Evidence map›Paper›PMID 30224810›Full record

ArticleNature neuroscience2018

CNS lymphatic drainage and neuroinflammation are regulated by meningeal lymphatic vasculature.

Antoine Louveau, Jasmin Herz, Maria Nordheim Alme, Andrea Francesca Salvador, Michael Q Dong, Kenneth E Viar, S Grace Herod, James Knopp, Joshua C Setliff, Alexander L Lupi and 11 more

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Nature neuroscience, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 599 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
599citing papers in PubMed, 2 pooled it
33.2field-weighted citation impact, top 1% 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.

NCT05414487 unknown statusnot on this mapstarted 2022, after this paper: background citation

Exploring the Effects of B Cell Depletion With Ofatumumab on Immune Cells and Meningeal Lymphatic Drainage in Patients With Demyelinating Diseases - a Prospective Observational Study

TypeobservationalSponsorTianjin Medical University General HospitalRan2022 to 2024Enrolled34ConditionsMultiple Sclerosis, Neuromyelitis Optica Spectrum Disorder, Demyelinating Diseases of the Central Nervous SystemArmsOfatumumab
NCT05762367 nacompletednot on this mapstarted 2023, after this paper: background citation

MR Lymphatic Imaging in Idiopathic Intracranial Hypertension

TypeinterventionalSponsorInstitut National de la Santé Et de la Recherche Médicale, FranceRan2023 to 2025Enrolled40ConditionsIdiopathic Intracranial HypertensionArms3T MRI with Gadobutrol injection
3 · Its place in the literature

Who cites it

599 citing papers in PubMed, 2 syntheses or guidelines pooled it, 909 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Meningeal Lymphatic LTBR Deficiency Links Spinal Cord Injury to Secondary Brain Pathology.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  4. Review
  5. IL-17D reprograms CD93Cellular & molecular immunology · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Priming of CD8Nature neuroscience · 2026
    Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review

539 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 4 institutions in 3 countries.

Antoine LouveauCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA. al2hk@virginia.edu.ORCID http://orcid.org/0000-0003-2094-2735
Jasmin HerzCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.
Maria Nordheim AlmeCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.
Andrea Francesca SalvadorCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.
Michael Q DongCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.
Kenneth E ViarCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.
S Grace HerodCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.
James KnoppCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.
Joshua C SetliffCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.
Alexander L LupiCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.
Sandro Da MesquitaCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.ORCID http://orcid.org/0000-0002-0786-5010
Elizabeth L FrostCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.
Alban GaultierCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.ORCID http://orcid.org/0000-0002-4175-6053
Tajie H HarrisCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.
Rui CaoDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.ORCID http://orcid.org/0000-0003-4444-7528
Song HuDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.
John R LukensCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.ORCID http://orcid.org/0000-0002-6795-0866
Igor SmirnovCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.
Christopher C OverallCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA.
Guillermo OliverNorthwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Jonathan KipnisCenter for Brain Immunology and Glia (BIG), University of Virginia, Charlottesville, VA, USA. kipnis@virginia.edu.ORCID http://orcid.org/0000-0002-3714-517X
University of Virginia · USHaukeland University Hospital · NOJohannes Gutenberg University Mainz · DENorthwestern University · US

Funding

Prox1 in Mammalian LymphangiogenesisR01HL073402 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI OLIVER, GUILLERMO C · 2003 to 2020
$7.3M
Meninges-to-astrocyte communication in cognitive functionR01AG034113 · NIA · UNIVERSITY OF VIRGINIA · PI KIPNIS, JONATHAN · 2010 to 2019
$3.8M
Immune system supports brain functionR37AG034113 · NIA · WASHINGTON UNIVERSITY · PI Jonathan Kipnis · 2020 to 2026
$3.7M
Immune Response to CNS InjuryR01NS096967 · NINDS · WASHINGTON UNIVERSITY · PI KIPNIS, JONATHAN · 2016 to 2020
$1.7M
NHLBI NIH HHS R01 HL073402NIA NIH HHS R01 AG034113NIA NIH HHS R37 AG034113NINDS NIH HHS R01 NS096967
6 · The paper itself

Abstract

Neuroinflammatory diseases, such as multiple sclerosis, are characterized by invasion of the brain by autoreactive T cells. The mechanism for how T cells acquire their encephalitogenic phenotype and trigger disease remains, however, unclear. The existence of lymphatic vessels in the meninges indicates a relevant link between the CNS and peripheral immune system, perhaps affecting autoimmunity. Here we demonstrate that meningeal lymphatics fulfill two critical criteria: they assist in the drainage of cerebrospinal fluid components and enable immune cells to enter draining lymph nodes in a CCR7-dependent manner. Unlike other tissues, meningeal lymphatic endothelial cells do not undergo expansion during inflammation, and they express a unique transcriptional signature. Notably, the ablation of meningeal lymphatics diminishes pathology and reduces the inflammatory response of brain-reactive T cells during an animal model of multiple sclerosis. Our findings demonstrate that meningeal lymphatics govern inflammatory processes and immune surveillance of the CNS and pose a valuable target for therapeutic intervention.

Indexed as

AnimalsAntigens, CDCentral Nervous SystemDendritic CellsDisease Models, AnimalEncephalitisGreen Fluorescent ProteinsHomeodomain ProteinsLymphatic VesselsLymph NodesMaleMeningesMiceMice, Inbred C57BLMice, TransgenicMicroRNAsAntigens, CDCcr7 protein, mouseGreen Fluorescent ProteinsHomeodomain ProteinsMicroRNAsMyelin-Oligodendrocyte Glycoproteinmyelin oligodendrocyte glycoprotein (35-55)Peptide FragmentsPhotosensitizing AgentsProspero-Related Homeobox 1 ProteinReceptors, CCR7Tumor Suppressor Proteins

Identifiers

PMID30224810
PMCPMC6214619
OpenAlexW2892318814

What OpenQuestion holds

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Registered trials

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.