Evidence map›Paper›PMID 21131916›Full record

ReviewNature reviews. Neurology2010

Progressive multifocal leukoencephalopathy and other forms of JC virus disease.

Bruce J Brew, Nicholas W S Davies, Paola Cinque, David B Clifford, Avindra Nath

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Neurology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed
9.7field-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

110 citing papers in PubMed, 217 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Structural characterization of human neutralizing antibodies against JC and BK polyomaviruses.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. The boundaries between PML and PML-IRIS: difficult to define, pathology may predict.Frontiers in cellular and infection microbiology · 2025
    Article
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  9. Review
  10. Article
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  15. Review
  16. Article
  17. Article
  18. Article
  19. Adverse Effects of Immunosuppression: Infections.Handbook of experimental pharmacology · 2022
    Article
  20. Review

50 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

5 authors at 5 institutions in 3 countries.

Bruce J BrewDepartment of Neurology and St Vincent's Center for Applied Medical Research, St Vincent's Hospital and University of New South Wales, Victoria Street, Sydney, NSW 2010, Australia. b.brew@unsw.edu.au
Nicholas W S Davies
Paola Cinque
David B Clifford
Avindra Nath
Istituto di Ricovero e Cura a Carattere Scientifico San RaffaeleJohns Hopkins University · USSt Vincent's Hospital Sydney · AUUNSW Sydney · AUWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease of the brain caused by the JC virus (JCV). PML usually occurs via reactivation of JCV when an immune system becomes compromised. A diagnosis of PML is normally made on the basis of distinguishing neurological features at presentation, characteristic brain MRI changes and the presence of JCV DNA in cerebrospinal fluid. PML has a 3 month mortality rate of 20-50%, so prompt intervention is essential. Currently, reconstitution of the immune system affords the best prognosis for this condition. When PML is first suspected, and where possible, immunosuppressant or immunomodulatory therapy should be suspended or reduced. If PML is associated with a protein therapy that has a long half-life the use of plasma exchange to accelerate the removal of the drug from the circulation may aid the restoration of immune system function. Rapid improvements in immune function, however, might lead to transient worsening of the disease. In this Review, we critically appraise the controversies surrounding JCV infection, and provide practical management guidelines for PML.

Indexed as

JC VirusLeukoencephalopathy, Progressive MultifocalEducation, Medical, ContinuingHumansPractice Guidelines as TopicRisk Factors

Identifiers

PMID21131916
OpenAlexW2073551625

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.