Evidence map›Paper›PMID 39418320›Full record

ArticleDiabetes2025

Exploring Structural and Molecular Features of Sciatic Nerve Lesions in Diabetic Neuropathy: Unveiling Pathogenic Pathways and Targets.

Daniel Schwarz, Maxime Le Marois, Volker Sturm, Andreas S Peters, Rémi Longuespée, Dominic Helm, Martin Schneider, Bastian Eichmüller, Asa S Hidmark, Manuel Fischer and 12 more

Abstract read
In one paragraph

Article in Diabetes, 2025. 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
–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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
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

22 authors.

Daniel SchwarzDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Maxime Le MaroisDepartment for Endocrinology, Diabetology, Metabolic Diseases and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.
Volker SturmDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Andreas S PetersDepartment for Vascular Surgery and Endovascular Surgery, Heidelberg University Hospital, Heidelberg, Germany.
Rémi LonguespéeGerman Cancer Research Center (DKFZ) Heidelberg, Division of Metabolic Crosstalk in Cancer and the German Cancer Consortium (DKTK), DKFZ Core Center Heidelberg, Heidelberg, Germany.
Dominic HelmProteomics Core Facility, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Martin SchneiderProteomics Core Facility, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Bastian EichmüllerDepartment for Endocrinology, Diabetology, Metabolic Diseases and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.
Asa S HidmarkDepartment for Endocrinology, Diabetology, Metabolic Diseases and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.
Manuel FischerDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Zoltan KenderDepartment for Endocrinology, Diabetology, Metabolic Diseases and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.
Constantin SchwabDepartment of General Pathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Ingrid HausserDepartment of General Pathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Joachim WeisInstitute of Neuropathology, Rheinisch-Westfälische Technische Hochschule (RWTH) Aachen, University Hospital, Aachen, Germany.
Susanne DihlmannDepartment for Vascular Surgery and Endovascular Surgery, Heidelberg University Hospital, Heidelberg, Germany.
Dittmar BöcklerDepartment for Vascular Surgery and Endovascular Surgery, Heidelberg University Hospital, Heidelberg, Germany.
Martin BendszusDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Sabine HeilandDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Stephan HerzigGerman Center for Diabetes Research (DZD), Helmholtz Center Munich, Neuherberg, Germany.
Peter P NawrothDepartment for Endocrinology, Diabetology, Metabolic Diseases and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.
Julia SzendroediDepartment for Endocrinology, Diabetology, Metabolic Diseases and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.
Thomas FlemingDepartment for Endocrinology, Diabetology, Metabolic Diseases and Clinical Chemistry, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-3232-4515

Funding

Deutsche ForschungsgemeinschaftDFG GRK 1874/2German Centre for Diabetes Research
6 · The paper itself

Abstract

Lesioned fascicles (LFs) in the sciatic nerves of individuals with diabetic neuropathy (DN) correlate with clinical symptom severity. This study aimed to characterize the structural and molecular composition of these lesions to better understand DN pathogenesis. Sciatic nerves from amputees with and without type 2 diabetes (T2D) were examined using ex vivo magnetic resonance neurography, in vitro imaging, and proteomic analysis. Lesions were only found in T2D donors and exhibited significant structural abnormalities, including axonal degeneration, demyelination, and impaired blood-nerve barrier (BNB). Although non-LFs from T2D donors showed activation of neuroprotective pathways, LFs lacked this response and instead displayed increased complement activation via the classical pathway. The detection of liver-derived acute-phase proteins suggests that BNB disruption facilitates harmful interorgan communication between the liver and nerves. These findings reveal key molecular mechanisms contributing to DN and highlight potential targets for therapeutic intervention. ARTICLE HIGHLIGHTS:

Indexed as

Diabetes Mellitus, Type 2Diabetic NeuropathiesProteomicsSciatic NerveAdultAgedBlood-Nerve BarrierFemaleHumansMagnetic Resonance ImagingMaleMiddle Aged

Identifiers

PMID39418320
PMCPMC11664024

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.