Evidence map›Paper›PMID 29724241›Full record

ArticleActa neuropathologica communications2018

Systemic inhibition of the membrane attack complex impedes neuroinflammation in chronic relapsing experimental autoimmune encephalomyelitis.

Iliana Michailidou, Aldo Jongejan, Jeroen P Vreijling, Theodosia Georgakopoulou, Marit B de Wissel, Ruud A Wolterman, Patrick Ruizendaal, Ngaisah Klar-Mohamad, Anita E Grootemaat, Daisy I Picavet and 8 more

Abstract read
In one paragraph

Article in Acta neuropathologica communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

30 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Editorial: Complement in nervous system disease.Frontiers in cellular neuroscience · 2023
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Aberrant Complement System Activation in Neurological Disorders.International journal of molecular sciences · 2021
    Review
  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

18 authors.

Iliana MichailidouDepartment of Genome Analysis, Academic Medical Center, Amsterdam, The Netherlands.
Aldo JongejanDepartment of Bioinformatics, Academic Medical Center, Amsterdam, The Netherlands.
Jeroen P VreijlingDepartment of Clinical Genetics, Leiden University Medical Center, Einthovenweg 20, 2333, ZC, Leiden, The Netherlands.
Theodosia GeorgakopoulouDepartment of Genome Analysis, Academic Medical Center, Amsterdam, The Netherlands.
Marit B de WisselDepartment of Genome Analysis, Academic Medical Center, Amsterdam, The Netherlands.
Ruud A WoltermanDepartment of Genome Analysis, Academic Medical Center, Amsterdam, The Netherlands.
Patrick RuizendaalDepartment of Genome Analysis, Academic Medical Center, Amsterdam, The Netherlands.
Ngaisah Klar-MohamadDepartment of Nephrology, Leiden University Medical Center, Leiden, The Netherlands.
Anita E GrootemaatElectron Microscopy Centre Amsterdam, Department of Medical Biology, Academic Medical Center, Amsterdam, The Netherlands.
Daisy I PicavetElectron Microscopy Centre Amsterdam, Department of Medical Biology, Academic Medical Center, Amsterdam, The Netherlands.
Vinod KumarSchool of Biomedical Sciences, The University of Queensland, Brisbane, Australia.
Cees van KootenDepartment of Nephrology, Leiden University Medical Center, Leiden, The Netherlands.
Trent M WoodruffSchool of Biomedical Sciences, The University of Queensland, Brisbane, Australia.
B Paul MorganSystems Immunity University Research Institute, School of Medicine, Cardiff University, Cardiff, UK.
Nicole N van der WelElectron Microscopy Centre Amsterdam, Department of Medical Biology, Academic Medical Center, Amsterdam, The Netherlands.
Valeria RamagliaDepartment of Genome Analysis, Academic Medical Center, Amsterdam, The Netherlands.
Kees FluiterDepartment of Clinical Genetics, Leiden University Medical Center, Einthovenweg 20, 2333, ZC, Leiden, The Netherlands.
Frank BaasDepartment of Clinical Genetics, Leiden University Medical Center, Einthovenweg 20, 2333, ZC, Leiden, The Netherlands. F.Baas@lumc.nl.

Funding

National Multiple Sclerosis Society RG 4775A1/1
6 · The paper itself

Abstract

The complement system is a key driver of neuroinflammation. Activation of complement by all pathways, results in the formation of the anaphylatoxin C5a and the membrane attack complex (MAC). Both initiate pro-inflammatory responses which can contribute to neurological disease. In this study, we delineate the specific roles of C5a receptor signaling and MAC formation during the progression of experimental autoimmune encephalomyelitis (EAE)-mediated neuroinflammation. MAC inhibition was achieved by subcutaneous administration of an antisense oligonucleotide specifically targeting murine C6 mRNA (5 mg/kg). The C5a receptor 1 (C5aR1) was inhibited with the C5a receptor antagonist PMX205 (1.5 mg/kg). Both treatments were administered systemically and started after disease onset, at the symptomatic phase when lymphocytes are activated. We found that antisense-mediated knockdown of C6 expression outside the central nervous system prevented relapse of disease by impeding the activation of parenchymal neuroinflammatory responses, including the Nod-like receptor protein 3 (NLRP3) inflammasome. Furthermore, C6 antisense-mediated MAC inhibition protected from relapse-induced axonal and synaptic damage. In contrast, inhibition of C5aR1-mediated inflammation diminished expression of major pro-inflammatory mediators, but unlike C6 inhibition, it did not stop progression of neurological disability completely. Our study suggests that MAC is a key driver of neuroinflammation in this model, thereby MAC inhibition might be a relevant treatment for chronic neuroinflammatory diseases.

Indexed as

AnimalsAnti-Inflammatory AgentsAxonsComplement ActivationComplement Membrane Attack ComplexDisease Models, AnimalEncephalitisEncephalomyelitis, Autoimmune, ExperimentalExoribonucleasesMaleMiceMicroscopy, ElectronModels, BiologicalPeptides, CyclicReceptor, Anaphylatoxin C5aRNA, MessengerAnti-Inflammatory AgentsC5ar1 protein, mouseComplement Membrane Attack ComplexExoribonucleaseshydrocinnamate-cyclo(ornithyl-prolyl-cyclohexylalanyl-tryptophyl-arginyl)oligonucleotidasePeptides, CyclicReceptor, Anaphylatoxin C5aRNA, MessengerSynaptophysinComplementInflammasomeNeuroinflammation

Identifiers

PMID29724241
PMCPMC5932802

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.