Evidence map›Paper›PMID 32253301›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

A dual effect of ursolic acid to the treatment of multiple sclerosis through both immunomodulation and direct remyelination.

Yuan Zhang, Xing Li, Bogoljub Ciric, Mark T Curtis, Wan-Jun Chen, Abdolmohamad Rostami, Guang-Xian Zhang

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
5.8field-weighted citation impact, top 3% 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

46 citing papers in PubMed, 103 citations in OpenAlex.

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  8. Impact of calcitriol and PGDDrug delivery and translational research · 2024
    Article
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  10. [Ursolic acid improved demyelination and interstitial fluid drainage disorders in schizophrenia mice].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2024
    Article
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  14. Deciphering Neuroprotective Effect ofCurrent drug targets · 2024
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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

7 authors at 2 institutions in 2 countries.

Yuan ZhangDepartment of Neurology, Thomas Jefferson University, Philadelphia, PA 19107.ORCID 0000-0002-2463-4599
Xing LiDepartment of Neurology, Thomas Jefferson University, Philadelphia, PA 19107.
Bogoljub CiricDepartment of Neurology, Thomas Jefferson University, Philadelphia, PA 19107.
Mark T CurtisDepartment of Pathology, Thomas Jefferson University, Philadelphia, PA 19107.
Wan-Jun ChenMucosal Immunology Section, Oral and Pharyngeal Cancer Branch, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD 20892.
Abdolmohamad RostamiDepartment of Neurology, Thomas Jefferson University, Philadelphia, PA 19107; a.m.rostami@jefferson.edu guang-xian.zhang@jefferson.edu.
Guang-Xian ZhangDepartment of Neurology, Thomas Jefferson University, Philadelphia, PA 19107; a.m.rostami@jefferson.edu guang-xian.zhang@jefferson.edu.
Thomas Jefferson University · USNational Institutes of Health · US

Funding

TGF-beta Regulation of Mucosal and Systemic T Cell Immunity and ToleranceZIADE000101 · NIDCR · NATIONAL INSTITUTE OF DENTAL & CRANIOFACIAL RESEARCH · PI CHEN, WANJUN · 2009 to 2025
$36.9M
Ursolic acid: a novel oral therapy for chronic stage of MS/EAE by both immunomodulation and neural repairR01NS099594 · NINDS · THOMAS JEFFERSON UNIVERSITY · PI ZHANG, GUANG-XIAN · 2017 to 2021
$1.7M
P7C3 as a novel immunomodulator for CNS autoimmunityR21AI135601 · NIAID · THOMAS JEFFERSON UNIVERSITY · PI ZHANG, GUANG-XIAN · 2018 to 2019
$429k
NIAID NIH HHS R21 AI135601NINDS NIH HHS R01 NS099594
6 · The paper itself

Abstract

Current multiple sclerosis (MS) medications are mainly immunomodulatory, having little or no effect on neuroregeneration of damaged central nervous system (CNS) tissue; they are thus primarily effective at the acute stage of disease, but much less so at the chronic stage. An MS therapy that has both immunomodulatory and neuroregenerative effects would be highly beneficial. Using multiple in vivo and in vitro strategies, in the present study we demonstrate that ursolic acid (UA), an antiinflammatory natural triterpenoid, also directly promotes oligodendrocyte maturation and CNS myelin repair. Oral treatment with UA significantly decreased disease severity and CNS inflammation and demyelination in experimental autoimmune encephalomyelitis (EAE), an animal model of MS. Importantly, remyelination and neural repair in the CNS were observed even after UA treatment was started on day 60 post immunization when EAE mice had full-blown demyelination and axonal damage. UA treatment also enhanced remyelination in a cuprizone-induced demyelination model in vivo and brain organotypic slice cultures ex vivo and promoted oligodendrocyte maturation in vitro, indicating a direct myelinating capacity. Mechanistically, UA induced promyelinating neurotrophic factor CNTF in astrocytes by peroxisome proliferator-activated receptor γ(PPARγ)/CREB signaling, as well as by up-regulation of myelin-related gene expression during oligodendrocyte maturation via PPARγ activation. Together, our findings demonstrate that UA has significant potential as an oral antiinflammatory and neural repair agent for MS, especially at the chronic-progressive stage.

Indexed as

AnimalsAstrocytesCell DifferentiationCorpus CallosumCuprizoneEncephalomyelitis, Autoimmune, ExperimentalFemaleGene Expression RegulationHumansImmunomodulationMaleMiceMultiple SclerosisMyelin SheathOligodendrogliaPPAR gammaCuprizonePPAR gammaPparg protein, mouseTriterpenesUrsolic Acidimmunomodulationmultiple sclerosisneural repairursolic acid

Identifiers

PMID32253301
PMCPMC7183235
OpenAlexW3014367325

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.