Evidence map›Paper›PMID 30368965›Full record

ArticleBrain pathology (Zurich, Switzerland)2019

Axonal swellings and spheroids: a new insight into the pathology of neurocysticercosis.

Alan Mejia Maza, Rogger P Carmen-Orozco, Emma S Carter, Danitza G Dávila-Villacorta, Gino Castillo, Jemina D Morales, Javier Mamani, Cesar M Gavídia, Joseph Alroy, Charles R Sterling and 6 more

Open access · greenAbstract read
In one paragraph

Article in Brain pathology (Zurich, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Calcified Neurocysticercosis: Understanding Dead (Not Necessarily Inactive) Parasites.The American journal of tropical medicine and hygiene · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Frequency and Determinant Factors for Calcification in Neurocysticercosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  16. Article
  17. Neuropathology of COVID-19: where are the neuropathologists?Brain pathology (Zurich, Switzerland) · 2020
    Review
  18. Review
  19. p75NTR and DR6 Regulate Distinct Phases of Axon Degeneration Demarcated by Spheroid Rupture.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2019
    Article
  20. Axonal swelling and spheroids in Taenia solium neurocysticercosis.Brain pathology (Zurich, Switzerland) · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 2 countries.

Alan Mejia MazaInfectious Diseases Laboratory Research-LID, Faculty of Science and Philosophy, Alberto Cazorla Talleri, Universidad Peruana Cayetano Heredia, Lima, Perú.
Rogger P Carmen-OrozcoInfectious Diseases Laboratory Research-LID, Faculty of Science and Philosophy, Alberto Cazorla Talleri, Universidad Peruana Cayetano Heredia, Lima, Perú.
Emma S CarterInfectious Diseases Laboratory Research-LID, Faculty of Science and Philosophy, Alberto Cazorla Talleri, Universidad Peruana Cayetano Heredia, Lima, Perú.
Danitza G Dávila-VillacortaInfectious Diseases Laboratory Research-LID, Faculty of Science and Philosophy, Alberto Cazorla Talleri, Universidad Peruana Cayetano Heredia, Lima, Perú.
Gino CastilloInfectious Diseases Laboratory Research-LID, Faculty of Science and Philosophy, Alberto Cazorla Talleri, Universidad Peruana Cayetano Heredia, Lima, Perú.
Jemina D MoralesInfectious Diseases Laboratory Research-LID, Faculty of Science and Philosophy, Alberto Cazorla Talleri, Universidad Peruana Cayetano Heredia, Lima, Perú.
Javier MamaniFaculty of Veterinary Medicine and Animal Husbandry, Universidad Peruana Cayetano Heredia, Lima, Peru.
Cesar M GavídiaSchool of Veterinary Medicine, Universidad Nacional Mayor de San Marcos, Lima, Perú.
Joseph AlroyDepartment of Pathology, Tufts University School of Medicine and Tufts-New England Medical Center, Boston, MA.
Charles R SterlingSchool of Animal and Comparative Biomedical Sciences, University of Arizona, Tucson, AZ.
Armando E GonzalezSchool of Veterinary Medicine, Universidad Nacional Mayor de San Marcos, Lima, Perú.
Héctor H GarcíaInfectious Diseases Laboratory Research-LID, Faculty of Science and Philosophy, Alberto Cazorla Talleri, Universidad Peruana Cayetano Heredia, Lima, Perú.
Randy L WoltjerDepartment of Pathology, Layton Aging & Alzheimer's Disease Center, Oregon Health & Science University, Portland, OR.
Manuela R VerásteguiInfectious Diseases Laboratory Research-LID, Faculty of Science and Philosophy, Alberto Cazorla Talleri, Universidad Peruana Cayetano Heredia, Lima, Perú.
Robert H GilmanInfectious Diseases Laboratory Research-LID, Faculty of Science and Philosophy, Alberto Cazorla Talleri, Universidad Peruana Cayetano Heredia, Lima, Perú.ORCID 0000-0002-9037-0712
Cysticercosis Working Group in Peru
Universidad Peruana Cayetano Heredia · PEJohns Hopkins University · USOregon Health & Science University · USTufts University · USUniversity of Arizona · US

Funding

Outreach, Recruitment and Education CoreP30AG008017 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI WOLTJER, RANDALL L · 1990 to 2019
$27.7M
Training in Parasitic Diseases and Central Nervous System Infections in Peru.D43TW001140 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI GARCIA, HECTOR HUGO, GILMAN, ROBERT H · 1999 to 2025
$5.7M
Scientific CoreU19AI129909 · NIAID · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI GONZALEZ, ARMANDO EMILIANO · 2017 to 2021
$2.8M
FIC NIH HHS D43 TW001140NIAID NIH HHS U19 AI129909NIA NIH HHS P30 AG008017
6 · The paper itself

Abstract

Neurocysticercosis is a parasitic brain disease caused by the larval form (Cysticercus cellulosae) of Taenia solium and is the leading cause of preventable epilepsy worldwide. However, the pathophysiology and relation to the wide range of clinical features remains poorly understood. Axonal swelling is emerging as an important early pathological finding in multiple neurodegenerative diseases and as a cause of brain injury, but has not been well described in neurocysticercosis. Histological analysis was performed on human, rat and porcine NCC brain specimens to identify axonal pathology. Rat infection was successfully carried out via two routes of inoculation: direct intracranial injection and oral feeding. Extensive axonal swellings, in the form of spheroids, were observed in both humans and rats and to a lesser extent in pigs with NCC. Spheroids demonstrated increased immunoreactivity to amyloid precursor protein and neurofilament indicating probable impairment of axonal transport. These novel findings demonstrate that spheroids are present in NCC which is conserved across species. Not only is this an important contribution toward understanding the pathogenesis of NCC, but it also provides a model to analyze the association of spheroids with specific clinical features and to investigate the reversibility of spheroid formation with antihelminthic treatment.

Indexed as

AnimalsAxonsBrainEpilepsyHumansNeurocysticercosisRatsRats, Sprague-DawleySpheroids, CellularSwineTaenia soliumAPPneurocysticercosisneurofilamentspheroidsT. solium oncospheres

Identifiers

PMID30368965
PMCPMC6482075
OpenAlexW2898533035

What OpenQuestion holds

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Registered trials

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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.