Evidence map›Paper›PMID 40453454›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Metabolic labeling kinetics of brain-derived 24S-hydroxycholesterol in blood in multiple sclerosis: Effects of treatment with the remyelinating antibody rHIgM22.

Mahalakshmi Shankaran, Kelvin W Li, Hussein A Mohammed, Joan Protasio, Mark Fitch, Marcy Matthews, Edna Nyangau, Gordon Smith, Samuel Klein, Andrew Eisen and 2 more

Abstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Hussein A MohammedUniversity of California, Berkeley, CA, USA.
Joan ProtasioKineMed, Inc., Emeryville, CA, USA.
Mark Fitch
Marcy Matthews
Edna NyangauUniversity of California, Berkeley, CA, USA.ORCID https://orcid.org/0000-0002-7430-3181
Samuel KleinWashington University, St Louis, MO, USA.
Andrew EisenAcorda Therapeutics, Ardsley, NY, USA.ORCID https://orcid.org/0009-0005-8737-3313
Scott TurnerKineMed, Inc., Emeryville, CA, USA.
Marc K HellersteinUniversity of California, Berkeley, CA, USA.

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
NIDDK NIH HHS P30 DK056341
6 · The paper itself

Abstract

Background: Cholesterol is an essential and major component of myelin. Brain cholesterol turnover in humans can be studied noninvasively by metabolic labeling of the brain-specific cholesterol metabolite, 24S-hydroxycholesterol (24-OHC), which is released into blood. Objectives: We examined the effects on brain cholesterol turnover in healthy individuals and in multiple sclerosis (MS) following treatment with placebo or the remyelinating monoclonal antibody, rHIgM22, which binds to oligodendrocytes and myelin. Methods: Results: Incorporation and die-away of labeled 24-OHC revealed biphasic kinetics, with two kinetically distinct pools of brain cholesterol: a large, slow turnover pool and a smaller, metabolically more active pool of newly synthesized cholesterol. The latter showed significantly higher turnover rates in MS compared to non-MS subjects, which was significantly reduced in patients with MS treated with rHIgM22. Conclusions: Plasma 24-OHC kinetics provide a minimally invasive biomarker of brain cholesterol metabolism and revealed differences between healthy and clinically stable MS subjects, with increased turnover of the metabolically active 24-OHC pool that normalized in response to rHIgM22 therapy.

Indexed as

24S-hydroxycholesterolbiomarkerscholesterol turnoverMultiple sclerosismyelinvirtual biopsy

Identifiers

PMID40453454
PMCPMC12125516

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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.