Evidence map›Paper›PMID 24488308›Full record

ArticleActa neuropathologica2014

Chemokine-mediated redirection of T cells constitutes a critical mechanism of glucocorticoid therapy in autoimmune CNS responses.

Nils Schweingruber, Henrike J Fischer, Lisa Fischer, Jens van den Brandt, Anna Karabinskaya, Verena Labi, Andreas Villunger, Benedikt Kretzschmar, Peter Huppke, Mikael Simons and 4 more

Open access · greenAbstract read
In one paragraph

Article in Acta neuropathologica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

30 citing papers in PubMed, 53 citations in OpenAlex.

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  19. Brain-homing CD4Neurology(R) neuroimmunology & neuroinflammation · 2020
    Article
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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

14 authors at 5 institutions in 2 countries.

Nils SchweingruberInstitute for Cellular and Molecular Immunology, University of Göttingen Medical School, Humboldtallee 34, 37073, Göttingen, Germany.
Henrike J Fischer
Lisa Fischer
Jens van den Brandt
Anna Karabinskaya
Verena Labi
Andreas Villunger
Benedikt Kretzschmar
Peter Huppke
Mikael Simons
Jan P Tuckermann
Alexander Flügel
Fred Lühder
Holger M Reichardt
University of Göttingen · DEHertie Foundation · DEMax Delbrück Center · DEUniversität Innsbruck · ATUniversität Ulm · DE

Funding

Austrian Science Fund FWF Y 212
6 · The paper itself

Abstract

Glucocorticoids (GCs) are the standard therapy for treating multiple sclerosis (MS) patients suffering from an acute relapse. One of the main mechanisms of GC action is held to be the induction of T cell apoptosis leading to reduced lymphocyte infiltration into the CNS, yet our analysis of experimental autoimmune encephalomyelitis (EAE) in three different strains of genetically manipulated mice has revealed that the induction of T cell apoptosis is not essential for the therapeutic efficacy of GCs. Instead, we identified the redirection of T cell migration in response to chemokines as a new therapeutic principle of GC action. GCs inhibited the migration of T cells towards CCL19 while they enhanced their responsiveness towards CXCL12. Importantly, blocking CXCR4 signaling in vivo by applying Plerixafor(®) strongly impaired the capacity of GCs to interfere with EAE, as revealed by an aggravated disease course, more pronounced CNS infiltration and a more dispersed distribution of the infiltrating T cells throughout the parenchyma. Our observation that T cells lacking the GC receptor were refractory to CXCL12 further underscores the importance of this pathway for the treatment of EAE by GCs. Importantly, methylprednisolone pulse therapy strongly increased the capacity of peripheral blood T cells from MS patients of different subtypes to migrate towards CXCL12. This indicates that modulation of T cell migration is an important mechanistic principle responsible for the efficacy of high-dose GC therapy not only of EAE but also of MS.

Indexed as

AdultAgedAnimalsApoptosisCell MovementChemokinesEncephalomyelitis, Autoimmune, ExperimentalFemaleGlucocorticoidsHumansMaleMice, Inbred BALB CMice, Inbred C57BLMice, TransgenicMiddle AgedMultiple SclerosisChemokinesGlucocorticoidsNeuroprotective Agents

Identifiers

PMID24488308
PMCPMC4943522
OpenAlexW2002889055

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.