Evidence map›Paper›PMID 33981281›Full record

ReviewFrontiers in neurology2021

An Overview of Venous Abnormalities Related to the Development of Lesions in Multiple Sclerosis.

E Mark Haacke, Yulin Ge, Sean K Sethi, Sagar Buch, Paolo Zamboni

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.0field-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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Cerebral venous congestion alters brain metabolite profiles, impairing cognitive function.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Article
  11. Identification of MiR-223 Associated with Diagnosis in Ectopic Pregnancy.International journal of general medicine · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
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 3 institutions in 2 countries.

E Mark HaackeDepartment of Radiology, Wayne State University, Detroit, MI, United States.
Yulin GeDepartment of Radiology, Center for Biomedical Imaging, NYU Grossman School of Medicine, New York, NY, United States.
Sean K SethiDepartment of Radiology, Wayne State University, Detroit, MI, United States.
Sagar BuchDepartment of Radiology, Wayne State University, Detroit, MI, United States.
Paolo ZamboniVascular Diseases Center, University of Ferrara, Ferrara, Italy.
Wayne State University · USNew York University · USUniversity of Ferrara · IT

Funding

In vivo insights of small vessel changes with age using USPIO-enhanced MRIR01NS108491 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GE, YULIN, HAACKE, EWART MARK · 2018 to 2022
$3.7M
Assessment of tDCS-Induced Neuronal Responses with Advanced MRIR21HD094424 · NICHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CHARVET, LEIGH, GE, YULIN · 2018 to 2019
$466k
The 10th International Society for Neurovascular Disease (ISNVD) Annual MeetingR13AG067684 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GE, YULIN · 2020 to 2020
$50k
NIA NIH HHS R13 AG067684NICHD NIH HHS R21 HD094424NINDS NIH HHS R01 NS108491
6 · The paper itself

Abstract

The etiology of multiple sclerosis (MS) is currently understood to be autoimmune. However, there is a long history and growing evidence for disrupted vasculature and flow within the disease pathology. A broad review of the literature related to vascular effects in MS revealed a suggestive role for abnormal flow in the medullary vein system. Evidence for venous involvement in multiple sclerosis dates back to the early pathological work by Charcot and Bourneville, in the mid-nineteenth century. Pioneering work by Adams in the 1980s demonstrated vasculitis within the walls of veins and venules proximal to active MS lesions. And more recently, magnetic resonance imaging (MRI) has been used to show manifestations of the central vein as a precursor to the development of new MS lesions, and high-resolution MRI using Ferumoxytol has been used to reveal the microvasculature that has previously only been demonstrated in cadaver brains. Both approaches may shed new light into the structural changes occurring in MS lesions. The material covered in this review shows that multiple pathophysiological events may occur sequentially, in parallel, or in a vicious circle which include: endothelial damage, venous collagenosis and fibrin deposition, loss of vessel compliance, venous hypertension, perfusion reduction followed by ischemia, medullary vein dilation and local vascular remodeling. We come to the conclusion that a potential source of MS lesions is due to locally disrupted flow which in turn leads to remodeling of the medullary veins followed by endothelial damage with the subsequent escape of glial cells, cytokines, etc. These ultimately lead to the cascade of inflammatory and demyelinating events which ensue in the course of the disease.

Indexed as

MS lesion developmentmultiple sclerosissusceptibility weighted imagingUSPIO-enhanced magnetic resonance imagingvascular abnormalities

Identifiers

PMID33981281
PMCPMC8107266
OpenAlexW3158572545

What OpenQuestion holds

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LicenceCC BY
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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.