Evidence map›Paper›PMID 34173252›Full record

ArticleNeuropathology and applied neurobiology2021

Impaired myelin production due to an intrinsic failure of oligodendrocytes in mTORpathies.

Victoria-Elisabeth Gruber, Judith Lang, Verena Endmayr, Robert Diehm, Birgit Pimpel, Sarah Glatter, Jasper J Anink, Anika Bongaarts, Mark J Luinenburg, Roy J Reinten and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Neuropathology and applied neurobiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 29 citations in OpenAlex.

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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

18 authors at 3 institutions in 2 countries.

Victoria-Elisabeth GruberDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna - Affiliated Partner of the ERN EpiCARE, Vienna, Austria.
Judith LangDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna - Affiliated Partner of the ERN EpiCARE, Vienna, Austria.
Verena EndmayrDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Robert DiehmDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna - Affiliated Partner of the ERN EpiCARE, Vienna, Austria.
Birgit PimpelDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna - Affiliated Partner of the ERN EpiCARE, Vienna, Austria.
Sarah GlatterDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna - Affiliated Partner of the ERN EpiCARE, Vienna, Austria.
Jasper J AninkDepartment of (Neuro)Pathology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Anika BongaartsDepartment of (Neuro)Pathology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Mark J LuinenburgDepartment of (Neuro)Pathology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Roy J ReintenDepartment of (Neuro)Pathology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Nicole van der WelDepartment of (Neuro)Pathology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Per LarsenDepartment of (Neuro)Pathology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Johannes A HainfellnerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Karl RösslerDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Eleonora AronicaDepartment of (Neuro)Pathology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Theresa SchollDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna - Affiliated Partner of the ERN EpiCARE, Vienna, Austria.ORCID 0000-0002-9835-7328
Angelika MühlebnerDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Martha FeuchtDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna - Affiliated Partner of the ERN EpiCARE, Vienna, Austria.
Medical University of Vienna · ATAmsterdam Neuroscience · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWe aim to evaluate if the myelin pathology observed in epilepsy-associated focal cortical dysplasia type 2B (FCD2B) and-histologically indistinguishable-cortical tubers of tuberous sclerosis complex (TSC) is primarily related to the underlying malformation or constitutes a secondary phenomenon due to the toxic microenvironment created by epileptic seizures. We also aim to investigate the possible beneficial effect of the mTOR pathway regulator everolimus on white matter pathology.

methodsPrimary mixed glial cell cultures derived from epilepsy surgery specimens of one TSC and seven FCD2B patients were grown on polycaprolactone fibre matrices and analysed using immunofluorescence and electron microscopy. Unaffected white matter from three age-matched epilepsy patients with mild malformations of cortical development (mMCD) and one with FCD3D served as controls. Additionally, TSC2 knock-out was performed using an oligodendroglial cell line. Myelination capacities of nanofibre grown cells in an inflammatory environment after mTOR-inhibitor treatment with everolimus were further investigated.

resultsReduced oligodendroglial turnover, directly related to a lower myelin content was found in the patients' primary cells. In our culture model of myelination dynamics, primary cells grown under 'inflammatory condition' showed decreased myelination, that was repaired by treatment with everolimus.

conclusionsResults obtained in patient-derived primary oligodendroglial and TSC2 knock-out cells suggest that maturation of oligodendroglia and production of a proper myelin sheath seem to be impaired as a result of mTOR pathway disturbance. Hence, oligodendroglial pathology may reflect a more direct effect of the abnormal genetic programme rather than to be an inactive bystander of chronic epilepsy.

Indexed as

BrainChildChild, PreschoolEpilepsyFemaleHumansInfantMaleMalformations of Cortical DevelopmentMalformations of Cortical Development, Group IMyelin SheathOligodendrogliaTOR Serine-Threonine KinasesTuberous SclerosisMTOR protein, humanTOR Serine-Threonine Kinasesfocal cortical dysplasia 2Bmyelinationnanofibresoligodendrocytetuberous sclerosis complex

Identifiers

PMID34173252
PMCPMC8518586
OpenAlexW3173721517

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.