Evidence map›Paper›PMID 31290453›Full record

ArticleNeural regeneration research2019

The next-generation sphingosine-1 receptor modulator BAF312 (siponimod) improves cortical network functionality in focal autoimmune encephalomyelitis.

Petra Hundehege, Manuela Cerina, Susann Eichler, Christian Thomas, Alexander M Herrmann, Kerstin Göbel, Thomas Müntefering, Juncal Fernandez-Orth, Stefanie Bock, Venu Narayanan and 6 more

Open access · goldAbstract read
In one paragraph

Article in Neural regeneration research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.1field-weighted citation impact, top 8% 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, 30 citations in OpenAlex.

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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

16 authors at 2 institutions in 2 countries.

Petra HundehegeDepartment of Neurology with Institute of Translational Neurology, Westfälische Wilhelms-Universität, Münster, Germany.
Manuela CerinaDepartment of Neurology with Institute of Translational Neurology, Westfälische Wilhelms-Universität, Münster, Germany.
Susann EichlerDepartment of Neurology with Institute of Translational Neurology, Westfälische Wilhelms-Universität, Münster, Germany.
Christian ThomasDepartment of Neurology with Institute of Translational Neurology, Westfälische Wilhelms-Universität, Münster, Germany.
Alexander M HerrmannDepartment of Neurology with Institute of Translational Neurology, Westfälische Wilhelms-Universität, Münster, Germany.
Kerstin GöbelDepartment of Neurology with Institute of Translational Neurology, Westfälische Wilhelms-Universität, Münster, Germany.
Thomas MünteferingDepartment of Neurology with Institute of Translational Neurology, Westfälische Wilhelms-Universität, Münster, Germany.
Juncal Fernandez-OrthDepartment of Neurology with Institute of Translational Neurology, Westfälische Wilhelms-Universität, Münster, Germany.
Stefanie BockDepartment of Neurology with Institute of Translational Neurology, Westfälische Wilhelms-Universität, Münster, Germany.
Venu NarayananDepartment of Neurology with Institute of Translational Neurology, Westfälische Wilhelms-Universität, Münster, Germany.
Thomas BuddeInstitute of Physiology I, Westfälische Wilhelms-Universität, Münster, Germany.
Erwin-Josef SpeckmannInstitute of Physiology I, Westfälische Wilhelms-Universität, Münster, Germany.
Heinz WiendlDepartment of Neurology with Institute of Translational Neurology, Westfälische Wilhelms-Universität, Münster, Germany.
Anna SchubartNovartis Institutes of Biomedical Research, Basel, Switzerland.
Tobias RuckDepartment of Neurology with Institute of Translational Neurology, Westfälische Wilhelms-Universität, Münster, Germany.
Sven G MeuthDepartment of Neurology with Institute of Translational Neurology, Westfälische Wilhelms-Universität, Münster, Germany.
University of Münster · DENovartis Institutes for BioMedical Research

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoimmune diseases of the central nervous system (CNS) like multiple sclerosis (MS) are characterized by inflammation and demyelinated lesions in white and grey matter regions. While inflammation is present at all stages of MS, it is more pronounced in the relapsing forms of the disease, whereas progressive MS (PMS) shows significant neuroaxonal damage and grey and white matter atrophy. Hence, disease-modifying treatments beneficial in patients with relapsing MS have limited success in PMS. BAF312 (siponimod) is a novel sphingosine-1-phosphate receptor modulator shown to delay progression in PMS. Besides reducing inflammation by sequestering lymphocytes in lymphoid tissues, BAF312 crosses the blood-brain barrier and binds its receptors on neurons, astrocytes and oligodendrocytes. To evaluate potential direct neuroprotective effects, BAF312 was systemically or locally administered in the CNS of experimental autoimmune encephalomyelitis mice with distinct grey- and white-matter lesions (focal experimental autoimmune encephalomyelitis using an osmotic mini-pump). Ex-vivo flow cytometry revealed that systemic but not local BAF312 administration lowered immune cell infiltration in animals with both grey and white matter lesions. Ex-vivo voltage-sensitive dye imaging of acute brain slices revealed an altered spatio-temporal pattern of activation in the lesioned cortex compared to controls in response to electrical stimulation of incoming white-matter fiber tracts. Here, BAF312 administration showed partial restore of cortical neuronal circuit function. The data suggest that BAF312 exerts a neuroprotective effect after crossing the blood-brain barrier independently of peripheral effects on immune cells. Experiments were carried out in accordance with German and EU animal protection law and approved by local authorities (Landesamt für Natur, Umwelt und Verbraucherschutz Nordrhein-Westfalen; 87-51.04.2010.A331) on December 28, 2010.

Indexed as

BAF312cortical grey matterfocal experimental autoimmune encephalomyelitismultiple sclerosisneuroaxonal damageneuroprotectionwhite matter

Identifiers

PMID31290453
PMCPMC6676873
OpenAlexW2958023986

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.