Evidence map›Paper›PMID 37676734›Full record

ArticleThe Journal of clinical investigation2023

CD8+ T cells recognizing a neuron-restricted antigen injure axons in a model of multiple sclerosis.

Benjamin Ds Clarkson, Ethan M Grund, Miranda M Standiford, Kanish Mirchia, Maria S Westphal, Liz S Muschler, Charles L Howe

Open access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.9field-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

24 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
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  3. Acta pharmaceutica Sinica. B · 2026
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  19. Article
  20. The neuropathobiology of multiple sclerosis.Nature reviews. Neuroscience · 2024
    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

7 authors at 2 institutions in 2 countries.

Benjamin Ds ClarksonDepartment of Neurology.
Ethan M GrundMayo Graduate School.
Miranda M StandifordMayo Graduate School.
Kanish MirchiaDepartment of Neurology.
Maria S WestphalDepartment of Neurology.
Liz S MuschlerDepartment of Neurology.
Charles L HoweDepartment of Neurology.
Institute of Neuroimmunology of the Slovak Academy of Sciences · SKNational Student Clearinghouse Research Center · US

Funding

Medical Scientist Traning Program at Mayo ClinicT32GM065841 · NIGMS · MAYO CLINIC ROCHESTER · PI KAUFMANN, SCOTT H, SCHIMMENTI, LISA A · 2003 to 2022
$5.8M
Mechanisms of neuronal injury during virus infection of the CNSR01NS064571 · NINDS · MAYO CLINIC ROCHESTER · PI HOWE, CHARLES LEE · 2009 to 2018
$3.0M
Neuronal antigen surveillance and autoimmunity in CNS demyelinating diseaseR01NS115126 · NINDS · MAYO CLINIC ROCHESTER · PI HOWE, CHARLES LEE · 2020 to 2024
$2.9M
NIGMS NIH HHS T32 GM065841NINDS NIH HHS R01 NS064571NINDS NIH HHS R01 NS115126
6 · The paper itself

Abstract

CD8+ T cells outnumber CD4+ cells in multiple sclerosis (MS) lesions associated with disease progression, but the pathogenic role and antigenic targets of these clonally expanded effectors are unknown. Based on evidence that demyelination is necessary but not sufficient for disease progression in MS, we previously hypothesized that CNS-infiltrating CD8+ T cells specific for neuronal antigens directly drive the axonal and neuronal injury that leads to cumulative neurologic disability in patients with MS. We now show that demyelination induced expression of MHC class I on neurons and axons and resulted in presentation of a neuron-specific neoantigen (synapsin promoter-driven chicken ovalbumin) to antigen-specific CD8+ T cells (anti-ovalbumin OT-I TCR-transgenic T cells). These neuroantigen-specific effectors surveilled the CNS in the absence of demyelination but were not retained. However, upon induction of demyelination via cuprizone intoxication, neuroantigen-specific CD8+ T cells proliferated, accumulated in the CNS, and damaged neoantigen-expressing neurons and axons. We further report elevated neuronal expression of MHC class I and β2-microglobulin transcripts and protein in gray matter and white matter tracts in tissue from patients with MS. These findings support a pathogenic role for autoreactive anti-axonal and anti-neuronal CD8+ T cells in MS progression.

Indexed as

Multiple SclerosisAxonsCD8-Positive T-LymphocytesDisease ProgressionHumansNeuronsImmunologyMultiple sclerosisNeurological disordersNeuroscienceT cells

Identifiers

PMID37676734
PMCPMC10617772
OpenAlexW4386524917

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.