Evidence map›Paper›PMID 24375753›Full record

ArticleAnnals of neurology2014

Sex Is a major determinant of neuronal dysfunction in neurofibromatosis type 1.

Kelly A Diggs-Andrews, Jacquelyn A Brown, Scott M Gianino, Joshua B Rubin, David F Wozniak, David H Gutmann

Abstract read
In one paragraph

Article in Annals of neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

88 citing papers in PubMed, 145 citations in OpenAlex.

  1. Article
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  4. Review
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  8. Review
  9. Review
  10. Article
  11. Distinct early development trajectories in Nf1Journal of neurodevelopmental disorders · 2025
    Article
  12. Review
  13. Precision preclinical modeling to advance cancer treatment.Journal of the National Cancer Institute · 2025
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. NF1Clinical and translational science · 2024
    Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Kelly A Diggs-AndrewsDepartments of Neurology, Washington University School of Medicine, Box 8111, 660 South Euclid Avenue, St Louis, MO.
Jacquelyn A Brown
Scott M Gianino
Joshua B Rubin
David F Wozniak
David H Gutmann
Washington University in St. Louis · US

Funding

Targeting Stoma-Tumor Co-Dependency for Glioma TherapyU01CA141549 · NCI · WASHINGTON UNIVERSITY · PI GUTMANN, DAVID H · 2009 to 2013
$4.8M
Washington University Intellectual and Developmental Disabilities Research CenterP30HD062171 · NICHD · WASHINGTON UNIVERSITY · PI INDER, TERRIE E · 2010 to 2014
$4.3M
NCI NIH HHS U01 CA141549NCI NIH HHS U01-CA141549-01NICHD NIH HHS P30 HD062171NICHD NIH HHS P30HD062171
6 · The paper itself

Abstract

objectiveChildren with neurofibromatosis-1 (NF1) are at risk for developing numerous nervous system abnormalities, including cognitive problems and brain tumors (optic pathway glioma). Currently, there are few prognostic factors that predict clinical manifestations or outcomes in patients, even in families with an identical NF1 gene mutation. In this study, we leveraged Nf1 genetically engineered mice (GEM) to define the potential role of sex as a clinically relevant modifier of NF1-associated neuronal dysfunction.

methodsDeidentified clinical data were analyzed to determine the impact of sex on optic glioma-associated visual decline in children with NF1. In addition, Nf1 GEM were employed as experimental platforms to investigate sexually dimorphic differences in learning/memory, visual acuity, retinal ganglion cell (RGC) death, and Nf1 protein (neurofibromin)-regulated signaling pathway function (Ras activity, cyclic adenosine monophosphate [cAMP], and dopamine levels).

resultsFemale patients with NF1-associated optic glioma were twice as likely to undergo brain magnetic resonance imaging for visual symptoms and 3× more likely to require treatment for visual decline than their male counterparts. As such, only female Nf1 GEM exhibited a decrement in optic glioma-associated visual acuity, shorter RGC axons, and attenuated cAMP levels. In contrast, only male Nf1 GEM showed spatial learning/memory deficits, increased Ras activity, and reduced dopamine levels.

interpretationCollectively, these observations establish sex as a major prognostic factor underlying neuronal dysfunction in NF1, and suggest that sex should be considered when interpreting future preclinical and clinical study results.

Indexed as

AnimalsBrainChildDopamineDopamine and cAMP-Regulated Phosphoprotein 32FemaleGene Expression RegulationGlial Fibrillary Acidic ProteinHippocampusHumansLearning DisabilitiesMaleMiceMice, Inbred C57BLMice, TransgenicNeurofibromatosis 1DopamineDopamine and cAMP-Regulated Phosphoprotein 32Glial Fibrillary Acidic ProteinNeurofibromin 1Ppp1r1b protein, mouse

Identifiers

PMID24375753
PMCPMC4172335
OpenAlexW2105019975

What OpenQuestion holds

Textmetadata
LicenceTDM
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.