Evidence map›Paper›PMID 39578444›Full record

ArticleNature communications2024

BTK regulates microglial function and neuroinflammation in human stem cell models and mouse models of multiple sclerosis.

Ross C Gruber, Gregory S Wirak, Anna S Blazier, Lan Lee, Michael R Dufault, Nellwyn Hagan, Nathalie Chretien, Michael LaMorte, Timothy R Hammond, Agnes Cheong and 10 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing 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

34 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Neuroglial P2YJournal of neuroinflammation · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Astrocyte Functional Heterogeneity in Multiple Sclerosis.Journal of clinical neurology (Seoul, Korea) · 2026
    Review
  13. Review
  14. Investigations of remibrutinib in models pertinent to multiple sclerosis.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. 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

20 authors.

Ross C Gruber *Sanofi, Cambridge, MA, USA.
Gregory S Wirak *Sanofi, Cambridge, MA, USA.
Anna S BlazierSanofi, Cambridge, MA, USA.
Lan LeeSanofi, Cambridge, MA, USA.
Michael R DufaultSanofi, Cambridge, MA, USA.ORCID 0000-0002-5124-1627
Nellwyn HaganSanofi, Cambridge, MA, USA.
Nathalie ChretienSanofi, Cambridge, MA, USA.
Michael LaMorteSanofi, Cambridge, MA, USA.
Timothy R HammondSanofi, Cambridge, MA, USA.ORCID 0000-0001-7761-6362
Agnes CheongSanofi, Cambridge, MA, USA.ORCID 0000-0001-9424-0424
Sean K RyanSanofi, Cambridge, MA, USA.
Andrew MacklinSanofi, Cambridge, MA, USA.
Mindy ZhangSanofi, Cambridge, MA, USA.
Nilesh PandeSanofi, Cambridge, MA, USA.
Evis HavariSanofi, Cambridge, MA, USA.
Timothy J TurnerSanofi, Cambridge, MA, USA.ORCID 0000-0001-9770-2647
Anthony ChomykDepartment of Neurosciences, Cleveland Clinic, Cambridge, OH, USA.ORCID 0000-0002-6832-6221
Emilie ChristieDepartment of Neurosciences, Cleveland Clinic, Cambridge, OH, USA.ORCID 0009-0005-2928-4697
Bruce D TrappDepartment of Neurosciences, Cleveland Clinic, Cambridge, OH, USA.ORCID 0000-0001-6682-3737
Dimitry OfengeimSanofi, Cambridge, MA, USA. Dimitry.Ofengeim@sanofi.com.ORCID 0000-0003-2348-3642

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuroinflammation in the central nervous system (CNS), driven largely by resident phagocytes, has been proposed as a significant contributor to disability accumulation in multiple sclerosis (MS) but has not been addressed therapeutically. Bruton's tyrosine kinase (BTK) is expressed in both B-lymphocytes and innate immune cells, including microglia, where its role is poorly understood. BTK inhibition may provide therapeutic benefit within the CNS by targeting adaptive and innate immunity-mediated disease progression in MS. Using a CNS-penetrant BTK inhibitor (BTKi), we demonstrate robust in vivo effects in mouse models of MS. We further identify a BTK-dependent transcriptional signature in vitro, using the BTKi tolebrutinib, in mouse microglia, human induced pluripotent stem cell (hiPSC)-derived microglia, and a complex hiPSC-derived tri-culture system composed of neurons, astrocytes, and microglia, revealing modulation of neuroinflammatory pathways relevant to MS. Finally, we demonstrate that in MS tissue BTK is expressed in B-cells and microglia, with increased levels in lesions. Our data provide rationale for targeting BTK in the CNS to diminish neuroinflammation and disability accumulation.

Indexed as

Agammaglobulinaemia Tyrosine KinaseDisease Models, AnimalInduced Pluripotent Stem CellsMicrogliaMultiple SclerosisAnimalsAstrocytesB-LymphocytesEncephalomyelitis, Autoimmune, ExperimentalFemaleHumansMaleMiceMice, Inbred C57BLNeuroinflammatory DiseasesAgammaglobulinaemia Tyrosine KinaseBTK protein, humanBtk protein, mouse

Identifiers

PMID39578444
PMCPMC11584639

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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.