Evidence map›Paper›PMID 30683115›Full record

ReviewJournal of neuroinflammation2019

A novel neurotherapeutic for multiple sclerosis, ischemic injury, methamphetamine addiction, and traumatic brain injury.

Arthur A Vandenbark, Roberto Meza-Romero, Gil Benedek, Halina Offner

Open access · goldAbstract readReview
In one paragraph

Review in Journal of neuroinflammation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

26 citing papers in PubMed, 38 citations in OpenAlex.

  1. MIF Tautomerase Inhibition Protects Neurons From Immune-Mediated Cell Death.Neurology(R) neuroimmunology & neuroinflammation · 2026
    Article
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  3. Review
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  10. MIF contribution to progressive brain diseases.Journal of neuroinflammation · 2024
    Review
  11. The aging ovary impairs acute stroke outcomes.Journal of neuroinflammation · 2023
    Article
  12. Myeloid-derived MIF drives RIPK1-mediated cerebromicrovascular endothelial cell death to exacerbate ischemic brain injury.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  13. Article
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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

4 authors at 2 institutions in 2 countries.

Arthur A VandenbarkNeuroimmunology Research, R&D-31, VA Portland Health Care System, 3710 SW U.S. Veterans Hospital Rd., Portland, OR, 97239, USA. vandenba@ohsu.edu.
Roberto Meza-RomeroNeuroimmunology Research, R&D-31, VA Portland Health Care System, 3710 SW U.S. Veterans Hospital Rd., Portland, OR, 97239, USA.
Gil BenedekPresent Address: Tissue Typing and Immunogenetics Laboratory, Hadassah Medical Center, Jerusalem, Israel.
Halina OffnerNeuroimmunology Research, R&D-31, VA Portland Health Care System, 3710 SW U.S. Veterans Hospital Rd., Portland, OR, 97239, USA.
VA Portland Health Care System · USHadassah Medical Center · IL

Funding

Estrogen-Induced Regulatory B Cells Protect Against EAE & Limit CNS InflammationR01NS080890 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI OFFNER, HALINA · 2013 to 2017
$1.6M
Development of DRα1-MOG-35-55 for treatment of DR2 negative MS subjectsR42AI122574 · NIAID · VIROGENOMICS BIODEVELOPMENT, INC. · PI VANDENBARK, ARTHUR A. · 2017 to 2018
$1.5M
Immunoregulation of Myelin-Specific T LymphocytesI01BX000226 · VA · PORTLAND VA MEDICAL CENTER · PI VANDENBARK, ARTHUR A. · 2009 to 2024
–
BLRD Research Career Scientist Award ApplicationIK6BX004209 · VA · PORTLAND VA MEDICAL CENTER · PI ARTHUR A. VANDENBARK · 2018 to 2026
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BLRD VA I01 BX000226BLRD VA IK6 BX004209National Institute of Allergy and Infectious Diseases R42AI122574National Institute of Neurological Disorders and Stroke R01NS080890NIAID NIH HHS R42 AI122574NINDS NIH HHS R01 NS080890U.S. Department of Veterans Affairs 1IK6BX004209U.S. Department of Veterans Affairs 2I01 BX000226
6 · The paper itself

Abstract

Neurovascular, autoimmune, and traumatic injuries of the central nervous system (CNS) all have in common an initial acute inflammatory response mediated by influx across the blood-brain barrier of activated mononuclear cells followed by chronic and often progressive disability. Although some anti-inflammatory therapies can reduce cellular infiltration into the initial lesions, there are essentially no effective treatments for the progressive phase. We here review the successful treatment of animal models for four separate neuroinflammatory and neurodegenerative CNS conditions using a single partial MHC class II construct called DRa1-hMOG-35-55 or its newest iteration, DRa1(L50Q)-hMOG-35-55 (DRhQ) that can be administered without a need for class II tissue type matching due to the conserved DRα1 moiety of the drug. These constructs antagonize the cognate TCR and bind with high affinity to their cell-bound CD74 receptor on macrophages and dendritic cells, thereby competitively inhibiting downstream signaling and pro-inflammatory effects of macrophage migration inhibitory factor (MIF) and its homolog, D-dopachrome tautomerase (D-DT=MIF-2) that bind to identical residues of CD74 leading to progressive disease. These effects suggest the existence of a common pathogenic mechanism involving a chemokine-driven influx of activated monocytes into the CNS tissue that can be reversed by parenteral injection of the DRa1-MOG-35-55 constructs that also induce anti-inflammatory macrophages and microglia within the CNS. Due to their ability to block this common pathway, these novel drugs appear to be prime candidates for therapy of a wide range of neuroinflammatory and neurodegenerative CNS conditions.

Indexed as

Amphetamine-Related DisordersAnimalsAnti-Inflammatory AgentsBrain Injuries, TraumaticBrain IschemiaChloride-Bicarbonate AntiportersHumansMultiple SclerosisMyelin-Oligodendrocyte GlycoproteinPeptide FragmentsSulfate TransportersAnti-Inflammatory AgentsChloride-Bicarbonate AntiportersMyelin-Oligodendrocyte Glycoproteinmyelin oligodendrocyte glycoprotein (35-55)Peptide FragmentsSLC26A3 protein, humanSulfate TransportersDRhQInflammationIschemic injuryMacrophage migration inhibitory factorMethamphetamine addictionMultiple sclerosisNeurotherapyPartial MHC class II constructsTraumatic brain injury

Identifiers

PMID30683115
PMCPMC6346590
OpenAlexW2941759078

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.