Evidence map›Paper›PMID 31846439›Full record

ArticleThe Journal of clinical investigation2020

Graft-versus-host disease of the CNS is mediated by TNF upregulation in microglia.

Nimitha R Mathew, Janaki M Vinnakota, Petya Apostolova, Daniel Erny, Shaimaa Hamarsheh, Geoffroy Andrieux, Jung-Seok Kim, Kathrin Hanke, Tobias Goldmann, Louise Chappell-Maor and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
2.7field-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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
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  8. Article
  9. Understanding TAK1 deficiency in microglia: Dual mechanisms for photoreceptor protection in a mouse model of retinitis pigmentosa.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Allogeneic Mouse Models of Graft-Versus-Host Disease.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Acute graft-versus-host disease.Nature reviews. Disease primers · 2023
    Review
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

21 authors at 6 institutions in 7 countries.

Nimitha R MathewDepartment of Medicine I, Faculty of Medicine, Medical Center.
Janaki M VinnakotaDepartment of Medicine I, Faculty of Medicine, Medical Center.
Petya ApostolovaDepartment of Medicine I, Faculty of Medicine, Medical Center.
Daniel ErnyBerta-Ottenstein-Programme for Clinician Scientists, Faculty of Medicine, Medical Center.
Shaimaa HamarshehDepartment of Medicine I, Faculty of Medicine, Medical Center.
Geoffroy AndrieuxInstitute of Medical Bioinformatics and Systems Medicine (IBSM); Medical Center-University of Freiburg, Medical Faculty, University of Freiburg, Freiburg, Germany.
Jung-Seok KimDepartment of Immunology, Weizmann Institute of Science, Rehovot, Israel.
Kathrin HankeDepartment of Medicine I, Faculty of Medicine, Medical Center.
Tobias GoldmannInstitute for Neuropathology, Faculty of Medicine; and.
Louise Chappell-MaorDepartment of Immunology, Weizmann Institute of Science, Rehovot, Israel.
Nadia El-KhawankyDepartment of Medicine I, Faculty of Medicine, Medical Center.
Gabriele IhorstDepartment of Medicine I, Faculty of Medicine, Medical Center.
Dominik SchmidtDepartment of Medicine I, Faculty of Medicine, Medical Center.
Justus DuysterDepartment of Medicine I, Faculty of Medicine, Medical Center.
Jürgen FinkeDepartment of Medicine I, Faculty of Medicine, Medical Center.
Thomas BlankInstitute for Neuropathology, Faculty of Medicine; and.
Melanie BoerriesInstitute of Medical Bioinformatics and Systems Medicine (IBSM); Medical Center-University of Freiburg, Medical Faculty, University of Freiburg, Freiburg, Germany.
Bruce R BlazarDivision of Blood and Marrow Transplantation, Masonic Cancer Center and Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota, USA.
Steffen JungDepartment of Immunology, Weizmann Institute of Science, Rehovot, Israel.
Marco PrinzInstitute for Neuropathology, Faculty of Medicine; and.
Robert ZeiserDepartment of Medicine I, Faculty of Medicine, Medical Center.
Institute of Neuroimmunology of the Slovak Academy of Sciences · SKUniversity of Freiburg · DEWeizmann Institute of Science · ILChina GreatWall Technology Group (China) · CNFaculty (United Kingdom) · GBUniversity of Minnesota Medical Center · US

Funding

Trial Design and Biostatistical Support CoreP01CA065493 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI J SUNIL RAO · 1995 to 2026
$48.2M
Enhancing Treg Therapeutic Efficacy in GVHDR01HL118979 · NHLBI · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, HIPPEN, KELI L · 2014 to 2025
$6.7M
T-CELL TARGETING FOR GVHDR01HL056067 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BLAZAR, BRUCE R · 1995 to 2022
$5.4M
In Vivo Prevention of Murine GVHDR37AI034495 · NIAID · UNIVERSITY OF MINNESOTA · PI Bruce R Blazar · 2017 to 2026
$5.4M
NCI NIH HHS P01 CA065493NHLBI NIH HHS R01 HL056067NHLBI NIH HHS R01 HL118979NIAID NIH HHS R37 AI034495
6 · The paper itself

Abstract

Acute graft-versus-host disease (GVHD) can affect the central nervous system (CNS). The role of microglia in CNS-GVHD remains undefined. In agreement with microglia activation, we found that profound morphological changes and MHC-II and CD80 upregulation occurred upon GVHD induction. RNA sequencing-based analysis of purified microglia obtained from mice with CNS-GVHD revealed TNF upregulation. Selective TNF gene deletion in microglia of Cx3cr1creER Tnffl/- mice reduced MHC-II expression and decreased CNS T cell infiltrates and VCAM-1+ endothelial cells. GVHD increased microglia TGF-β-activated kinase-1 (TAK1) activation and NF-κB/p38 MAPK signaling. Selective Tak1 deletion in microglia using Cx3cr1creER Tak1fl/fl mice resulted in reduced TNF production and microglial MHC-II and improved neurocognitive activity. Pharmacological TAK1 inhibition reduced TNF production and MHC-II expression by microglia, Th1 and Th17 T cell infiltrates, and VCAM-1+ endothelial cells and improved neurocognitive activity, without blocking graft-versus-leukemia effects. Consistent with these findings in mice, we observed increased activation and TNF production of microglia in the CNS of GVHD patients. In summary, we prove a role for microglia in CNS-GVHD, identify the TAK1/TNF/MHC-II axis as a mediator of CNS-GVHD, and provide a TAK1 inhibitor-based approach against GVHD-induced neurotoxicity.

Indexed as

Acute DiseaseAnimalsCentral Nervous System DiseasesCX3C Chemokine Receptor 1Disease Models, AnimalGraft vs Host DiseaseHistocompatibility Antigens Class IIHumansMAP Kinase Kinase Kinase 7MAP Kinase Kinase KinasesMiceMice, Inbred BALB CMice, KnockoutMicrogliaTh17 CellsTh1 CellsCX3C Chemokine Receptor 1Cx3cr1 protein, mouseHistocompatibility Antigens Class IIMAP Kinase Kinase Kinase 7MAP Kinase Kinase KinasesTumor Necrosis Factor-alphaVascular Cell Adhesion Molecule-1Stem cell transplantationTransplantation

Identifiers

PMID31846439
PMCPMC7269577
OpenAlexW2995530076

What OpenQuestion holds

Textmetadata
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.