Evidence map›Paper›PMID 36001414›Full record

ArticleBrain : a journal of neurology2022

Aqp4 stop codon readthrough facilitates amyloid-β clearance from the brain.

Darshan Sapkota, Colin Florian, Brookelyn M Doherty, Kelli M White, Kate M Reardon, Xia Ge, Joel R Garbow, Carla M Yuede, John R Cirrito, Joseph D Dougherty

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 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
5.5field-weighted citation impact, top 3% 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

31 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Article
  3. Impaired glymphatic function is associated with synaptic loss in cognitive impairment.European journal of nuclear medicine and molecular imaging · 2026
    Article
  4. Review
  5. Review
  6. Review
  7. Astrocytes as Therapeutic Targets in Neurodegenerative Disorders.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Glymphatic system: a self-purification circulation in brain.Frontiers in cellular neuroscience · 2025
    Review
  15. The RNA Revolution in the Central Molecular Biology Dogma Evolution.International journal of molecular sciences · 2024
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Darshan SapkotaDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
Colin FlorianDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
Brookelyn M DohertyDepartment of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Kelli M WhiteDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
Kate M ReardonDepartment of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Xia GeDepartment of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Joel R GarbowDepartment of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Carla M YuedeDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
John R CirritoDepartment of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Joseph D DoughertyDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0002-6385-3997
Washington University in St. Louis · USThe University of Texas at Dallas · US

Funding

WUIDDRC Supplement-Supporting the health and well-being of children with intellectual and developmental disability during COVID-19 pandemicP50HD103525 · NICHD · WASHINGTON UNIVERSITY · PI JEFFREY D MILBRANDT · 2020 to 2026
$15.5M
Regulation of local translation in gliaR01NS102272 · NINDS · WASHINGTON UNIVERSITY · PI JOSEPH D DOUGHERTY · 2017 to 2026
$3.8M
The convergence of stress and sex on Abeta and tau metabolism and pathologyRF1AG079867 · NIA · WASHINGTON UNIVERSITY · PI John R Cirrito · 2023 to 2026
$3.5M
Opposing Regulation of Sleep-Wake Abeta Fluctuations by Orexin and DynorphinRF1AG064902 · NIA · WASHINGTON UNIVERSITY · PI CIRRITO, JOHN R · 2019 to 2019
$3.1M
Neurobiological significance of Aqp4 stop codon readthroughR00AG061231 · NIA · UNIVERSITY OF TEXAS DALLAS · PI SAPKOTA, DARSHAN · 2021 to 2023
$722k
Neurobiological significance of Aqp4 stop codon readthroughK99AG061231 · NIA · WASHINGTON UNIVERSITY · PI SAPKOTA, DARSHAN · 2019 to 2020
$247k
NIA NIH HHS K99 AG061231NIA NIH HHS R00 AG061231NIA NIH HHS RF1 AG064902NIA NIH HHS RF1 AG079867NICHD NIH HHS P50 HD103525NINDS NIH HHS R01 NS102272
6 · The paper itself

Abstract

Alzheimer's disease is initiated by the toxic aggregation of amyloid-β. Immunotherapeutics aimed at reducing amyloid beta are in clinical trials but with very limited success to date. Identification of orthogonal approaches for clearing amyloid beta may complement these approaches for treating Alzheimer's disease. In the brain, the astrocytic water channel Aquaporin 4 is involved in clearance of amyloid beta, and the fraction of Aquaporin 4 found perivascularly is decreased in Alzheimer's disease. Further, an unusual stop codon readthrough event generates a conserved C-terminally elongated variant of Aquaporin 4 (AQP4X), which is exclusively perivascular. However, it is unclear whether the AQP4X variant specifically mediates amyloid beta clearance. Here, using Aquaporin 4 readthrough-specific knockout mice that still express normal Aquaporin 4, we determine that this isoform indeed mediates amyloid beta clearance. Further, with high-throughput screening and counterscreening, we identify small molecule compounds that enhance readthrough of the Aquaporin 4 sequence and validate a subset on endogenous astrocyte Aquaporin 4. Finally, we demonstrate these compounds enhance brain amyloid-β clearance in vivo, which depends on AQP4X. This suggests derivatives of these compounds may provide a viable pharmaceutical approach to enhance clearance of amyloid beta and potentially other aggregating proteins in neurodegenerative disease.

Indexed as

Alzheimer DiseaseNeurodegenerative DiseasesAmyloid beta-PeptidesAnimalsAquaporin 4BrainCodon, TerminatorMiceAmyloid beta-PeptidesAqp4 protein, mouseAquaporin 4Codon, TerminatorAlzheimer’s diseaseamyloid betaAqp4glymphaticreadthrough

Identifiers

PMID36001414
PMCPMC10233234
OpenAlexW4293229172

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.