Evidence map›Paper›PMID 34383907›Full record

ArticleJournal of neuropathology and experimental neurology2021

Fast Progression in Amyotrophic Lateral Sclerosis Is Associated With Greater TDP-43 Burden in Spinal Cord.

Sahara J Cathcart, Stanley H Appel, Leif E Peterson, Ericka P Greene, Suzanne Z Powell, Anithachristy S Arumanayagam, Andreana L Rivera, Matthew D Cykowski

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neuropathology and experimental neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Survival in sporadic ALS is associated with lower p62 burden in the spinal cord.Journal of neuropathology and experimental neurology · 2023
    Article
  6. Article
  7. Article
  8. Review
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

8 authors at 3 institutions in 1 country.

Sahara J CathcartFrom the Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, Texas, USA.
Stanley H AppelStanley H. Appel Department of Neurology, Houston Methodist Hospital, Houston, Texas, USA.
Leif E PetersonNXG Logic, LLC, Houston, Texas, USA.
Ericka P GreeneStanley H. Appel Department of Neurology, Houston Methodist Hospital, Houston, Texas, USA.
Suzanne Z PowellFrom the Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, Texas, USA.
Anithachristy S ArumanayagamFrom the Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, Texas, USA.
Andreana L RiveraInstitute of Academic Medicine at the Houston Methodist Research Institute, Houston Methodist Hospital, Houston, Texas, USA.
Matthew D CykowskiFrom the Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, Texas, USA.
Houston Methodist · USMethodist Hospital · USUniversity of Nebraska Medical Center · US

Funding

Age-related TDP-43 neuropathology: using disease-driving mechanisms to guide classificationRF1NS118584 · NINDS · METHODIST HOSPITAL RESEARCH INSTITUTE · PI CYKOWSKI, MATTHEW DANIEL, NELSON, PETER T. · 2020 to 2020
$3.2M
NINDS NIH HHS RF1 NS118584
6 · The paper itself

Abstract

Upper and lower motor neuron pathologies are critical to the autopsy diagnosis of amyotrophic lateral sclerosis (ALS). Further investigation is needed to determine how the relative burden of these pathologies affects the disease course. We performed a blinded, retrospective study of 38 ALS patients, examining the association between pathologic measures in motor cortex, hypoglossal nucleus, and lumbar cord with clinical data, including progression rate and disease duration, site of symptom onset, and upper and lower motor neuron signs. The most critical finding in our study was that TAR DNA-binding protein 43 kDa (TDP-43) pathologic burden in lumbar cord and hypoglossal nucleus was significantly associated with a faster progression rate with reduced survival (p < 0.02). There was no correlation between TDP-43 burden and the severity of cell loss, and no significant clinical associations were identified for motor cortex TDP-43 burden or severity of cell loss in motor cortex. C9orf72 expansion was associated with shorter disease duration (p < 0.001) but was not significantly associated with pathologic measures in these regions. The association between lower motor neuron TDP-43 burden and fast progression with reduced survival in ALS provides further support for the study of TDP-43 as a disease biomarker.

Indexed as

AdultAgedAmyotrophic Lateral SclerosisC9orf72 ProteinDisease ProgressionDNA-Binding ProteinsFemaleHumansMaleMiddle AgedMotor CortexSpinal CordC9orf72 ProteinDNA-Binding ProteinsTARDBP protein, humanAmyotrophic lateral sclerosisLower motor neuronMotor cortexProgression rateSpinal cordTAR DNA-binding protein 43 kDa (TDP-43)Upper motor neuron

Identifiers

PMID34383907
PMCPMC8433592
OpenAlexW3188272138

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.