Evidence map›Paper›PMID 28163193›Full record

SynthesisNeuroscience and biobehavioral reviews2017

The neuropathological signature of bulbar-onset ALS: A systematic review.

S Shellikeri, V Karthikeyan, R Martino, S E Black, L Zinman, J Keith, Y Yunusova

Abstract readSystematic Review
In one paragraph

Synthesis in Neuroscience and biobehavioral reviews, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–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

33 citing papers in PubMed.

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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

7 authors.

S ShellikeriDepartment of Speech-Language Pathology, University of Toronto, Toronto, Ontario, Canada; Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, University of Toronto, Toronto, Ontario, Canada. Electronic address: sanjana.shellikeri@mail.utoronto.ca.
V KarthikeyanDepartment of Speech-Language Pathology, University of Toronto, Toronto, Ontario, Canada; Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, University of Toronto, Toronto, Ontario, Canada.
R MartinoDepartment of Speech-Language Pathology, University of Toronto, Toronto, Ontario, Canada; Health Care and Outcomes Research, Krembil Research Institute, Toronto, Ontario, Canada; Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
S E BlackHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, University of Toronto, Toronto, Ontario, Canada; L.C. Campbell Cognitive Neurology Research Unit, Sunnybrook Health Sciences, Toronto, Ontario, Canada; Department of Medicine, Neurology, Sunnybrook Health Sciences, Toronto, Ontario, Canada; Department of Medicine, Neurology, University of Toronto, Toronto, Ontario, Canada; Heart & Stroke Foundation Canadian Partnership for Stroke Recovery, Sunnybrook Health Sciences, Toronto, Ontario, Canada.
L ZinmanHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, Neurology, Sunnybrook Health Sciences, Toronto, Ontario, Canada; Department of Medicine, Neurology, University of Toronto, Toronto, Ontario, Canada.
J KeithHurvitz Brain Sciences Research Program, Sunnybrook Research Institute, University of Toronto, Toronto, Ontario, Canada; Department of Laboratory Medicine and Pathobiology, Sunnybrook Health Sciences, Toronto, Ontario, Canada; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada.
Y YunusovaDepartment of Speech-Language Pathology, University of Toronto, Toronto, Ontario, Canada; Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, University of Toronto, Toronto, Ontario, Canada; University Health Network - Toronto Rehabilitation Institute, Toronto, Ontario, Canada.

Funding

SPEECH MOVEMENT CLASSIFICATION FOR ASSESSING AND TREATING ALSR01DC013547 · NIDCD · MGH INSTITUTE OF HEALTH PROFESSIONS · PI GREEN, JORDAN R · 2014 to 2018
$3.2M
Bulbar Motor Deterioration in ALSR01DC009890 · NIDCD · UNIVERSITY OF NEBRASKA LINCOLN · PI GREEN, JORDAN R, YUNUSOVA, YANA · 2009 to 2013
$2.3M
NIDCD NIH HHS R01 DC009890NIDCD NIH HHS R01 DC013547
6 · The paper itself

Abstract

ALS is a multisystem disorder affecting motor and cognitive functions. Bulbar-onset ALS (bALS) may be preferentially associated with cognitive and language impairments, compared with spinal-onset ALS (sALS), stemming from a potentially unique neuropathology. The objective of this systematic review was to compare neuropathology findings reported for bALS and sALS subtypes in studies of cadaveric brains. Using Cochrane guidelines, we reviewed articles in MEDLINE, Embase, and PsycINFO databases using standardized search terms for ALS and neuropathology, from inception until July 16th 2016. 17 studies were accepted for analysis. The analysis revealed that both subtypes presented with involvement in motor and frontotemporal cortices, deep cortical structures, and cerebellum and were characterized by neuronal loss, spongiosis, myelin pallor, and ubiquitin+ and TDP43+ inclusion bodies. Changes in Broca and Wernicke areas - regions associated with speech and language processing - were noted exclusively in bALS. Further, some bALS cases presented with atypical pathology such as neurofibrillary tangles and basophilic inclusions, which were not found in sALS cases. Given the limited number of studies, all with methodological biases, further work is required to better understand neuropathology of ALS subtypes.

Indexed as

BrainAmyotrophic Lateral SclerosisDNA-Binding ProteinsHumansInclusion BodiesLanguage DisordersDNA-Binding ProteinsALS subtypesBulbar ALSCognitive/language impairmentsHistopathologyNeuropathologySystematic review

Identifiers

PMID28163193
PMCPMC5425954

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.