Evidence map›Paper›PMID 36788526›Full record

ArticleJournal of neuroinflammation2023

Siponimod ameliorates experimental autoimmune neuritis.

Takafumi Uchi, Shingo Konno, Hideo Kihara, Toshiki Fujioka

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

Takafumi UchiDivision of Neurology, Department of Internal Medicine, Toho University Graduate School of Medicine, Tokyo, Japan.
Shingo KonnoDivision of Neurology, Department of Internal Medicine, Toho University Graduate School of Medicine, Tokyo, Japan. d500372@oha.toho-u.ac.jp.
Hideo KiharaDivision of Neurology, Department of Internal Medicine, Toho University Graduate School of Medicine, Tokyo, Japan.
Toshiki FujiokaDivision of Neurology, Department of Internal Medicine, Toho University Graduate School of Medicine, Tokyo, Japan.
Toho University · JPToho University Ohashi Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuillain-Barré syndrome (GBS) and chronic inflammatory demyelinating polyneuropathy (CIDP) are human autoimmune peripheral neuropathy. Besides humoral immunity, cellular immunity is also believed to contribute to these pathologies, especially CIDP. Sphingosine-1-phosphate receptor 1 (S1PR1) regulates the maturation, migration, and trafficking of lymphocytes. As of date, the therapeutic effect of sphingosine-1-phosphate receptor (S1PR) agonists on patients with GBS or CIDP remains unclear.

methodsTo evaluate the effect of siponimod, an agonist of S1PR1 and S1PR5, on experimental autoimmune neuritis (EAN), an animal model of autoimmune peripheral neuropathy, was used. Lewis rats were immunized with 125 μg of synthetic peptide from bovine P2 protein. Rats in the siponimod group were orally administered 1.0 mg/kg siponimod and those in the EAN group were administrated the vehicle on days 5-27 post-immunization (p.i.) daily. The symptom severity was recorded daily. The changes in the expression of cytokines and transcription factors in the lymph nodes and cauda equina (CE) which correlate with the pathogenesis of EAN and recovery of injured nerve were measured using reverse transcription quantitative PCR. Histological study of CE was also performed.

resultsFlaccid paralysis developed on day 11 p.i. in both groups. Siponimod relieved the symptom severity and decreased the expression of interferon-gamma and IL-10 mRNAs in lymph nodes and CE compared with that in the EAN group. The expression of Jun proto-oncogene (c-Jun) mRNA increased from the peak to the recovery phase and that of Sonic hedgehog signaling molecule (Shh) and Glial cell line-derived neurotrophic factor (Gdnf) increased prior to increase in c-Jun with no difference observed between the two groups. Histologically, siponimod also reduced demyelinating lesions and inflammatory cell invasion in CE.

conclusionsSiponimod has a potential to ameliorate EAN. Shh and Gdnf, as well as C-Jun played a significant role during the recovery of injured nerves.

Indexed as

Guillain-Barre SyndromeNeuritis, Autoimmune, ExperimentalPolyradiculoneuropathy, Chronic Inflammatory DemyelinatingAnimalsAzetidinesBenzyl CompoundsCattleGlial Cell Line-Derived Neurotrophic FactorHedgehog ProteinsHumansRatsRats, Inbred LewSciatic NerveAzetidinesBenzyl CompoundsGlial Cell Line-Derived Neurotrophic FactorHedgehog ProteinssiponimodChronic inflammatory demyelinating polyneuropathyExperimental autoimmune neuritisGuillain–Barré syndromeS1PR1S1PR5Siponimod

Identifiers

PMID36788526
PMCPMC9926865
OpenAlexW4320731986

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.