Evidence map›Paper›PMID 32954437›Full record

ArticleJournal of neuropathology and experimental neurology2020

Myelin Pathology Beyond White Matter in Tuberous Sclerosis Complex (TSC) Cortical Tubers.

Angelika Mühlebner, Jackelien van Scheppingen, Andrew de Neef, Anika Bongaarts, Till S Zimmer, James D Mills, Floor E Jansen, Wim G M Spliet, Pavel Krsek, Josef Zamecnik and 14 more

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 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Neonatal Seizures in Tuberous Sclerosis Complex: A Case Series.Annals of the Child Neurology Society · 2026
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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

24 authors at 11 institutions in 9 countries.

Angelika MühlebnerDepartment of (Neuro)Pathology, Amsterdam Neuroscience, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Jackelien van ScheppingenDepartment of (Neuro)Pathology, Amsterdam Neuroscience, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Andrew de NeefDepartment of (Neuro)Pathology, Amsterdam Neuroscience, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Anika BongaartsDepartment of (Neuro)Pathology, Amsterdam Neuroscience, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Till S ZimmerDepartment of (Neuro)Pathology, Amsterdam Neuroscience, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
James D MillsDepartment of (Neuro)Pathology, Amsterdam Neuroscience, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Floor E JansenDepartment of Pediatric Neurology, Brain Center University Medical Center.
Wim G M SplietDepartment of Pathology, University Medical Center Utrecht (WGMS) Utrecht, The Netherlands.
Pavel KrsekDepartment of Paediatric Neurology.
Josef ZamecnikDepartment of Pathology and Molecular Medicine.
Roland CorasSecond Faculty of Medicine, Charles University, Motol University Hospital, Prague, Czech Republic; Department of Neuropathology, University Hospital Erlangen, Erlangen, Germany.
Ingmar BlumckeSecond Faculty of Medicine, Charles University, Motol University Hospital, Prague, Czech Republic; Department of Neuropathology, University Hospital Erlangen, Erlangen, Germany.
Martha FeuchtDepartment of Pediatrics.
Theresa SchollDepartment of Pediatrics.
Victoria-Elisabeth GruberDepartment of Pediatrics.
Johannes A HainfellnerInstitute of Neurology.
Figen SöylemezoğluMedical University of Vienna, Vienna, Austria; Department of Pathology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Katarzyna KotulskaDepartment of Neurology and Epileptology, The Children's Memorial Health Institute, Warsaw, Poland.
Lieven LagaeDepartment of Development and Regeneration-Section Pediatric Neurology, University Hospitals KU Leuven, Leuven.
Anna C JansenPediatric Neurology Unit-UZ Brussel, Brussels Belgium.
David J KwiatkowskiBrigham and Women's Hospital, Harvard Medical School, Boston, MA.
Sergiusz JozwiakDepartment of Neurology and Epileptology, The Children's Memorial Health Institute.
Paolo CuratoloChild Neurology and Psychiatry Unit, Systems Medicine Department, Tor Vergata University, Rome, Italy.
Eleonora AronicaDepartment of (Neuro)Pathology, Amsterdam Neuroscience, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Amsterdam Neuroscience · NLCharles University · CZBrigham and Women's Hospital · USChildren's Memorial Health Institute · PLHacettepe University · TRKU Leuven · BEMedical University of Warsaw · PLUniversitair Ziekenhuis Brussel · BEUniversity Medical Center · USUniversity Medical Center Utrecht · NLUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tuberous sclerosis complex (TSC) is a monogenetic disease that arises due to mutations in either the TSC1 or TSC2 gene and affects multiple organ systems. One of the hallmark manifestations of TSC are cortical malformations referred to as cortical tubers. These tubers are frequently associated with treatment-resistant epilepsy. Some of these patients are candidates for epilepsy surgery. White matter abnormalities, such as loss of myelin and oligodendroglia, have been described in a small subset of resected tubers but mechanisms underlying this phenomenon are unclear. Herein, we analyzed a variety of neuropathologic and immunohistochemical features in gray and white matter areas of resected cortical tubers from 46 TSC patients using semi-automated quantitative image analysis. We observed divergent amounts of myelin basic protein as well as numbers of oligodendroglia in both gray and white matter when compared with matched controls. Analyses of clinical data indicated that reduced numbers of oligodendroglia were associated with lower numbers on the intelligence quotient scale and that lower amounts of myelin-associated oligodendrocyte basic protein were associated with the presence of autism-spectrum disorder. In conclusion, myelin pathology in cortical tubers extends beyond the white matter and may be linked to cognitive dysfunction in TSC patients.

Indexed as

Cerebral CortexFemaleGray MatterHumansMaleMyelin SheathOligodendrogliaTuberous SclerosisWhite MatterCognitive dysfunctionEpilepsyMyelinTuberous sclerosis complexWhite matter

Identifiers

PMID32954437
PMCPMC7559237
OpenAlexW3087161430

What OpenQuestion holds

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LicenceCC BY-NC
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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.