Evidence map›Paper›PMID 24997607›Full record

ArticleNature medicine2014

Micropillar arrays as a high-throughput screening platform for therapeutics in multiple sclerosis.

Feng Mei, Stephen P J Fancy, Yun-An A Shen, Jianqin Niu, Chao Zhao, Bryan Presley, Edna Miao, Seonok Lee, Sonia R Mayoral, Stephanie A Redmond and 6 more

Erratum issued 4 registry-linked trialsAbstract read
In one paragraph

Article in Nature medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 4 registered trials, which are not on this map. Cited by 321 papers.

0numbers the graph read from it
0cells of the map it votes in
321citing papers in PubMed
55.2field-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.

NCT02521311 phase2recruitingnot on this mapstarted 2017, after this paper: background citation

A Randomized, Double-Blind, Parallel-Group, Placebo Controlled Trial to Assess the Efficacy, Safety, Tolerability, and Pharmacokinetics of Clemastine Fumarate as a Remyelinating Agent in Acute Optic Neuritis

TypeinterventionalSponsorUniversity of California, San FranciscoRan2017 to 2028Enrolled90ConditionsOptic NeuritisArmsClemastine, Placebo
NCT05359653 phase1 / phase2recruitingnot on this mapstarted 2023, after this paper: background citation

A Randomized, Double-Blind, Delayed Treatment, Placebo-Controlled Trial to Assess the Changes in Multi-parametric MRI in MS Patients Taking Clemastine Fumarate as a Myelin Repair Therapy

TypeinterventionalSponsorUniversity of California, San FranciscoRan2023 to 2027Enrolled74ConditionsMultiple Sclerosis (MS), Multiple Sclerosis, Relapsing-Remitting, Multiple Sclerosis, Primary Progressive, Multiple Sclerosis, Chronic ProgressiveArmsClemastine Fumarate, Placebo
NCT06065670 phase1 / phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Randomized, Double-Blind, Delayed Treatment, Placebo-Controlled Trial to Assess the Changes in Multi-parametric MRI in Patients With Acute Demyelinating Lesions Taking Clemastine Fumarate as a Myelin Repair Therapy

TypeinterventionalSponsorUniversity of California, San FranciscoRan2026 to 2028Enrolled44ConditionsDemyelinating Diseases, Demyelination, Corpus Callosum, Multiple Sclerosis Brain LesionArmsClemastine Fumarate, Placebo
NCT07304024 phase1 / phase2recruitingnot on this mapstarted 2025, after this paper: background citation

A Double-Blinded, Placebo-Controlled, Randomized, Phase 1/2a Clinical Study to Test the Safety and Efficacy of a Treatment for a Form of Age-Related Central Auditory Processing Disorder Consisting of Clemastine Fumarate Plus Engineered Sound

TypeinterventionalSponsorUniversity of Colorado, DenverRan2025 to 2028Enrolled344ConditionsCentral Auditory Processing Disorder, Hearing Impaired (Partially), Hearing, Hearing AbnormalityArmsClemastine Fumarate Combined With Engineered Sound, Clemastine Fumarate Combined With Pink Noise, Placebo Drug With Engineered Sound, Placebo - Placebo
3 · Its place in the literature

Who cites it

321 citing papers in PubMed, 571 citations in OpenAlex.

  1. Trial
  2. Beyond Histamine Blockade: Clemastine Fumarate as a Promoter of Myelin Regeneration, Inflammatory Regulation, and Neuroimmune Modulation in CNS Disorders.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. The role of type I collagen in white matter injury.Anatomical science international · 2026
    Review
  10. Article
  11. Targeting the PDK1/c-Myc/SOX10 Signaling in Oligodendrocytes Alleviates Neuropathic Pain.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Targeting enhancing myelin regeneration reverses cognitive deficits in a mouse model of intellectual disability.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 3 countries.

Feng Mei *Department of Neurology and Program in Neuroscience, University of California, San Francisco, San Francisco, California, USA.
Stephen P J Fancy *Department of Neurology and Program in Neuroscience, University of California, San Francisco, San Francisco, California, USA.
Yun-An A ShenDepartment of Neurology and Program in Neuroscience, University of California, San Francisco, San Francisco, California, USA.
Jianqin NiuDepartment of Histology and Embryology, Chongqing Key Laboratory of Neurobiology, Third Military Medical University, Chongqing, China.
Chao ZhaoWellcome Trust Medical Research Council, Cambridge Stem Cell Institute and Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Bryan PresleyTrianja Technologies, Allen, Texas, USA.
Edna MiaoDepartment of Neurology and Program in Neuroscience, University of California, San Francisco, San Francisco, California, USA.
Seonok LeeDepartment of Neurology and Program in Neuroscience, University of California, San Francisco, San Francisco, California, USA.
Sonia R MayoralDepartment of Neurology and Program in Neuroscience, University of California, San Francisco, San Francisco, California, USA.
Stephanie A RedmondDepartment of Neurology and Program in Neuroscience, University of California, San Francisco, San Francisco, California, USA.
Ainhoa EtxeberriaDepartment of Neurology and Program in Neuroscience, University of California, San Francisco, San Francisco, California, USA.
Lan XiaoDepartment of Histology and Embryology, Chongqing Key Laboratory of Neurobiology, Third Military Medical University, Chongqing, China.
Robin J M FranklinWellcome Trust Medical Research Council, Cambridge Stem Cell Institute and Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Ari GreenDepartment of Neurology and Program in Neuroscience, University of California, San Francisco, San Francisco, California, USA.
Stephen L HauserDepartment of Neurology and Program in Neuroscience, University of California, San Francisco, San Francisco, California, USA.
Jonah R ChanDepartment of Neurology and Program in Neuroscience, University of California, San Francisco, San Francisco, California, USA.
University of California, San Francisco · USArmy Medical University · CNMedical Research Council · GBWellcome/MRC Cambridge Stem Cell Institute · GB

Funding

Determining the Role of Dendrite Inhibition in Oligodendrocyte MyelinationF31NS081905 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI REDMOND, STEPHANIE · 2013 to 2015
$82k
NINDS NIH HHS F31 NS081905
6 · The paper itself

Abstract

Functional screening for compounds that promote remyelination represents a major hurdle in the development of rational therapeutics for multiple sclerosis. Screening for remyelination is problematic, as myelination requires the presence of axons. Standard methods do not resolve cell-autonomous effects and are not suited for high-throughput formats. Here we describe a binary indicant for myelination using micropillar arrays (BIMA). Engineered with conical dimensions, micropillars permit resolution of the extent and length of membrane wrapping from a single two-dimensional image. Confocal imaging acquired from the base to the tip of the pillars allows for detection of concentric wrapping observed as 'rings' of myelin. The platform is formatted in 96-well plates, amenable to semiautomated random acquisition and automated detection and quantification. Upon screening 1,000 bioactive molecules, we identified a cluster of antimuscarinic compounds that enhance oligodendrocyte differentiation and remyelination. Our findings demonstrate a new high-throughput screening platform for potential regenerative therapeutics in multiple sclerosis.

Indexed as

AnimalsCell DifferentiationCells, CulturedClemastineDrug Evaluation, PreclinicalFemaleHigh-Throughput Screening AssaysHistamine H1 AntagonistsMiceMice, Inbred C57BLMice, TransgenicMultiple SclerosisMuscarinic AntagonistsNanostructuresNerve Fibers, MyelinatedOligodendrogliaClemastineHistamine H1 AntagonistsMuscarinic Antagonists

Identifiers

PMID24997607
PMCPMC4830134
OpenAlexW1964416005

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.