Evidence map›Paper›PMID 35085379›Full record

ArticleBrain : a journal of neurology2022

Intrinsic blood-brain barrier dysfunction contributes to multiple sclerosis pathogenesis.

Hideaki Nishihara, Sylvain Perriot, Benjamin D Gastfriend, Marel Steinfort, Celine Cibien, Sasha Soldati, Kinya Matsuo, Sarah Guimbal, Amandine Mathias, Sean P Palecek and 3 more

Open access · bronzeAbstract 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. Cited by 74 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 1 pooled it
9.1field-weighted citation impact, top 2% 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

74 citing papers in PubMed, 1 synthesis or guideline pooled it, 113 citations in OpenAlex.

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  9. [Association Between T Lymphocyte Mitochondrial Function and Disease Activity in Anti-NMDAR Encephalitis].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
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14 more citing papers are in PubMed but not listed here.

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

13 authors at 3 institutions in 2 countries.

Hideaki NishiharaTheodor Kocher Institute, University of Bern, 3012 Bern, Switzerland.ORCID 0000-0002-2990-835X
Sylvain PerriotLaboratory of Neuroimmunology, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.
Benjamin D GastfriendDepartment of Chemical and Biological Engineering, University of Wisconsin-Madison, Madison, WI, USA.ORCID 0000-0002-4677-1455
Marel SteinfortTheodor Kocher Institute, University of Bern, 3012 Bern, Switzerland.
Celine CibienTheodor Kocher Institute, University of Bern, 3012 Bern, Switzerland.
Sasha SoldatiTheodor Kocher Institute, University of Bern, 3012 Bern, Switzerland.
Kinya MatsuoTheodor Kocher Institute, University of Bern, 3012 Bern, Switzerland.
Sarah GuimbalTheodor Kocher Institute, University of Bern, 3012 Bern, Switzerland.
Amandine MathiasLaboratory of Neuroimmunology, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.
Sean P PalecekDepartment of Chemical and Biological Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Eric V ShustaDepartment of Chemical and Biological Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Renaud Du PasquierLaboratory of Neuroimmunology, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.
Britta EngelhardtTheodor Kocher Institute, University of Bern, 3012 Bern, Switzerland.ORCID 0000-0003-3059-9846
University of Bern · CHUniversity of Lausanne · CHUniversity of Wisconsin–Madison · US

Funding

BIOTECHNOLOGY TRAINING PROGRAMT32GM008349 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI FOX, BRIAN G · 1989 to 2019
$22.5M
Investigating Pericyte Roles in Blood-Brain Barrier FormationR01NS103844 · NINDS · UNIVERSITY OF WISCONSIN-MADISON · PI SHUSTA, ERIC V · 2018 to 2022
$1.9M
NIGMS NIH HHS T32 GM008349NINDS NIH HHS R01 NS103844
6 · The paper itself

Abstract

Blood-brain barrier (BBB) breakdown and immune cell infiltration into the CNS are early hallmarks of multiple sclerosis (MS). The mechanisms leading to BBB dysfunction are incompletely understood and generally thought to be a consequence of neuroinflammation. Here, we have challenged this view and asked if intrinsic alterations in the BBB of MS patients contribute to MS pathogenesis. To this end, we made use of human induced pluripotent stem cells derived from healthy controls and MS patients and differentiated them into brain microvascular endothelial cell (BMEC)-like cells as in vitro model of the BBB. MS-derived BMEC-like cells showed impaired junctional integrity, barrier properties and efflux pump activity when compared to healthy controls. Also, MS-derived BMEC-like cells displayed an inflammatory phenotype with increased adhesion molecule expression and immune cell interactions. Activation of Wnt/β-catenin signalling in MS-derived endothelial progenitor cells enhanced barrier characteristics and reduced the inflammatory phenotype. Our study provides evidence for an intrinsic impairment of BBB function in MS patients that can be modelled in vitro. Human iPSC-derived BMEC-like cells are thus suitable to explore the molecular underpinnings of BBB dysfunction in MS and will assist in the identification of potential novel therapeutic targets for BBB stabilization.

Indexed as

Induced Pluripotent Stem CellsMultiple SclerosisBlood-Brain BarrierBrainCells, CulturedHumansblood–brain barrierhuman induced pluripotent stem cellsimmune cell migrationmultiple sclerosispermeability

Identifiers

PMID35085379
PMCPMC10200307
OpenAlexW4206951043

What OpenQuestion holds

Textmetadata
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.