Evidence map›Paper›PMID 35119108›Full record

Observational studyActa neurologica Scandinavica2022

Four Swedish cases of CSF1R-related leukoencephalopathy: Visualization of clinical phenotypes.

Igal Rosenstein, Oluf Andersen, Daniel Victor, Elisabet Englund, Tobias Granberg, Carola Hedberg-Oldfors, Katarina Jood, Yusran Ady Fitrah, Takeshi Ikeuchi, Virginija Danylaité Karrenbauer

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Acta neurologica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

10 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. CSF1R-related disorder: A clinical, imaging and genetic profile review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Article
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  10. Observational
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

10 authors at 6 institutions in 3 countries.

Igal RosensteinDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-5078-9690
Oluf AndersenDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-9089-0451
Daniel VictorDepartment of Neurology, Halmstad Hospital, Halmstad, Sweden.
Elisabet EnglundNeuropathology, Department of Genetics and Pathology, Laboratory Medicine, Lund, Sweden.ORCID https://orcid.org/0000-0002-2708-2443
Tobias GranbergDepartment of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-6700-1022
Carola Hedberg-OldforsDepartment of Laboratory Medicine, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0002-7141-4185
Katarina JoodDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-8746-1771
Yusran Ady FitrahBrain Research Institute, Niigata University, Niigata, Japan.
Takeshi IkeuchiBrain Research Institute, Niigata University, Niigata, Japan.ORCID https://orcid.org/0000-0001-8828-8085
Virginija Danylaité KarrenbauerDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-7166-8951
Sahlgrenska University Hospital · SEKarolinska University Hospital · SENiigata University · JPHalmstad University · SELund University · SEUniversity of Gothenburg · SE

Funding

BiogenMercNovartisStockholm County Council ALF 20160457Vigil Neuro
6 · The paper itself

Abstract

Colony stimulating factor 1 receptor (CSF1R)-related leukoencephalopathy is a rare, genetic disease caused by heterozygous mutations in the CSF1R gene with rapidly progressive neurodegeneration, behavioral, cognitive, motor disturbances.

objectiveTo describe four cases of CSF1R-related leukoencephalopathy from three families with two different pathogenic mutations in the tyrosine kinase domain of CSF1R and to develop an integrated presentation of inter-individual diversity of clinical presentations.

methodsThis is an observational study of a case series. Patients diagnosed with CSF1R encephalopathy were evaluated with standardized functional estimation scores and subject to analysis of cerebrospinal fluid biomarkers. Brain computed tomography (CT) and magnetic resonance imaging (MRI) were evaluated. We performed a functional phosphorylation assay to confirm the dysfunction of mutated CSF1R protein.

resultsTwo heterozygous missense mutations in the CSF1R gene were identified, c.2344C>T; p.Arg777Trp and c.2329C>T; p.Arg782Cys. A phosphorylation assay in vitro showed markedly reduced autophosphorylation in cells expressing mutations. According to ACMG criteria, both mutations were pathogenic. A radiological investigation revealed typical white matter lesions in all cases. There was inter-individual diversity in the loss of cognitive, motor-neuronal, and extrapyramidal functions.

conclusionsIncluding the present cases, currently three CSF1R mutations are known in Sweden. We present a visualization tool to describe the clinical diversity, with potential use for longitudinal follow-up for this and other leukoencephalopathies.

Indexed as

LeukoencephalopathiesHumansMagnetic Resonance ImagingMutationNeuroimagingPhenotypeSwedenadult-onset leukoencephalopathy with spheroids and pigmented gliabiomarkerscolony stimulating factor 1 receptorCSF1R geneneurodegenerationprimary microgliopathy

Identifiers

PMID35119108
PMCPMC9304267
OpenAlexW4210525390

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.