Evidence map›Paper›PMID 30609838›Full record

ArticleInternational journal of molecular sciences2019

Myelination in Multiple Sclerosis Lesions Is Associated with Regulation of Bone Morphogenetic Protein 4 and Its Antagonist Noggin.

Kim Harnisch, Sarah Teuber-Hanselmann, Nicole Macha, Fabian Mairinger, Lena Fritsche, Daniel Soub, Edgar Meinl, Andreas Junker

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 31 citations in OpenAlex.

  1. Noggin alleviates neuropathic pain by regulating microglial polarization and remodeling iron homeostasis via a STAT3-dependent pathway.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
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  10. The Wnt Effector TCF7l2 Promotes Oligodendroglial Differentiation by Repressing Autocrine BMP4-Mediated Signaling.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
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  16. CD8Multiple sclerosis journal - experimental, translational and clinical
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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

8 authors at 2 institutions in 1 country.

Kim HarnischInstitute of Neuropathology, University Hospital Essen, D-45147 Essen, Germany. Kim.Harnisch@uni-wh.de.
Sarah Teuber-HanselmannInstitute of Neuropathology, University Hospital Essen, D-45147 Essen, Germany. sarah.teuber@uk-essen.de.
Nicole MachaInstitute of Neuropathology, University Hospital Essen, D-45147 Essen, Germany. Nicole.Macha@uk-essen.de.
Fabian MairingerInstitute of Pathology, University Hospital Essen, D-45147 Essen, Germany. Fabian.Mairinger@uk-essen.de.
Lena FritscheInstitute of Neuropathology, University Hospital Essen, D-45147 Essen, Germany. lena.fritsche1@gmail.com.
Daniel SoubInstitute of Neuropathology, University Hospital Essen, D-45147 Essen, Germany. daniel.soub@mail.de.
Edgar MeinlInstitute of Clinical Neuroimmunology, University Hospital and Biomedical Center, Ludwig-Maximilians-Universität München, D-82152 Martinsried, Germany. Edgar.Meinl@med.uni-muenchen.de.
Andreas JunkerInstitute of Neuropathology, University Hospital Essen, D-45147 Essen, Germany. andreas.junker@uk-essen.de.
Essen University Hospital · DELudwig-Maximilians-Universität München · DE

Funding

Else Kröner-Fresenius-Stiftung ELAN-Programm, Universität Essen
6 · The paper itself

Abstract

Remyelination is a central aspect of new multiple sclerosis (MS) therapies, in which one aims to alleviate disease symptoms by improving axonal protection. However, a central problem is mediators expressed in MS lesions that prevent effective remyelination. Bone morphogenetic protein4 (BMP4) inhibits the development of mature oligodendrocytes in cell culture and also blocks the expression of myelin proteins. Additionally, numerous studies have shown that Noggin (SYM1)-among other physiological antagonists of BMP4-plays a prominent role in myelin formation in the developing but also the adult central nervous system. Nonetheless, neither BMP4 nor Noggin have been systematically studied in human MS lesions. In this study, we demonstrated by transcript analysis and immunohistochemistry that BMP4 is expressed by astrocytes and microglia/macrophages in association with inflammatory infiltrates in MS lesions, and that astrocytes also express BMP4 in chronic inactive lesions that failed to remyelinate. Furthermore, the demonstration of an increased expression of Noggin in so-called shadow plaques (i.e., remyelinated lesions with thinner myelin sheaths) in comparison to chronically inactive demyelinated lesions implies that antagonizing BMP4 is associated with successful remyelination in MS plaques in humans. However, although BMP4 is strongly overexpressed in inflammatory lesion areas, its levels are also elevated in remyelinated lesion areas, which raises the possibility that BMP4 signaling itself may be required for remyelination. Therefore, remyelination might be influenced by a small number of key factors. Manipulating these molecules, i.e., BMP4 and Noggin, could be a promising therapeutic approach for effective remyelination.

Indexed as

RemyelinationAdultAgedAstrocytesBone Morphogenetic Protein 4BrainCarrier ProteinsFemaleHumansMaleMicrogliaMiddle AgedMultiple SclerosisMyelin ProteinsNoggin ProteinOligodendrogliaBone Morphogenetic Protein 4Carrier ProteinsMyelin ProteinsNoggin ProteinBMP4bone morphogenetic protein 4multiple sclerosisNogginremyelinationremyelination block

Identifiers

PMID30609838
PMCPMC6337410
OpenAlexW2907251507

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.