  4. Review
  5. Current and Possible Future Therapeutic Options for Huntington's Disease.Journal of central nervous system disease · 2022
    Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Huntington's disease: the coming of age.Journal of genetics · 2018
    Review
  11. Restorative Strategies in Movement Disorders: the Contribution of Imaging.Current neurology and neuroscience reports · 2017
    Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 1 country.

Marco PaganiniDepartment of Neuroscience, University of Florence, Florence, Italy Careggi University Hospital, Florence, Italy.
Annibale BiggeriDepartment of Statistics, Informatics and Applications "G. Parenti", University of Florence, Florence, Italy Biostatistics Unit, ISPO Cancer Prevention and Research Institute, Florence, Italy.
Anna Maria RomoliDepartment of Neuroscience, University of Florence, Florence, Italy.
Claudia MechiDepartment of Neuroscience, University of Florence, Florence, Italy.
Elena GhelliDepartment of Neuroscience, University of Florence, Florence, Italy.
Valentina BertiDepartment of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.
Silvia PradellaDepartment of Neuroscience, University of Florence, Florence, Italy.
Sandra BucciantiniCareggi University Hospital, Florence, Italy.
Dolores CatelanDepartment of Statistics, Informatics and Applications "G. Parenti", University of Florence, Florence, Italy Biostatistics Unit, ISPO Cancer Prevention and Research Institute, Florence, Italy.
Riccardo SaccardiCareggi University Hospital, Florence, Italy.
Letizia LombardiniCareggi University Hospital, Florence, Italy Italian National Health Institute, National Transplantation Center, Rome, Italy.
Mario MascalchiDepartment of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.
Luca MassacesiDepartment of Neuroscience, University of Florence, Florence, Italy Careggi University Hospital, Florence, Italy.
Berardino PorfirioCareggi University Hospital, Florence, Italy Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0003-4646-2502
Nicola Di LorenzoDepartment of Surgery and Translational Medicine, University of Florence, Florence, Italy.
Gabriella Barbara VannelliDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.
Pasquale GallinaCareggi University Hospital, Florence, Italy Department of Surgery and Translational Medicine, University of Florence, Florence, Italy.
University of Florence · ITAzienda Ospedaliero-Universitaria Careggi · ITPiedmont Reference Center for Epidemiology and Cancer Prevention · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the clinical effect of caudate-putaminal transplantation of fetal striatal tissue in Huntington's disease (HD).

methodsWe carried out a follow-up study on 10 HD transplanted patients and 16 HD not-transplanted patients. All patients were evaluated with the Unified HD Rating Scale (UHDRS) whose change in motor, cognitive, behavioural and functional capacity total scores were considered as outcome measures. Grafted patients also received morphological and molecular neuroimaging.

resultsPatients were followed-up from disease onset for a total of 309.3 person-years (minimum 5.3, median 11.2 years, maximum 21.6 years). UHDRS scores have been available since 2004 (median time of 5.7 years since onset, minimum zero, maximum 17.2 years). Median post-transplantation follow-up was 4.3 years, minimum 2.8, maximum 5.1 years. Adjusted post-transplantation motor score deterioration rate was reduced compared to the pretransplantation period, and to that of not-transplanted patients by 0.9 unit/years (95% CI 0.2 to 1.6). Cognitive score deterioration was reduced of 2.7 unit/years (95% CI 0.1 to 5.3). For grafted patients the 2-year post-transplantation [(18)F]fluorodeoxyglucose positron emission tomography (PET) showed striatal/cortical metabolic increase compared to the presurgical evaluation; 4-year post-transplantation PET values were slightly decreased, but remained higher than preoperatively. [(123)I]iodobenzamide single photon emission CT demonstrated an increase in striatal D2-receptor density during postgrafting follow-up.

conclusionsGrafted patients experienced a milder clinical course with less pronounced motor/cognitive decline and associated brain metabolism improvement. Life-time follow-up may ultimately clarify whether transplantation permanently modifies the natural course of the disease, allowing longer sojourn time at less severe clinical stage, and improvement of overall survival.

Indexed as

Brain Tissue TransplantationFetal Tissue TransplantationAdultCerebral CortexCorpus StriatumFemaleFluorodeoxyglucose F18Follow-Up StudiesFunctional NeuroimagingHumansHuntington DiseaseIodobenzenesMaleMiddle AgedNeuropsychological TestsPositron-Emission TomographyDRD2 protein, humanFluorodeoxyglucose F18idobenzamideIodobenzenesReceptors, Dopamine D2Huntington'sStereotaxic Surgery

Identifiers

PMID24347577
PMCPMC4145428
OpenAlexW2143737307

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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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.