Evidence map›Paper›PMID 34961522›Full record

ArticleJournal of neuroinflammation2021

Citrullinated myelin induces microglial TNFα and inhibits endogenous repair in the cuprizone model of demyelination.

Miranda M Standiford, Ethan M Grund, Charles L Howe

Abstract read
In one paragraph

Article in Journal of neuroinflammation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. NEMO (IKKγ) citrullination in microglia promotes neuroinflammation in the post-ischemic brain.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. MRS3997, a dual adenosine ANeuropharmacology · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Remyelination in Multiple Sclerosis: Findings in the Cuprizone Model.International journal of molecular sciences · 2022
    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

3 authors.

Miranda M StandifordNeuroscience PhD Program, Mayo Clinic Graduate School of Biomedical Sciences, Rochester, MN, 55905, USA.
Ethan M GrundNeuroscience PhD Program, Mayo Clinic Graduate School of Biomedical Sciences, Rochester, MN, 55905, USA.
Charles L HoweTranslational Neuroimmunology Lab, Mayo Clinic, Rochester, MN, 55905, USA. howe@mayo.edu.ORCID http://orcid.org/0000-0002-3889-8739

Funding

Medical Scientist Traning Program at Mayo ClinicT32GM065841 · NIGMS · MAYO CLINIC ROCHESTER · PI KAUFMANN, SCOTT H, SCHIMMENTI, LISA A · 2003 to 2022
$5.8M
Neuronal antigen surveillance and autoimmunity in CNS demyelinating diseaseR01NS115126 · NINDS · MAYO CLINIC ROCHESTER · PI HOWE, CHARLES LEE · 2020 to 2024
$2.9M
NIGMS NIH HHS T32 GM065841NIH HHS T32GM065841NINDS NIH HHS R01 NS115126NINDS NIH HHS R01NS115126
6 · The paper itself

Abstract

backgroundMicroglia are the primary phagocytes of the central nervous system and are responsible for removing damaged myelin following demyelination. Previous investigations exploring the consequences of myelin phagocytosis on microglial activation overlooked the biochemical modifications present on myelin debris. Such modifications, including citrullination, are increased within the inflammatory environment of multiple sclerosis lesions.

methodsMouse cortical myelin isolated by ultracentrifugation was citrullinated ex vivo by incubation with the calcium-dependent peptidyl arginine deiminase PAD2. Demyelination was induced by 6 weeks of cuprizone (0.3%) treatment and spontaneous repair was initiated by reversion to normal chow. Citrullinated or unmodified myelin was injected into the primary motor cortex above the cingulum bundle at the time of reversion to normal chow and the consequent impact on remyelination was assessed by measuring the surface area of myelin basic protein-positive fibers in the cortex 3 weeks later. Microglial responses to myelin were characterized by measuring cytokine release, assessing flow cytometric markers of microglial activation, and RNAseq profiling of transcriptional changes.

resultsCitrullinated myelin induced a unique microglial response marked by increased tumor necrosis factor α (TNFα) production both in vitro and in vivo. This response was not induced by unmodified myelin. Injection of citrullinated myelin but not unmodified myelin into the cortex of cuprizone-demyelinated mice significantly inhibited spontaneous remyelination. Antibody-mediated neutralization of TNFα blocked this effect and restored remyelination to normal levels.

conclusionsThese findings highlight the role of post-translation modifications such as citrullination in the determination of microglial activation in response to myelin during demyelination. The inhibition of endogenous repair induced by citrullinated myelin and the reversal of this effect by neutralization of TNFα may have implications for therapeutic approaches to patients with inflammatory demyelinating disorders.

Indexed as

Chelating AgentsCuprizoneAnimalsCells, CulturedCitrullineCytokinesDemyelinating DiseasesMiceMice, Inbred C57BLMicrogliaMicroinjectionsMotor CortexMyelin Basic ProteinMyelin SheathTumor Necrosis Factor-alphaChelating AgentsCitrullineCuprizoneCytokinesMbp protein, mouseMyelin Basic ProteinTNF protein, humanTumor Necrosis Factor-alphaCitrullinationMicrogliaMyelinRemyelinationTNFα

Identifiers

PMID34961522
PMCPMC8711191

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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.