Evidence map›Paper›PMID 36989373›Full record

ArticleScience translational medicine2023

The neuronal pentraxin Nptx2 regulates complement activity and restrains microglia-mediated synapse loss in neurodegeneration.

Jiechao Zhou, Sarah D Wade, David Graykowski, Mei-Fang Xiao, Binhui Zhao, Lucia A A Giannini, Jesse E Hanson, John C van Swieten, Morgan Sheng, Paul F Worley and 1 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 2 pooled it
16.1field-weighted citation impact, top 1% 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

96 citing papers in PubMed, 2 syntheses or guidelines pooled it, 131 citations in OpenAlex.

  1. The Impact of Omega Fatty Acids on DKD: A Multimodal Study Integrating Mendelian Randomization, Proteomic Mediation Analysis, and Meta-Analysis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Pooled it
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  13. The neuroimmune system and cognition.Nature immunology · 2026
    Review
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36 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

11 authors at 4 institutions in 3 countries.

Jiechao ZhouSolomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, 21205, USA.ORCID 0000-0002-7879-0757
Sarah D WadeBroad Institute of MIT and Harvard, Cambridge, 02142, USA.ORCID 0000-0002-5746-5111
David GraykowskiBroad Institute of MIT and Harvard, Cambridge, 02142, USA.
Mei-Fang XiaoSolomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, 21205, USA.ORCID 0000-0003-1681-2161
Binhui ZhaoBroad Institute of MIT and Harvard, Cambridge, 02142, USA.ORCID 0000-0001-9390-3660
Lucia A A GianniniAlzheimer Center, Department of Neurology, Erasmus University Medical Center, Rotterdam, 3015 GD, Netherlands.ORCID 0000-0002-3521-3693
Jesse E HansonGenentech, Neuroscience, South San Francisco, 94080, USA.ORCID 0000-0003-3059-5132
John C van SwietenAlzheimer Center, Department of Neurology, Erasmus University Medical Center, Rotterdam, 3015 GD, Netherlands.
Morgan ShengBroad Institute of MIT and Harvard, Cambridge, 02142, USA.ORCID 0000-0002-8703-5366
Paul F WorleySolomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, 21205, USA.ORCID 0000-0002-5086-614X
Borislav DejanovicBroad Institute of MIT and Harvard, Cambridge, 02142, USA.ORCID 0000-0003-4191-5808
Broad Institute · USJohns Hopkins University · USErasmus MC · NLNeuroscience Institute · IT

Funding

Regulatory and Human Study Operations (RHSO) Core CU19AG065169 · NIA · UNIVERSITY OF ARIZONA · PI BRINTON, ROBERTA EILEEN · 2021 to 2025
$59.8M
TRANSCRIPTIONAL MECHANISMS OF HIPPOCAMPAL AGINGP01AG009973 · NIA · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI JAMES J KNIERIM · 1991 to 2026
$52.4M
NPTX2: Preserving memory circuits in normative aging and Alzheimer's DiseaseR01AG072643 · NIA · UNIVERSITY OF ARIZONA · PI BARNES, CAROL A. · 2021 to 2025
$5.7M
De novo Synthesis and MemoryR35NS097966 · NINDS · JOHNS HOPKINS UNIVERSITY · PI WORLEY, PAUL F · 2017 to 2024
$4.3M
NIA NIH HHS P01 AG009973NIA NIH HHS R01 AG072643NIA NIH HHS U19 AG065169NINDS NIH HHS R35 NS097966
6 · The paper itself

Abstract

Complement overactivation mediates microglial synapse elimination in neurological diseases such as Alzheimer's disease (AD) and frontotemporal dementia (FTD), but how complement activity is regulated in the brain remains largely unknown. We identified that the secreted neuronal pentraxin Nptx2 binds complement C1q and thereby regulates its activity in the brain. Nptx2-deficient mice show increased complement activity, C1q-dependent microglial synapse engulfment, and loss of excitatory synapses. In a neuroinflammation culture model and in aged TauP301S mice, adeno-associated virus (AAV)-mediated neuronal overexpression of Nptx2 was sufficient to restrain complement activity and ameliorate microglia-mediated synapse loss. Analysis of human cerebrospinal fluid (CSF) samples from a genetic FTD cohort revealed reduced concentrations of Nptx2 and Nptx2-C1q protein complexes in symptomatic patients, which correlated with elevated C1q and activated C3. Together, these results show that Nptx2 regulates complement activity and microglial synapse elimination in the brain and that diminished Nptx2 concentrations might exacerbate complement-mediated neurodegeneration in patients with FTD.

Indexed as

Frontotemporal DementiaMicrogliaAgedAnimalsComplement C1qComplement System ProteinsHumansMicePentraxinsSynapsesComplement C1qComplement System ProteinsPentraxins

Identifiers

PMID36989373
PMCPMC10467038
OpenAlexW4361290848

What OpenQuestion holds

Textmetadata
LicenceTDM
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.