Evidence map›Paper›PMID 27042238›Full record

ArticleJournal of neurodevelopmental disorders2016

Specific pattern of maturation and differentiation in the formation of cortical tubers in tuberous sclerosis omplex (TSC): evidence from layer-specific marker expression.

Angelika Mühlebner, Anand M Iyer, Jackelien van Scheppingen, Jasper J Anink, Floor E Jansen, Tim J Veersema, Kees P Braun, Wim G M Spliet, Wim van Hecke, Figen Söylemezoğlu and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of neurodevelopmental disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-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, 32 citations in OpenAlex.

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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

18 authors at 9 institutions in 5 countries.

Angelika MühlebnerDepartment of (Neuro) Pathology, Academic Medical Center, Amsterdam, The Netherlands ; Department of Pediatrics, Medical University Vienna, Vienna, Austria.
Anand M IyerDepartment of (Neuro) Pathology, Academic Medical Center, Amsterdam, The Netherlands.
Jackelien van ScheppingenDepartment of (Neuro) Pathology, Academic Medical Center, Amsterdam, The Netherlands.
Jasper J AninkDepartment of (Neuro) Pathology, Academic Medical Center, Amsterdam, The Netherlands.
Floor E JansenDepartment of Pediatric Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.
Tim J VeersemaDepartment of Pediatric Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.
Kees P BraunDepartment of Pediatric Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.
Wim G M SplietDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Wim van HeckeDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Figen SöylemezoğluDepartment of Pathology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Martha FeuchtDepartment of Pediatrics, Medical University Vienna, Vienna, Austria.
Pavel KrsekDepartment of Neurology, Charles University, 2nd Faculty of Medicine, Motol University Hospital, Prague, Czech Republic.
Josef ZamecnikDepartment of Pathology and Molecular Medicine, Charles University, 2nd Faculty of Medicine, Motol University Hospital, Prague, Czech Republic.
Christian G BienEpilepsy Centre Bethel, Krankenhaus Mara, Bielefeld, Germany.
Tilman PolsterEpilepsy Centre Bethel, Krankenhaus Mara, Bielefeld, Germany.
Roland CorasDepartment of Neuropathology, University Hospital Erlangen, Erlangen, Germany.
Ingmar BlümckeDepartment of Neuropathology, University Hospital Erlangen, Erlangen, Germany.
Eleonora AronicaDepartment of (Neuro) Pathology, Academic Medical Center, Amsterdam, The Netherlands ; Swammerdam Institute for Life Sciences, Center for Neuroscience, University of Amsterdam, Amsterdam, The Netherlands ; Stichting Epilepsie Instellingen Nederland (SEIN), Heemstede, The Netherlands.
University Medical Center Utrecht · NLAcademic Medical Center · NLEvangelisches Krankenhaus Bielefeld · DEUniversitätsklinikum Erlangen · DECharles University · CZHacettepe University · TRMedical University of Vienna · ATNetherlands Institute for Neuroscience · NLUniversity Hospital in Motol · CZ

Funding

Austrian Science Fund FWF J 3499
6 · The paper itself

Abstract

backgroundTuberous sclerosis complex (TSC) is a multisystem disorder that results from mutations in the TSC1 or TSC2 genes, leading to constitutive activation of the mammalian target of rapamycin (mTOR) signaling pathway. Cortical tubers represent typical lesions of the central nervous system (CNS) in TSC. The pattern of cortical layering disruption observed in brain tissue of TSC patients is not yet fully understood, and little is known about the origin and phenotype of individual abnormal cell types recognized in tubers.

methodsIn the present study, we aimed to characterize dysmorphic neurons (DNs) and giant cells (GCs) of cortical tubers using neocortical layer-specific markers (NeuN, SMI32, Tbr1, Satb2, Cux2, ER81, and RORβ) and to compare the features with the histo-morphologically similar focal cortical dysplasia (FCD) type IIb. We studied a cohort of nine surgically resected cortical tubers, five FCD type IIb, and four control samples using immunohistochemistry and in situ hybridization.

resultsCortical tuber displayed a prominent cell loss in all cortical layers. Moreover, we observed altered proportions of layer-specific markers within the dysplastic region. DNs, in both tubers and FCD type IIb, were found positive for different cortical layer markers, regardless of their laminar location, and their immunophenotype resembles that of cortical projection neurons.

conclusionsThese findings demonstrate that, similar to FCD type IIb, cortical layering is markedly disturbed in cortical tubers of TSC patients. Distribution of these disturbances is comparable in all tubers and suggests a dysmaturation affecting early and late migratory patterns, with a more severe impairment of the late stage of maturation.

Indexed as

Cortical layer markersEpilepsyNeuropathologyNeurosurgeryTuberous sclerosis complex

Identifiers

PMID27042238
PMCPMC4818922
OpenAlexW2332843712

What OpenQuestion holds

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LicenceCC BY
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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.