Evidence map›Paper›PMID 35076694›Full record

ArticleBrain : a journal of neurology2022

Phosphorylated TDP-43 aggregates in peripheral motor nerves of patients with amyotrophic lateral sclerosis.

Nilo Riva, Francesco Gentile, Federica Cerri, Francesca Gallia, Paola Podini, Giorgia Dina, Yuri Matteo Falzone, Raffaella Fazio, Christian Lunetta, Andrea Calvo and 9 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07268833 (Translating Single-cell Vulnerability Into Novel ALS Biomarkers and Therapeutic Targets), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
3.6field-weighted citation impact, top 5% 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.

NCT07268833 recruitingnot on this mapstarted 2024, after this paper: background citation

Translating Single-cell Vulnerability Into Novel ALS Biomarkers and Therapeutic Targets: Towards a Liquid Nerve Biopsy

TypeobservationalSponsorFondazione I.R.C.C.S. Istituto Neurologico Carlo BestaRan2024 to 2027Enrolled400ConditionsAmyotrophic Lateral Sclerosis (ALS), Peripheral Neuropathies
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 46 citations in OpenAlex.

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  9. Detection of TDP-43 seeds in CSF of presymptomatic and symptomatic genetic FTD/ALS.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
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  18. Molecular mechanisms and therapeutic strategies for neuromuscular diseases.Cellular and molecular life sciences : CMLS · 2024
    Review
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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 8 institutions in 1 country.

Nilo RivaExperimental Neuropathology Unit, Institute of Experimental Neurology (INSPE), Division of Neuroscience, San Raffaele Scientific Institute, 20132, Milan, Italy.ORCID 0000-0002-0513-9517
Francesco GentileExperimental Neuropathology Unit, Institute of Experimental Neurology (INSPE), Division of Neuroscience, San Raffaele Scientific Institute, 20132, Milan, Italy.
Federica CerriExperimental Neuropathology Unit, Institute of Experimental Neurology (INSPE), Division of Neuroscience, San Raffaele Scientific Institute, 20132, Milan, Italy.
Francesca GalliaNeuromuscular and Neuroimmunology Service, Department of Medical Biotechnology and Translational Medicine, Humanitas Clinical and Research Institute, Milan University, 20089 Rozzano, Milan, Italy.
Paola PodiniExperimental Neuropathology Unit, Institute of Experimental Neurology (INSPE), Division of Neuroscience, San Raffaele Scientific Institute, 20132, Milan, Italy.
Giorgia DinaExperimental Neuropathology Unit, Institute of Experimental Neurology (INSPE), Division of Neuroscience, San Raffaele Scientific Institute, 20132, Milan, Italy.
Yuri Matteo FalzoneExperimental Neuropathology Unit, Institute of Experimental Neurology (INSPE), Division of Neuroscience, San Raffaele Scientific Institute, 20132, Milan, Italy.
Raffaella FazioNeurology Unit and Neurorehabilitation Unit, San Raffaele Scientific Institute, 20132, Milan, Italy.
Christian LunettaNeuroMuscular Omnicenter (NEMO), 20162, Milan, Italy.ORCID 0000-0002-4788-1875
Andrea CalvoRita Levi Montalcini Department of Neuroscience, University of Turin, 10126 Turin, Italy.ORCID 0000-0002-5122-7243
Giancarlo LogroscinoDepartment of Neuroscience, University of Bari, 70121 Bari, Italy.
Giuseppe Lauria3rd Neurology Unit and Motor Neuron Disease Center, IRCCS Foundation 'Carlo Besta' Neurological Institute, 20133, Milan, Italy.ORCID 0000-0001-9773-020X
Massimo CorboDepartment of Neurorehabilitation Sciences, Casa Cura Policlinico, 20144, Milan, Italy.
Sandro IannacconeDepartment of Clinical Neurosciences, San Raffaele Scientific Institute, 20132, Milan, Italy.
Adriano ChiòRita Levi Montalcini Department of Neuroscience, University of Turin, 10126 Turin, Italy.
Alberto LazzeriniHand Surgery Department, IRCCS Orthopedic Institute Galeazzi, 20161, Milan, Italy.
Eduardo Nobile-OrazioNeuromuscular and Neuroimmunology Service, Department of Medical Biotechnology and Translational Medicine, Humanitas Clinical and Research Institute, Milan University, 20089 Rozzano, Milan, Italy.
Massimo FilippiNeurology Unit and Neurorehabilitation Unit, San Raffaele Scientific Institute, 20132, Milan, Italy.ORCID 0000-0002-5485-0479
Angelo QuattriniExperimental Neuropathology Unit, Institute of Experimental Neurology (INSPE), Division of Neuroscience, San Raffaele Scientific Institute, 20132, Milan, Italy.
San Raffaele University of Rome · ITHumanitas University · ITUniversity of Turin · ITCentro Clinico Nemo · ITIstituto Ortopedico Galeazzi · ITUniversity of Bari Aldo Moro · ITUniversity of Milan · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Phosphorylated TDP-43 (pTDP-43) aggregates in the cytoplasm of motor neurons and neuroglia in the brain are one of the pathological hallmarks of amyotrophic lateral sclerosis. Although the axons exceed the total volume of motor neuron soma by several orders of magnitude, systematic studies investigating the presence and distribution of pTDP-43 aggregates within motor nerves are still lacking. The aim of this study is to define the TDP-43/pTDP-43 pathology in diagnostic motor nerve biopsies performed on a large cohort of patients presenting with a lower motor neuron syndrome and to assess whether this might be a discriminating tissue biomarker for amyotrophic lateral sclerosis and non-amyotrophic lateral sclerosis cases. We retrospectively evaluated 102 lower motor neuron syndrome patients referred to our centre for a diagnostic motor nerve biopsy. Histopathological criteria of motor neuron disease and motor neuropathy were applied by two independent evaluators, who were blind to clinical data. TDP-43 and pTDP-43 were evaluated by immunohistochemistry, and results compared to final clinical diagnosis. We detected significant differences between amyotrophic lateral sclerosis and non-amyotrophic lateral sclerosis cases in pTDP-43 expression in myelinated fibres: axonal accumulation was detected in 98.2% of patients with amyotrophic lateral sclerosis versus 30.4% of non-amyotrophic lateral sclerosis samples (P < 0.0001), while concomitant positive staining in Schwan cell cytoplasm was found in 70.2% of patients with amyotrophic lateral sclerosis versus 17.4% of patients who did not have amyotrophic lateral sclerosis (P < 0.001). Importantly, we were also able to detect pTDP-43 aggregates in amyotrophic lateral sclerosis cases displaying normal features at standard histopathological analysis. Our findings demonstrated that a specific pTDP-43 signature is present in the peripheral nervous system of patients with amyotrophic lateral sclerosis, and could be exploited as a specific, accessible tissue biomarker. The detection of pTDP-43 aggregates within motor nerves of living patients with amyotrophic lateral sclerosis, occurring before axonal degeneration, suggests that this is an early event that may contribute to amyotrophic lateral sclerosis pathogenesis.

Indexed as

Amyotrophic Lateral SclerosisDNA-Binding ProteinsHumansMotor NeuronsPeripheral Nervous SystemRetrospective StudiesDNA-Binding ProteinsTARDBP protein, humanaggregatesmotor neuron diseasemotor neuropathyneuropathologyperipheral nervous system

Identifiers

PMID35076694
PMCPMC8967102
OpenAlexW4206749202

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Registered trials

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.