Evidence map›Paper›PMID 38997748›Full record

ArticleInflammation and regeneration2024

Proteomic insights into extracellular vesicles in ALS for therapeutic potential of Ropinirole and biomarker discovery.

Chris Kato, Koji Ueda, Satoru Morimoto, Shinichi Takahashi, Shiho Nakamura, Fumiko Ozawa, Daisuke Ito, Yugaku Daté, Kensuke Okada, Naoki Kobayashi and 2 more

Abstract read
In one paragraph

Article in Inflammation and regeneration, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
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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

12 authors.

Chris Kato *Keio University Regenerative Medicine Research Center, Kanagawa, 210-0821, Japan.
Koji Ueda *Cancer Proteomics Group, Cancer Precision Medicine Center, Japanese Foundation for Cancer Research, Tokyo, 135-8550, Japan.
Satoru Morimoto *Keio University Regenerative Medicine Research Center, Kanagawa, 210-0821, Japan. satoru_morimoto@keio.jp.
Shinichi Takahashi *Keio University Regenerative Medicine Research Center, Kanagawa, 210-0821, Japan.
Shiho NakamuraKeio University Regenerative Medicine Research Center, Kanagawa, 210-0821, Japan.
Fumiko OzawaKeio University Regenerative Medicine Research Center, Kanagawa, 210-0821, Japan.
Daisuke ItoDepartment of Physiology, Keio University School of Medicine, Tokyo, 160-8582, Japan.
Yugaku DatéDepartment of Neurology, Keio University School of Medicine, Tokyo, 160-8582, Japan.
Kensuke OkadaDepartment of Neurology, Keio University School of Medicine, Tokyo, 160-8582, Japan.
Naoki KobayashiKeio University Regenerative Medicine Research Center, Kanagawa, 210-0821, Japan.
Jin NakaharaDepartment of Neurology, Keio University School of Medicine, Tokyo, 160-8582, Japan.
Hideyuki OkanoKeio University Regenerative Medicine Research Center, Kanagawa, 210-0821, Japan. hidokano@keio.jp.ORCID http://orcid.org/0000-0001-7482-5935

Funding

Japan Agency for Medical Research and Development JP21wm0425009Japan Agency for Medical Research and Development JP22bm0804003Japan Agency for Medical Research and Development JP22ek0109616Japan Agency for Medical Research and Development JP23bm1123046Japan Agency for Medical Research and Development JP23bm1423002Japan Agency for Medical Research and Development JP23kk0305024Japan Society for the Promotion of Science JP20H00485Japan Society for the Promotion of Science JP21H05278Japan Society for the Promotion of Science JP22K07500Japan Society for the Promotion of Science JP22K15736
6 · The paper itself

Abstract

backgroundExtracellular vesicles (EVs) hold the potential for elucidating the pathogenesis of amyotrophic lateral sclerosis (ALS) and serve as biomarkers. Notably, the comparative and longitudinal alterations in the protein profiles of EVs in serum (sEVs) and cerebrospinal fluid (CSF; cEVs) of sporadic ALS (SALS) patients remain uncharted. Ropinirole hydrochloride (ROPI; dopamine D2 receptor [D2R] agonist), a new anti-ALS drug candidate identified through induced pluripotent stem cell (iPSC)-based drug discovery, has been suggested to inhibit ALS disease progression in the Ropinirole Hydrochloride Remedy for Amyotrophic Lateral Sclerosis (ROPALS) trial, but its mechanism of action is not well understood. Therefore, we tried to reveal longitudinal changes with disease progression and the effects of ROPI on protein profiles of EVs.

methodsWe collected serum and CSF at fixed intervals from ten controls and from 20 SALS patients participating in the ROPALS trial. Comprehensive proteomic analysis of EVs, extracted from these samples, was conducted using liquid chromatography/mass spectrometer (LC/MS). Furthermore, we generated iPSC-derived astrocytes (iPasts) and performed RNA sequencing on astrocytes with or without ROPI treatment.

resultsThe findings revealed notable disparities yet high congruity in sEVs and cEVs protein profiles concerning disease status, time and ROPI administration. In SALS, both sEVs and cEVs presented elevated levels of inflammation-related proteins but reduced levels associated with unfolded protein response (UPR). These results mirrored the longitudinal changes after disease onset and correlated with the revised ALS Functional Rating Scale (ALSFRS-R) at sampling time, suggesting a link to the onset and progression of SALS. ROPI appeared to counteract these changes, attenuating inflammation-related protein levels and boosting those tied to UPR in SALS, proposing an anti-ALS impact on EV protein profiles. Reverse translational research using iPasts indicated that these changes may partly reflect the DRD2-dependent neuroinflammatory inhibitory effects of ROPI. We have also identified biomarkers that predict diagnosis and disease progression by machine learning-driven biomarker search.

conclusionsDespite the limited sample size, this study pioneers in reporting time-series proteomic alterations in serum and CSF EVs from SALS patients, offering comprehensive insights into SALS pathogenesis, ROPI-induced changes, and potential prognostic and diagnostic biomarkers.

Indexed as

Amyotrophic lateral sclerosis (ALS)AstrocytesBloodCerebrospinal fluid (CSF)Extracellular vesicleInduced pluripotent stem cells (iPSCs)Motor neuronsProteomicsTime-series

Identifiers

PMID38997748
PMCPMC11241965

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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.