Evidence map›Paper›PMID 40849297›Full record

ArticleNature communications2025

Multi-omic identification of perineurial hyperplasia and lipid-associated nerve macrophages in human polyneuropathies.

Michael Heming, Anna-Lena Börsch, Jolien Wolbert, Christian Thomas, Anne K Mausberg, Fabian Szepanowski, Bianca Eggert, I-Na Lu, Julia Tietz, Finja Dienhart and 20 more

Abstract readMulticenter Study
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

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

12 citing papers in PubMed.

  1. Age-associated Autoimmunity Driven by T cell Immunosenescence.bioRxiv : the preprint server for biology · 2026
    Article
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  10. Review
  11. A Reference Atlas of the Human Dorsal Root Ganglion.bioRxiv : the preprint server for biology · 2025
    Article
  12. 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

30 authors.

Michael Heming *Department of Neurology, University Hospital Münster, Münster, Germany.ORCID http://orcid.org/0000-0002-9568-2790
Anna-Lena Börsch *Department of Neurology, University Hospital Münster, Münster, Germany.ORCID http://orcid.org/0000-0001-9174-8652
Jolien Wolbert *Department of Neurology, University Hospital Münster, Münster, Germany.
Christian ThomasInstitute of Neuropathology, University Hospital Münster, Münster, Germany.ORCID http://orcid.org/0000-0002-6642-7774
Anne K MausbergDepartment of Neurology, Center for Translational Neuro- and Behavioural Sciences (C-TNBS), University Hospital Essen, Essen, Germany.
Fabian SzepanowskiDepartment of Neurology, Center for Translational Neuro- and Behavioural Sciences (C-TNBS), University Hospital Essen, Essen, Germany.
Bianca EggertDepartment of Neurology, Center for Translational Neuro- and Behavioural Sciences (C-TNBS), University Hospital Essen, Essen, Germany.
I-Na LuDepartment of Neurology, University Hospital Münster, Münster, Germany.ORCID http://orcid.org/0000-0002-3845-7386
Julia TietzDepartment of Neurology, University Hospital Münster, Münster, Germany.
Finja DienhartDepartment of Neurology, University Hospital Münster, Münster, Germany.ORCID http://orcid.org/0009-0009-7648-1190
Maja MeschnarkDepartment of Neurology, University Hospital Münster, Münster, Germany.
Jan-Kolja StreckerDepartment of Neurology, University Hospital Schleswig-Holstein, Lübeck, Germany.
Michael GlatzaInstitute of Neuropathology, University Hospital Münster, Münster, Germany.
Carolina ThomasPaul-Flechsig-Institute of Neuropathology, University Hospital Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0002-7386-1181
Noemi GmahlDepartment of Neurology, University Hospital Münster, Münster, Germany.
Christine DambietzDepartment of Neurology, University Hospital Münster, Münster, Germany.ORCID http://orcid.org/0000-0003-3734-1055
Michael MütherDepartment of Neurosurgery, University Hospital Münster, Münster, Germany.ORCID http://orcid.org/0000-0001-9427-5555
Anne-Kathrin UerschelsDepartment of Neurosurgery, University Hospital Essen, Essen, Germany.
Kathy KeyvaniDepartment of Neuropathology, University Hospital Essen, Essen, Germany.ORCID http://orcid.org/0000-0003-2558-5159
Jens MinnerupDepartment of Neurology, University Hospital Schleswig-Holstein, Lübeck, Germany.
Kathrin DopplerDepartment of Neurology, University Hospital Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0003-2883-0009
Nurcan ÜçeylerDepartment of Neurology, University Hospital Würzburg, Würzburg, Germany.
Julieta ApreaDRESDEN-concept Genome Center, Center for Molecular and Cellular Bioengineering, Dresden University of Technology, Dresden, Germany.ORCID http://orcid.org/0000-0002-8749-7878
Andreas DahlDRESDEN-concept Genome Center, Center for Molecular and Cellular Bioengineering, Dresden University of Technology, Dresden, Germany.ORCID http://orcid.org/0000-0002-2668-8371
Ruth StassartPaul-Flechsig-Institute of Neuropathology, University Hospital Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0002-5919-1652
Robert FledrichInstitute of Anatomy, University of Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0001-5323-7958
Heinz WiendlClinic of Neurology and Neurophysiology, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0003-4310-3432
Claudia SommerDepartment of Neurology, University Hospital Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0002-7064-5002
Mark StettnerDepartment of Neurology, Center for Translational Neuro- and Behavioural Sciences (C-TNBS), University Hospital Essen, Essen, Germany.
Gerd Meyer Zu HörsteDepartment of Neurology, University Hospital Münster, Münster, Germany. gerd.meyerzuhoerste@ukmuenster.de.ORCID http://orcid.org/0000-0002-4341-4719

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diseases affecting multiple peripheral nerves, termed polyneuropathies (PNPs), are common, mechanistically heterogeneous, and their causes are challenging to identify. Here, we integrated single-nucleus transcriptomics of peripheral nerves from 33 human PNP patients and four controls (365,708 nuclei) with subcellular spatial transcriptomics. We identified nerve cell type markers and uncovered unexpected heterogeneity of perineurial cells. PNPs shared a loss of myelinating and an increase in repair Schwann cells and endoneurial lipid-phagocytizing macrophages. Transcriptional changes affected multiple cells outside of the endoneurium across PNPs, suggesting PNPs as 'pan-nerve diseases'. Spatially, PNPs-particularly those mediated by autoimmunity-exhibited focal perineurial hyperplasia and increased expression of CXCL14, identified as perineurial cell marker. Multi-omic characterization of human nerve biopsies thus identified novel mechanisms in PNPs with diagnostic potential.

Indexed as

Peripheral NervesPolyneuropathiesAnimalsCase-Control StudiesFemaleHumansHyperplasiaMacrophagesMiceMyelin SheathSingle-Cell Gene Expression AnalysisTranscriptome

Identifiers

PMID40849297
PMCPMC12375038

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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.