Evidence map›Paper›PMID 27706868›Full record

ArticleBrain pathology (Zurich, Switzerland)2017

Synaptic pathology in the cerebellar dentate nucleus in chronic multiple sclerosis.

Monika Albert, Alonso Barrantes-Freer, Melanie Lohrberg, Jack P Antel, John W Prineas, Miklós Palkovits, Joachim R Wolff, Wolfgang Brück, Christine Stadelmann

Abstract read
In one paragraph

Article in Brain pathology (Zurich, Switzerland), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. SV2A PET reveals synaptic density loss in experimental autoimmune encephalomyelitis and in a pilot multiple sclerosis study.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Article
  4. Synaptic Density in Multiple Sclerosis: An In Vivo Study Using [Neurology(R) neuroimmunology & neuroinflammation · 2025
    Article
  5. Review
  6. Glial Cells and Aging: From the CNS to the Cerebellum.International journal of molecular sciences · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Effects of diet and ovariectomy onBrain communications · 2025
    Article
  11. Review
  12. Review
  13. Review
  14. Therapeutic potential ofBrain communications · 2024
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Autophagy pathways in autoimmune diseases.Journal of autoimmunity · 2023
    Review
  20. Review
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

9 authors.

Monika AlbertDepartment of Neuropathology, University Medical Center, Robert-Koch-Straße 40, Göttingen, D-37075, Germany.
Alonso Barrantes-FreerDepartment of Neuropathology, University Medical Center, Robert-Koch-Straße 40, Göttingen, D-37075, Germany.
Melanie LohrbergDepartment of Anatomy, University Medical Center, Kreuzbergring 36, Göttingen, D-37075, Germany.
Jack P AntelNeuroimmunology unit, 3801 University Street, Montreal, Canada.
John W PrineasDepartment of Neurology, Sydney Medical School, University of Sydney, Sydney, NSW, 2006, Australia.
Miklós PalkovitsDepartment of Anatomy and Human Brain Tissue Bank, Tüzoltó utca 58, Budapest, Hungary.
Joachim R WolffDepartment of Anatomy, University Medical Center, Kreuzbergring 36, Göttingen, D-37075, Germany.
Wolfgang BrückDepartment of Neuropathology, University Medical Center, Robert-Koch-Straße 40, Göttingen, D-37075, Germany.
Christine StadelmannDepartment of Neuropathology, University Medical Center, Robert-Koch-Straße 40, Göttingen, D-37075, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In multiple sclerosis, cerebellar symptoms are associated with clinical impairment and an increased likelihood of progressive course. Cortical atrophy and synaptic dysfunction play a prominent role in cerebellar pathology and although the dentate nucleus is a predilection site for lesion development, structural synaptic changes in this region remain largely unexplored. Moreover, the mechanisms leading to synaptic dysfunction have not yet been investigated at an ultrastructural level in multiple sclerosis. Here, we report on synaptic changes of dentate nuclei in post-mortem cerebella of 16 multiple sclerosis patients and eight controls at the histological level as well as an electron microscopy evaluation of afferent synapses of the cerebellar dentate and pontine nuclei of one multiple sclerosis patient and one control. We found a significant reduction of afferent dentate synapses in multiple sclerosis, irrespective of the presence of demyelination, and a close relationship between glial processes and dentate synapses. Ultrastructurally, we show autophagosomes containing degradation products of synaptic vesicles within dendrites, residual bodies within intact-appearing axons and free postsynaptic densities opposed to astrocytic appendages. Our study demonstrates loss of dentate afferent synapses and provides, for the first time, ultrastructural evidence pointing towards neuron-autonomous and neuroglia-mediated mechanisms of synaptic degradation in chronic multiple sclerosis.

Indexed as

AdultAgedAutopsyAxonsCase-Control StudiesCerebellar DiseasesCerebellar NucleiCerebellumDendritesFemaleHumansMaleMicroscopy, ElectronMiddle AgedMultiple SclerosisNeurogliaautophagycerebellumdentate nucleusmultiple sclerosissynapses

Identifiers

PMID27706868
PMCPMC8028945

What OpenQuestion holds

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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.