Evidence map›Paper›PMID 28707765›Full record

ArticleBrain pathology (Zurich, Switzerland)2018

Tissue microarray methodology identifies complement pathway activation and dysregulation in progressive multiple sclerosis.

Sam Loveless, James W Neal, Owain W Howell, Katharine E Harding, Patrick Sarkies, Rhian Evans, Ryan J Bevan, Svetlana Hakobyan, Claire L Harris, Neil P Robertson and 1 more

Open access · greenAbstract read
In one paragraph

Article in Brain pathology (Zurich, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

32 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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  7. Article
  8. Review
  9. Article
  10. The complement system in neurodegenerative diseases.Clinical science (London, England : 1979) · 2024
    Article
  11. Complement Activation Is Associated With Disease Severity in Multiple Sclerosis.Neurology(R) neuroimmunology & neuroinflammation · 2024
    Article
  12. Review
  13. Review
  14. Article
  15. C1q and central nervous system disorders.Frontiers in immunology · 2023
    Review
  16. Article
  17. Article
  18. Article
  19. 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

11 authors at 3 institutions in 2 countries.

Sam LovelessDivision of Psychological Medicine and Clinical Neurology, Cardiff University, Cardiff, CF14 4XN, United Kingdom.ORCID 0000-0002-5124-4115
James W NealDivision of Infection and Immunity, Henry Wellcome Building, Cardiff University, Cardiff, CF14 4XW, United Kingdom.
Owain W HowellInstitute of Life Sciences, Swansea University School of Medicine, Swansea, SA2 8PP, United Kingdom.
Katharine E HardingDivision of Psychological Medicine and Clinical Neurology, Cardiff University, Cardiff, CF14 4XN, United Kingdom.
Patrick SarkiesInstitute of Life Sciences, Swansea University School of Medicine, Swansea, SA2 8PP, United Kingdom.
Rhian EvansInstitute of Life Sciences, Swansea University School of Medicine, Swansea, SA2 8PP, United Kingdom.
Ryan J BevanInstitute of Life Sciences, Swansea University School of Medicine, Swansea, SA2 8PP, United Kingdom.
Svetlana HakobyanDivision of Infection and Immunity, Henry Wellcome Building, Cardiff University, Cardiff, CF14 4XW, United Kingdom.
Claire L HarrisDivision of Infection and Immunity, Henry Wellcome Building, Cardiff University, Cardiff, CF14 4XW, United Kingdom.
Neil P RobertsonDivision of Psychological Medicine and Clinical Neurology, Cardiff University, Cardiff, CF14 4XN, United Kingdom.
Bryan Paul MorganDivision of Infection and Immunity, Henry Wellcome Building, Cardiff University, Cardiff, CF14 4XW, United Kingdom.
Institute of Infection and Immunity · CASwansea University · GBCardiff University · GB

Funding

Medical Research Council MR/L010305/1Medical Research Council MR/L022656/1
6 · The paper itself

Abstract

The complement pathway has potential contributions to both white (WM) and grey matter (GM) pathology in Multiple Sclerosis (MS). A quantitative assessment of complement involvement is lacking. Here we describe the use of Tissue MicroArray (TMA) methodology in conjunction with immunohistochemistry to investigate the localization of complement pathway proteins in progressive MS cortical GM and subcortical WM. Antibodies targeting complement proteins C1q, C3b, regulatory proteins C1 inhibitor (C1INH, complement receptor 1 (CR1), clusterin, factor H (FH) and the C5a anaphylatoxin receptor (C5aR) were utilised alongside standard markers of tissue pathology. All stained slides were digitised for quantitative analysis. We found that numbers of cells immunolabelled for HLA-DR, GFAP, C5aR, C1q and C3b were increased in WM lesions (WML) and GM lesions (GML) compared to normal appearing WM (NAWM) and GM (NAGM), respectively. The complement regulators C1INH, CR1, FH and clusterin were more abundant in WM lesions, while the number of C1q+ neurons were increased and the number of C1INH+, clusterin+, FH+ and CR1+ neurons decreased in GM lesions. The number of complement component positive cells (C1q, C3b) correlated with complement regulator expression in WM, but there was no statistical association between complement activation and regulator expression in the GM. We conclude that TMA methodology and quantitative analysis provides evidence of complement dysregulation in MS GML, including an association of the numerical density of C1q+ cells with tissue lesions. Our work confirms that complement activation and dysregulation occur in all cases of progressive MS and suggest that complement may provide potential biomarkers of the disease.

Indexed as

Complement ActivationAdultAgedAstrocytesBrainFemaleGray MatterHumansImmunohistochemistryKidneyMaleMicrogliaMiddle AgedMultiple SclerosisNeuronsTissue Array Analysiscomplementimmunohistochemistrymultiple sclerosistissue microarray

Identifiers

PMID28707765
PMCPMC8028318
OpenAlexW2735421374

What OpenQuestion holds

Textmetadata
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.