Evidence map›Paper›PMID 42378709›Full record

ArticleNeurology(R) neuroimmunology & neuroinflammation2026

Abnormal B-Cell Exosome Proapoptotic and Antiapoptotic Cargo in Multiple Sclerosis: Potential Implication in Progressive Disease Biology.

Gautier Breville, Ayman Rezk, Samuel Weissman, Diego A Espinoza, Simon Thebault, Luana D Yamashita, Yeseul Kim, Mihir Kakara, Liljana Nedelkoska, Nicole Doyon-Reale and 7 more

Erratum issuedAbstract read
In one paragraph

Article in Neurology(R) neuroimmunology & neuroinflammation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

5 · Who and what money

Authors and funding

17 authors.

Gautier BrevilleDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Ayman RezkDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Samuel WeissmanDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Diego A EspinozaDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.ORCID 0000-0002-9627-6508
Simon ThebaultDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Luana D YamashitaDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.ORCID 0009-0008-8402-5040
Yeseul KimDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.ORCID 0000-0003-0738-5508
Mihir KakaraDepartment of Neurology, NYU Grossman School of Medicine, New York.ORCID 0000-0001-8951-8604
Liljana NedelkoskaDepartment of Neurology, Wayne State University School of Medicine, Detroit, MI.
Nicole Doyon-RealeDepartment of Neurology, Wayne State University School of Medicine, Detroit, MI.
Celine Delucinge-VivieriGE3 Genomics Platform, University of Geneva, Switzerland.ORCID 0009-0003-1172-0695
Leah ZuroffDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Hanane TouilDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.ORCID 0000-0002-9601-4364
Paul StemmerInstitute of Environmental Health Sciences, Wayne State University, Detroit, MI.ORCID 0000-0003-3315-9846
Joyce A BenjaminsDepartment of Neurology, Wayne State University School of Medicine, Detroit, MI.
Robert P LisakDepartment of Neurology, Wayne State University School of Medicine, Detroit, MI.ORCID 0000-0001-7638-1696
Amit Bar-OrDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.ORCID 0000-0001-7179-0335

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI Evano Piasentin · 1985 to 2026
$68.4M
Translational Research Support CoreP30ES036084 · NIEHS · WAYNE STATE UNIVERSITY · PI Melissa A Runge-Morris · 2024 to 2026
$5.2M
Orbitrap Tribrid Mass Spectrometer for Wayne State ProteomicsS10OD030484 · OD · WAYNE STATE UNIVERSITY · PI STEMMER, PAUL M · 2021 to 2021
$1.3M
NCI NIH HHS P30 CA022453NIEHS NIH HHS P30 ES036084NIH HHS S10 OD030484
6 · The paper itself

Abstract

BACKGROUND AND

objectivesCompartmentalized CNS inflammation involving B cells is implicated in gray matter injury and disease progression in multiple sclerosis (MS). Products secreted by B cells of patients with MS can kill oligodendrocytes and neurons, a cytotoxicity conferred by their exosome-enriched extracellular vesicle (Ex En) fraction.

methodsTo explore the potential molecular mediators of this cytotoxicity, we profiled proteomic and transcriptomic cargo of Ex En isolated from B cells of patients with treatment-naive MS and matched healthy controls.

resultsMS B-cell-derived Ex En appeared enriched in cell-death-associated proteins (including fibrinogen, complement C9, APP, and SPARC) and deficient in cell-survival-associated proteins (such as galectin-3). Abnormal enrichment for cell-death proteins was supported by gene set enrichment analysis. Protein pathway analysis revealed densely connected prodeath modules in the MS B-cell-derived Ex En, contrasting with homeostatic signatures in controls. Transcriptomic analysis further revealed that Ex En of MS B cells appeared to carry reduced levels of miRNAs (miR-182, miR-212, and miR-1270) known to inhibit apoptosis. DISCUSSION: Our findings indicate that B-cell-derived Ex En of patients with MS, previously shown to impair neuronal and glial survival, harbor an abnormal cytotoxic molecular profile that may contribute to CNS-compartmentalized injury and progressive MS biology.

Indexed as

ApoptosisB-LymphocytesExosomesMultiple SclerosisAdultDisease ProgressionFemaleHumansMaleMicroRNAsMiddle AgedProteomicsMicroRNAs

Identifiers

PMID42378709
PMCPMC13262671

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.