Evidence map›Paper›PMID 41674844›Full record

ArticleResearch square2026

Cholinergic substrates of gait and postural impairments in Progressive Supranuclear Palsy.

Prabesh Kanel, Giulia Carli, Stiven Roytman, Sygrid van der Zee, Robert Vangel, Jaimie Barr, Taylor Brown, C Chauncey Spears, Amanda Narkis, Sofie Slingerland and 5 more

Abstract readPreprint
In one paragraph

Article in Research square, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Prabesh KanelUniversity of Michigan.ORCID https://orcid.org/0000-0003-1418-2960
Giulia CarliUniversity of Michigan.
Stiven Roytman
Sygrid van der Zee
Robert Vangel
Jaimie Barr
Taylor Brown
C Chauncey Spears
Amanda Narkis
Sofie Slingerland
Sanne Meles
Teus van Laar
Peter J H Scott
Roger L Albin
Nicolaas I Bohnen

Funding

Tomography and Data AnalysisP01NS015655 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BOHNEN, NICOLAAS IDA · 1985 to 2012
$13.0M
Udall Catalyst Research Project: Retrosplenial Cholinergic and Attentional-Motor Integration DysfunctionP50NS123067 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AHMED, OMAR JAMIL · 2021 to 2025
$11.6M
Public Outreach and Education CoreP50NS091856 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DAUER, WILLIAM T. · 2014 to 2019
$10.1M
Hyposmia, Cholinergic Denervation and Incipient Cognitive Decline in PDR01NS070856 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BOHNEN, NICOLAAS IDA · 2010 to 2014
$1.9M
NINDS NIH HHS P01 NS015655NINDS NIH HHS P50 NS091856NINDS NIH HHS P50 NS123067NINDS NIH HHS R01 NS070856RRD VA I01 RX001631
6 · The paper itself

Abstract

Purpose: Progressive Supranuclear Palsy (PSP) is an atypical parkinsonian syndrome characterized by significant postural instability and gait difficulties (PIGD). While brain cholinergic deficits are documented in PSP, their role in the pathophysiology of PIGD is an area of active research. This cross-sectional study aimed to elucidate relationships between regional cholinergic denervation, assessed by [ Methods: Nineteen subjects characterized clinically as PSP (twelve males, seven females; mean age of 69.47 ± 6.46 years [range 55-79]). Based on the Movement Disorders Society-PSP diagnostic criteria, sixteen patients had probable PSP (eleven males; five females) and three had suggestive PSP (one male; two females). Clinical assessments showed significant motor impairments, a mean MDS-UPDRS Part III "off state" score of 42.36 ± 13.52 and a mean modified Hoehn and Yahr stage of 3.36 ± 1.22. Results: Statistical parametric mapping (SPM) based voxel-wise analysis of [ Conclusions: These findings highlight the potential roles of cholinergic systems degenerations in mediating PIGD in PSP. This suggests that cholinergic systems degeneration plays a substantial role in the pathophysiology of PIGD in PSP, offering a potential avenue for targeted therapeutic interventions to improve mobility and quality of life for these patients.

Indexed as

cholinergic deficitsPET imagingPIGDProgressive Supranuclear Palsy

Identifiers

PMID41674844
PMCPMC12889849

What OpenQuestion holds

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LicenceCC BY
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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.