Evidence map›Paper›PMID 34904712›Full record

ArticleEpilepsia2022

Increased expression of complement components in tuberous sclerosis complex and focal cortical dysplasia type 2B brain lesions.

Victoria-Elisabeth Gruber, Mark J Luinenburg, Katrin Colleselli, Verena Endmayr, Jasper J Anink, Till S Zimmer, Floor Jansen, Peter Gosselaar, Roland Coras, Theresa Scholl and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Epilepsia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  8. Article
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  10. CNS autoimmune response in the MAM/pilocarpine rat model of epileptogenic cortical malformation.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  11. Review
  12. International journal of medical sciences · 2024
    Article
  13. Review
  14. Article
  15. Article
  16. Astrocyte-neuron circuits in epilepsy.Neurobiology of disease · 2023
    Review
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  19. Article
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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

19 authors at 5 institutions in 4 countries.

Victoria-Elisabeth GruberDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
Mark J LuinenburgDepartment of (Neuro)Pathology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Katrin ColleselliDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
Verena EndmayrDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Jasper J AninkDepartment of (Neuro)Pathology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Till S ZimmerDepartment of (Neuro)Pathology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Floor JansenDepartment of Child Neurology, Brain Center, University Medical Center Utrecht, Member of the European Reference Network EpiCARE, Utrecht, the Netherlands.
Peter GosselaarDepartment of Neurosurgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Roland CorasDepartment of Neuropathology, University Hospital Erlangen, Erlangen, Germany.
Theresa SchollDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
Ingmar BlumckeDepartment of Neuropathology, University Hospital Erlangen, Erlangen, Germany.ORCID 0000-0001-8676-0788
José PimentelDepartment of Neurology, Santa Maria Hospital, Lisbon, Portugal.
Johannes A HainfellnerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Romana HöftbergerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Karl RösslerDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Martha FeuchtDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-7691-8158
Jackelien van ScheppingenDepartment of (Neuro)Pathology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Eleonora AronicaDepartment of (Neuro)Pathology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Angelika MühlebnerDepartment of (Neuro)Pathology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0001-9102-7353
Medical University of Vienna · ATUniversity of Amsterdam · NLUniversity Medical Center Utrecht · NLUniversitätsklinikum Erlangen · DEHospital de Santa Maria · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIncreasing evidence supports the contribution of inflammatory mechanisms to the neurological manifestations of epileptogenic developmental pathologies linked to mammalian target of rapamycin (mTOR) pathway dysregulation (mTORopathies), such as tuberous sclerosis complex (TSC) and focal cortical dysplasia (FCD). In this study, we aimed to investigate the expression pattern and cellular distribution of the complement factors C1q and C3 in resected cortical tissue of clinically well-characterized patients with TSC and FCD2B.

methodsWe applied immunohistochemistry in TSC (n = 29) and FCD2B (n = 32) samples and compared them to autopsy and biopsy controls (n = 27). Furthermore, protein expression was observed via Western blot, and for descriptive colocalization studies immunofluorescence double labeling was performed.

resultsProtein expression for C3 was significantly upregulated in TSC and FCD2B white and gray matter lesions compared to controls. Staining of the synaptic vesicle protein synaptophysin showed a remarkable increase in the white matter of both TSC and FCD2B. Furthermore, confocal imaging revealed colocalization of complement factors with astroglial, microglial, neuronal, and abnormal cells in various patterns. SIGNIFICANCE: Our results demonstrate that the prominent activation of the complement pathway represents a common pathological hallmark of TSC and FCD2B, suggesting that complement overactivation may play a role in these mTORopathies.

Indexed as

EpilepsyMalformations of Cortical DevelopmentTuberous SclerosisBrainHumansNeuronscomplementcortical developmentepilepsyfocal cortical dysplasiainflammationtuberous sclerosis complex

Identifiers

PMID34904712
PMCPMC9299842
OpenAlexW4200618721

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.