Evidence map›Paper›PMID 34479997›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

Translational value of choroid plexus imaging for tracking neuroinflammation in mice and humans.

Vinzenz Fleischer, Gabriel Gonzalez-Escamilla, Dumitru Ciolac, Philipp Albrecht, Patrick Küry, Joel Gruchot, Michael Dietrich, Christina Hecker, Thomas Müntefering, Stefanie Bock and 11 more

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 2 pooled it
14.9field-weighted citation impact, top 1% 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

85 citing papers in PubMed, 2 syntheses or guidelines pooled it, 144 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Choroid plexus alterations in long COVID and their associations with IL-6.European archives of psychiatry and clinical neuroscience · 2026
    Article
  5. Article
  6. Astrocytic Accumulation at the Choroid Plexus Attachment Region.Cellular and molecular neurobiology · 2026
    Article
  7. Correlates of long-term clinical outcomes in pediatric multiple sclerosis: A 12-year study.Multiple sclerosis (Houndmills, Basingstoke, England) · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Multiple sclerosis: 2026 update.Free neuropathology · 2026
    Review
  17. Review
  18. Article
  19. Article
  20. Article

25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 4 institutions in 2 countries.

Vinzenz FleischerDepartment of Neurology, Focus Program Translational Neuroscience, Rhine Main Neuroscience Network, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany.
Gabriel Gonzalez-EscamillaDepartment of Neurology, Focus Program Translational Neuroscience, Rhine Main Neuroscience Network, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany.
Dumitru CiolacDepartment of Neurology, Focus Program Translational Neuroscience, Rhine Main Neuroscience Network, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany.ORCID 0000-0003-1243-313X
Philipp AlbrechtDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, 40225 Düsseldorf, Germany.ORCID 0000-0001-7987-658X
Patrick KüryDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, 40225 Düsseldorf, Germany.ORCID 0000-0002-2654-1126
Joel GruchotDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, 40225 Düsseldorf, Germany.ORCID 0000-0003-4894-4679
Michael DietrichDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, 40225 Düsseldorf, Germany.ORCID 0000-0002-4055-6711
Christina HeckerDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, 40225 Düsseldorf, Germany.
Thomas MünteferingDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, 40225 Düsseldorf, Germany.
Stefanie BockDepartment of Neurology, University Hospital Münster, Westfälische Wilhelms-University Münster, 48149 Münster Germany.ORCID 0000-0003-4703-2571
Mohammadsaleh OshaghiDepartment of Neurology, Focus Program Translational Neuroscience, Rhine Main Neuroscience Network, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany.
Angela RadetzDepartment of Neurology, Focus Program Translational Neuroscience, Rhine Main Neuroscience Network, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany.
Manuela CerinaDepartment of Neurology, University Hospital Münster, Westfälische Wilhelms-University Münster, 48149 Münster Germany.
Julia KrämerDepartment of Neurology, University Hospital Münster, Westfälische Wilhelms-University Münster, 48149 Münster Germany.
Lydia WachsmuthClinic of Radiology, University Hospital Münster, 48149 Münster, Germany.
Cornelius FaberClinic of Radiology, University Hospital Münster, 48149 Münster, Germany.
Hans LassmannDepartment of Neuroimmunology, Center for Brain Research, Medical University Vienna, A-1090 Vienna, Austria.
Tobias RuckDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, 40225 Düsseldorf, Germany.
Sven G MeuthDepartment of Neurology, Medical Faculty, Heinrich-Heine-University, 40225 Düsseldorf, Germany.ORCID 0000-0003-2571-3501
Muthuraman MuthuramanDepartment of Neurology, Focus Program Translational Neuroscience, Rhine Main Neuroscience Network, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany.
Sergiu GroppaDepartment of Neurology, Focus Program Translational Neuroscience, Rhine Main Neuroscience Network, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany; segroppa@uni-mainz.de.
Heinrich Heine University Düsseldorf · DEJohannes Gutenberg University Mainz · DEUniversity Hospital Münster · DEMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuroinflammation is a pathophysiological hallmark of multiple sclerosis and has a close mechanistic link to neurodegeneration. Although this link is potentially targetable, robust translatable models to reliably quantify and track neuroinflammation in both mice and humans are lacking. The choroid plexus (ChP) plays a pivotal role in regulating the trafficking of immune cells from the brain parenchyma into the cerebrospinal fluid (CSF) and has recently attracted attention as a key structure in the initiation of inflammatory brain responses. In a translational framework, we here address the integrity and multidimensional characteristics of the ChP under inflammatory conditions and question whether ChP volumes could act as an interspecies marker of neuroinflammation that closely interrelates with functional impairment. Therefore, we explore ChP characteristics in neuroinflammation in patients with multiple sclerosis and in two experimental mouse models, cuprizone diet-related demyelination and experimental autoimmune encephalomyelitis. We demonstrate that ChP enlargement-reconstructed from MRI-is highly associated with acute disease activity, both in the studied mouse models and in humans. A close dependency of ChP integrity and molecular signatures of neuroinflammation is shown in the performed transcriptomic analyses. Moreover, pharmacological modulation of the blood-CSF barrier with natalizumab prevents an increase of the ChP volume. ChP enlargement is strongly linked to emerging functional impairment as depicted in the mouse models and in multiple sclerosis patients. Our findings identify ChP characteristics as robust and translatable hallmarks of acute and ongoing neuroinflammatory activity in mice and humans that could serve as a promising interspecies marker for translational and reverse-translational approaches.

Indexed as

AdultAnimalsBlood-Brain BarrierBrainChoroid PlexusDisease Models, AnimalEncephalomyelitis, Autoimmune, ExperimentalFemaleHumansMagnetic Resonance ImagingMaleMiceMice, Inbred C57BLMultiple SclerosisNeuroinflammatory DiseasesProteomicschoroid plexusdisease activitymultiple sclerosisneuroinflammation

Identifiers

PMID34479997
PMCPMC8433504
OpenAlexW3198793097

What OpenQuestion holds

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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.