Evidence map›Paper›PMID 41582221›Full record

ArticleActa neuropathologica2026

α-synuclein triggers NCOA4-FTH1-mediated ferroptosis of oligodendrocyte in multiple system atrophy.

Zhenwei Yu, Ehsan Arkin, Yang Li, Marie-Hélène Canron, Marie-Laure Arotcarena, Hugo Jadot, Elio Balpe, Yue Huang, Tao Feng, Wassilios G Meissner and 1 more

Abstract read
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In one paragraph

Article in Acta neuropathologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
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

11 authors.

Zhenwei Yu *Beijing Neurosurgical Institute, Capital Medical University, Beijing, 100050, China.
Ehsan Arkin *Center for Movement Disorders, Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yang Li *Institute of Systems Biomedicine, Department of Pathology, Center of Basic Medical Research, Institute of Medical Innovation and Research, School of Basic Medical Sciences, Peking-Tsinghua Center for Life Sciences, Peking University Third Hospital, Peking University, Beijing, 100191, China.
Marie-Hélène CanronCNRS, Institut Des Maladies Neurodégénératives, UMR 5293, Université de Bordeaux, 33000, Bordeaux, France.
Marie-Laure ArotcarenaCNRS, Institut Des Maladies Neurodégénératives, UMR 5293, Université de Bordeaux, 33000, Bordeaux, France.
Hugo JadotCNRS, Institut Des Maladies Neurodégénératives, UMR 5293, Université de Bordeaux, 33000, Bordeaux, France.
Elio BalpeCNRS, Institut Des Maladies Neurodégénératives, UMR 5293, Université de Bordeaux, 33000, Bordeaux, France.
Yue HuangCenter for Movement Disorders, Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Tao Feng *Center for Movement Disorders, Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. bxbkyjs@sina.com.
Wassilios G Meissner *CNRS, Institut Des Maladies Neurodégénératives, UMR 5293, Université de Bordeaux, 33000, Bordeaux, France. wassilios.meissner@chu-bordeaux.fr.
Jing Zhang *Department of Pathology, The First Affiliated Hospital and School of Medicine, Zhejiang University, Hangzhou, 310003, Zhejiang Province, China. jzhang1989@zju.edu.cn.

Funding

Beijing Neurosurgical Institute 11000025T000003319495-3National Natural Science Foundation of China 82020108012, 32530027National Natural Science Foundation of China 82071417National Natural Science Foundation of China 82271459, 82071422Natural Science Foundation of Beijing Municipality 7232013Natural Science Foundation of Beijing Municipality 7244331, 7212031
6 · The paper itself

Abstract

Multiple system atrophy (MSA) is a fatal neurodegenerative synucleinopathy characterized by the accumulation of α-synuclein in oligodendrocytes, forming glial cytoplasmic inclusions. Although iron dysregulation and ferroptosis, an iron-dependent form of regulated cell death, have been implicated in neurodegeneration, their specific role in MSA oligodendrocytes remains unknown. We investigated ferroptosis pathways in postmortem brain tissues from patients with MSA, Parkinson's disease (PD), and healthy controls (HCs) by immunofluorescence for GPX4 co-labelled with CNPase (oligodendrocyte marker) or TH (dopaminergic neuron marker). To validate these findings, we employed PLP-hαSyn transgenic mice, an established MSA model, and the human oligodendrocytic cell line MO3.13, subjected to α-synuclein over-expression, preformed fibrils (PFF) exposure, and brain homogenates derived from MSA pons. Mechanistic insights were pursued through immunofluorescence, JC-1, FerroOrange, western blotting, and co-immunoprecipitation. Finally, we developed a novel biomarker assay using nanoscale flow cytometry to quantify FTH1-containing, CNPase-positive (oligodendrocyte-derived) EVs (ODFC-EVs) in plasma samples from 49 MSA patients, 46 PD patients, and 48 HCs. GPX4, the key ferroptosis regulator, was significantly reduced in CNPase

Indexed as

alpha-SynucleinFerroptosisMultiple System AtrophyNuclear Receptor CoactivatorsOligodendrogliaAgedAnimalsBrainFemaleHumansMaleMiceMice, TransgenicMiddle AgedParkinson Diseasealpha-SynucleinNCOA4 protein, humanNcoA4 protein, mouseNuclear Receptor CoactivatorsMultiple system atrophyOligodendrocyteα-Synuclein

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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.