Evidence map›Paper›PMID 36537066›Full record

ArticleJournal of movement disorders2023

Multiple System Atrophy: Advances in Diagnosis and Therapy.

Hirohisa Watanabe, Sayuri Shima, Yasuaki Mizutani, Akihiro Ueda, Mizuki Ito

Open access · diamondAbstract read
In one paragraph

Article in Journal of movement disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 16 citations in OpenAlex.

  1. Glymphatic dysfunction in cerebellar neurodegeneration: mechanistic insights and emerging clinical implications.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Trajectories of Pontine Volume in Patients with Multiple System Atrophy.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Clinical comparison of the 2008 and 2022 diagnostic criteria for early multiple system atrophy-cerebellar type.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. 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

5 authors at 1 institution in 1 country.

Hirohisa WatanabeDepartment of Neurology, Fujita Health University, School of Medicine, Toyoake, Japan.
Sayuri ShimaDepartment of Neurology, Fujita Health University, School of Medicine, Toyoake, Japan.
Yasuaki MizutaniDepartment of Neurology, Fujita Health University, School of Medicine, Toyoake, Japan.
Akihiro UedaDepartment of Neurology, Fujita Health University, School of Medicine, Toyoake, Japan.
Mizuki ItoDepartment of Neurology, Fujita Health University, School of Medicine, Toyoake, Japan.
Fujita Health University · JP

Funding

Health Labour Sciences Research GrantMinistry of Health, Labour and Welfare 20317603Research Committee of Ataxia
6 · The paper itself

Abstract

This review summarizes improvements in understanding the pathophysiology and early clinical symptoms of multiple system atrophy (MSA) and advancements in diagnostic methods and disease-modifying therapies for the condition. In 2022, the Movement Disorder Society proposed new diagnostic criteria to develop disease-modifying therapies and promote clinical trials of MSA since the second consensus was proposed in 2008. Regarding pathogenesis, cutting-edge findings have accumulated on the interactions of α-synuclein, neuroinflammation, and oligodendroglia with neurons. In neuroimaging, introducing artificial intelligence, machine learning, and deep learning has notably improved diagnostic accuracy and individual analyses. Advancements in treatment have also been achieved, including immunotherapy therapy against α-synuclein and serotonin-targeted and mesenchymal stem cell therapies, which are thought to affect several aspects of the disease, including neuroinflammation. The accelerated progress in clarifying the pathogenesis of MSA over the past few years and the development of diagnostic techniques for detecting early-stage MSA are expected to facilitate the development of disease-modifying therapies for one of the most intractable neurodegenerative diseases.

Indexed as

KeywordsaaDisease-modifying therapyMultiple system atrophyNeuroinflammationOligodendrocyteα-synuclein

Identifiers

PMID36537066
PMCPMC9978260
OpenAlexW4312019574

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.