Evidence map›Paper›PMID 37386131›Full record

ArticleNature neuroscience2023

Myelin insulation as a risk factor for axonal degeneration in autoimmune demyelinating disease.

Erik Schäffner, Mar Bosch-Queralt, Julia M Edgar, Maria Lehning, Judith Strauß, Niko Fleischer, Theresa Kungl, Peter Wieghofer, Stefan A Berghoff, Tilo Reinert and 17 more

Abstract read
In one paragraph

Article in Nature neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

55 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Combined Whole-Body Cryotherapy and Exercise vs Exercise Alone for Lower Limb Strength and Mobility in Multiple Sclerosis.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Cannabinoid CBCell communication and signaling : CCS · 2026
    Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Dying oligodendrocytes persist without mitochondria.bioRxiv : the preprint server for biology · 2026
    Article
  18. Article
  19. Article
  20. Activation of CaExperimental brain research · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors.

Erik Schäffner *Department of Neurogenetics, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany.
Mar Bosch-Queralt *Paul Flechsig Institute of Neuropathology, University Clinic Leipzig, Leipzig, Germany.
Julia M EdgarDepartment of Neurogenetics, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany.ORCID http://orcid.org/0000-0002-3869-0962
Maria LehningPaul Flechsig Institute of Neuropathology, University Clinic Leipzig, Leipzig, Germany.
Judith StraußInstitute of Neuroimmunology and Multiple Sclerosis Research, University Medical Center Göttingen, Göttingen, Germany.
Niko FleischerPaul Flechsig Institute of Neuropathology, University Clinic Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0003-4149-0483
Theresa KunglInstitute of Anatomy, Leipzig University, Leipzig, Germany.
Peter WieghoferInstitute of Anatomy, Leipzig University, Leipzig, Germany.ORCID http://orcid.org/0000-0003-4959-1182
Stefan A BerghoffDepartment of Neurogenetics, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany.
Tilo ReinertPaul Flechsig Institute of Neuropathology, University Clinic Leipzig, Leipzig, Germany.
Martin KruegerInstitute of Anatomy, Leipzig University, Leipzig, Germany.
Markus MorawskiPaul Flechsig Institute of Brain Research, Leipzig University, Leipzig, Germany.
Wiebke MöbiusDepartment of Neurogenetics, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany.ORCID http://orcid.org/0000-0002-2902-7165
Alonso Barrantes-FreerPaul Flechsig Institute of Neuropathology, University Clinic Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0001-9988-4667
Jens StielerPaul Flechsig Institute of Brain Research, Leipzig University, Leipzig, Germany.
Ting SunDepartment of Neurogenetics, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany.ORCID http://orcid.org/0000-0002-7104-7215
Gesine SaherDepartment of Neurogenetics, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany.ORCID http://orcid.org/0000-0003-3507-9604
Markus H SchwabPaul Flechsig Institute of Neuropathology, University Clinic Leipzig, Leipzig, Germany.
Christoph WredeInstitute of Functional and Applied Anatomy, Research Core Unit Electron Microscopy, Hannover Medical School, Hannover, Germany.
Maximilian FroschInstitute of Neuropathology, Medical Faculty, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-5418-0962
Marco PrinzInstitute of Neuropathology, Medical Faculty, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-0349-1955
Daniel S ReichTranslational Neuroradiology Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, USA.ORCID http://orcid.org/0000-0002-2628-4334
Alexander FlügelInstitute of Neuroimmunology and Multiple Sclerosis Research, University Medical Center Göttingen, Göttingen, Germany.ORCID http://orcid.org/0000-0001-5387-1860
Christine StadelmannInstitute of Neuropathology, University Medical Center Göttingen, Göttingen, Germany.ORCID http://orcid.org/0000-0003-1766-5458
Robert FledrichDepartment of Neurogenetics, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany. Robert.Fledrich@medizin.uni-leipzig.de.ORCID http://orcid.org/0000-0001-5323-7958
Klaus-Armin NaveDepartment of Neurogenetics, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany. nave@mpinat.mpg.de.ORCID http://orcid.org/0000-0001-8724-9666
Ruth M StassartDepartment of Neurogenetics, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany. Ruth.Stassart@medizin.uni-leipzig.de.ORCID http://orcid.org/0000-0002-5919-1652

Funding

Multimodal MRI in Multiple SclerosisZIANS003119 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI REICH, DANIEL · 2010 to 2025
$53.4M
6 · The paper itself

Abstract

Axonal degeneration determines the clinical outcome of multiple sclerosis and is thought to result from exposure of denuded axons to immune-mediated damage. Therefore, myelin is widely considered to be a protective structure for axons in multiple sclerosis. Myelinated axons also depend on oligodendrocytes, which provide metabolic and structural support to the axonal compartment. Given that axonal pathology in multiple sclerosis is already visible at early disease stages, before overt demyelination, we reasoned that autoimmune inflammation may disrupt oligodendroglial support mechanisms and hence primarily affect axons insulated by myelin. Here, we studied axonal pathology as a function of myelination in human multiple sclerosis and mouse models of autoimmune encephalomyelitis with genetically altered myelination. We demonstrate that myelin ensheathment itself becomes detrimental for axonal survival and increases the risk of axons degenerating in an autoimmune environment. This challenges the view of myelin as a solely protective structure and suggests that axonal dependence on oligodendroglial support can become fatal when myelin is under inflammatory attack.

Indexed as

Encephalomyelitis, Autoimmune, ExperimentalMultiple SclerosisAnimalsAxonsHumansMiceMyelin SheathRisk Factors

Identifiers

PMID37386131
PMCPMC10322724

What OpenQuestion holds

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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.