Evidence map›Paper›PMID 32048003›Full record

ArticleActa neuropathologica2020

The pathology of central nervous system inflammatory demyelinating disease accompanying myelin oligodendrocyte glycoprotein autoantibody.

Romana Höftberger, Yong Guo, Eoin P Flanagan, A Sebastian Lopez-Chiriboga, Verena Endmayr, Sonja Hochmeister, Damir Joldic, Sean J Pittock, Jan Mendelt Tillema, Mark Gorman and 2 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Acta neuropathologica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 194 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
194citing papers in PubMed, 3 pooled it
30.9field-weighted citation impact, top 1% of its field
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

194 citing papers in PubMed, 3 syntheses or guidelines pooled it, 351 citations in OpenAlex.

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  7. Use of Fluid Biomarkers in NMOSD and MOGAD: Clinical and Research Applications.Neurology(R) neuroimmunology & neuroinflammation · 2026
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134 more citing papers are in PubMed but not listed here.

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 at 5 institutions in 2 countries.

Romana HöftbergerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Yong GuoDepartment of Neurology, Mayo Clinic, Rochester, MN, USA.
Eoin P FlanaganDepartment of Neurology, Mayo Clinic, Rochester, MN, USA.
A Sebastian Lopez-ChiribogaDepartment of Neurology, Mayo Clinic, Rochester, MN, USA.
Verena EndmayrDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Sonja HochmeisterDepartment of Neurology, Medical University Graz, Graz, Austria.
Damir JoldicDepartment of Neurology, Krankenanstalt Rudolfstiftung, Vienna, Austria.
Sean J PittockDepartment of Neurology, Mayo Clinic, Rochester, MN, USA.
Jan Mendelt TillemaDepartment of Neurology, Mayo Clinic, Rochester, MN, USA.
Mark GormanDepartment of Neurology, Boston Children's Hospital, Boston, MA, USA.
Hans LassmannCenter for Brain Research, Medical University of Vienna, Vienna, Austria. hans.lassmann@meduniwien.ac.at.
Claudia F LucchinettiDepartment of Neurology, Mayo Clinic, Rochester, MN, USA. clucchinetti@mayo.edu.
Mayo Clinic in Arizona · USMedical University of Vienna · ATBoston Children's Hospital · USKrankenanstalt Rudolfstiftung der Stadt Wien · ATMedical University of Graz · AT

Funding

Utilizing epidemiology, imaging and fluid biomarkers in MOG antibody-associated disease to inform prognosis, pathogenesis and therapeuticsR01NS113828 · NINDS · MAYO CLINIC ROCHESTER · PI Eoin P Flanagan · 2020 to 2026
$2.4M
Austrian Science Fund FWF KLI 718NINDS NIH HHS R01 NS113828
6 · The paper itself

Abstract

We sought to define the pathological features of myelin oligodendrocyte glycoprotein (MOG) antibody associated disorders (MOGAD) in an archival autopsy/biopsy cohort. We histopathologically analyzed 2 autopsies and 22 brain biopsies from patients with CNS inflammatory demyelinating diseases seropositive for MOG-antibody by live-cell-based-assay with full length MOG in its conformational form. MOGAD autopsies (ages 52 and 67) demonstrate the full spectrum of histopathological features observed within the 22 brain biopsies (median age, 10 years; range, 1-66; 56% female). Clinical, radiologic, and laboratory characteristics and course (78% relapsing) are consistent with MOGAD. MOGAD pathology is dominated by coexistence of both perivenous and confluent white matter demyelination, with an over-representation of intracortical demyelinated lesions compared to typical MS. Radially expanding confluent slowly expanding smoldering lesions in the white matter as seen in MS, are not present. A CD4+ T-cell dominated inflammatory reaction with granulocytic infiltration predominates. Complement deposition is present in all active white matter lesions, but a preferential loss of MOG is not observed. AQP4 is preserved, with absence of dystrophic astrocytes, and variable oligodendrocyte and axonal destruction. MOGAD is pathologically distinguished from AQP4-IgG seropositive NMOSD, but shares some overlapping features with both MS and ADEM, suggesting a transitional pathology. Complement deposition in the absence of selective MOG protein loss suggest humoral mechanisms are involved, however argue against endocytic internalization of the MOG antigen. Parallels with MOG-EAE suggest MOG may be an amplification factor that augments CNS demyelination, possibly via complement mediated destruction of myelin or ADCC phagocytosis.

Indexed as

AgedAstrocytesAutoantibodiesCentral Nervous System DiseasesFemaleHumansImmunoglobulin GMiddle AgedMyelin-Oligodendrocyte GlycoproteinNeuromyelitis OpticaOligodendrogliaWhite MatterAutoantibodiesImmunoglobulin GMyelin-Oligodendrocyte GlycoproteinAcute disseminated encephalomyelitisAutopsyBiopsyDemyelinationMOGMultiple sclerosis

Identifiers

PMID32048003
PMCPMC7181560
OpenAlexW3006216901

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.