Evidence map›Paper›PMID 31951003›Full record

ArticleJournal of neuropathology and experimental neurology2020

Neuropathology of Speech Network Distinguishes Bulbar From Nonbulbar Amyotrophic Lateral Sclerosis.

Sanjana Shellikeri, Julia Keith, Sandra E Black, Lorne Zinman, Yana Yunusova

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neuropathology and experimental neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

12 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Trial
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  4. Article
  5. Article
  6. Review
  7. Surface-based Analyses of Diffusional Kurtosis Imaging in Amyotrophic Lateral Sclerosis: Relationship with Onset Subtypes.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
    Article
  8. Review
  9. Review
  10. Review
  11. 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

5 authors at 1 institution in 3 countries.

Sanjana ShellikeriDepartment of Speech-Language Pathology & Rehabilitation Sciences Institute, University of Toronto.
Julia KeithLaboratory Medicine and Molecular Diagnostics, Anatomic Pathology, Sunnybrook Health Sciences Centre, and Laboratory Medicine and Pathobiology, Faculty of Medicine, University of Toronto.
Sandra E BlackHurvitz Brain Sciences Program, Sunnybrook Research Institute.
Lorne ZinmanHurvitz Brain Sciences Program, Sunnybrook Research Institute.
Yana YunusovaDepartment of Speech-Language Pathology & Rehabilitation Sciences Institute, University of Toronto.
Sunnybrook Health Science Centre · CA

Funding

SPEECH MOVEMENT CLASSIFICATION FOR ASSESSING AND TREATING ALSR01DC013547 · NIDCD · MGH INSTITUTE OF HEALTH PROFESSIONS · PI GREEN, JORDAN R · 2014 to 2018
$3.2M
Bulbar Motor Deterioration in ALSR01DC009890 · NIDCD · UNIVERSITY OF NEBRASKA LINCOLN · PI GREEN, JORDAN R, YUNUSOVA, YANA · 2009 to 2013
$2.3M
NIDCD NIH HHS R01 DC009890NIDCD NIH HHS R01 DC013547
6 · The paper itself

Abstract

Bulbar amyotrophic lateral sclerosis (ALS) is a debilitating neurodegenerative subtype affecting speech and swallowing motor functions as well as associated with the burden of cognitive deficits. The neuroanatomical underpinnings of bulbar ALS are not well understood. The aim of this study was to compare neuropathology of the speech network (SpN) between 3 cases of bulbar-onset ALS (bALS), 3 cases of spinal-onset ALS (sALS) with antemortem bulbar ALS (sALSwB) against 3 sALS without antemortem bulbar ALS (sALSnoB) and 3 controls. Regional distribution and severity of neuronal loss, TDP-43 (transactive response DNA-binding protein of 43 kDa), and tau proteinopathy were examined. All 3 bALS cases showed marked neuronal loss and severe proteinopathy across most SpN regions; sALSwB cases showed no neuronal loss but mild and variable TDP-43 pathology in focal regions; sALSnoB cases demonstrated an absence of pathology. Two bALS cases had coexisting tauopathy in SpN regions, which was not noted in any sALS cases. The findings suggested that bALS may have a distinct neuropathological signature characterized by marked neuronal loss and polypathology in the SpN. Milder TDP-43 pathology in the SpN for sALSwB cases suggested a link between severity of bulbar ALS and SpN damage. Findings support a clinicopathologic link between bulbar symptoms and pathology in the SpN.

Indexed as

AgedAmyotrophic Lateral SclerosisCerebral CortexDNA-Binding ProteinsFemaleGliosisHumansInclusion BodiesMaleMiddle AgedNeural PathwaysNeuronsSpeechtau ProteinsDNA-Binding ProteinsMAPT protein, humanTARDBP protein, humantau ProteinsAmyotrophic lateral sclerosis (ALS)BulbarFrontotemporal lobar degeneration (FTLD)ImmunohistochemistryNeuropathologySpeech network

Identifiers

PMID31951003
PMCPMC7036661
OpenAlexW2999757864

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.