Evidence map›Paper›PMID 22450508›Full record

ReviewNature reviews. Neurology2012

Sex-related factors in multiple sclerosis susceptibility and progression.

Rhonda R Voskuhl, Stefan M Gold

Registry-linked trialAbstract readReview
In one paragraph

Review in Nature reviews. Neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03000127 (A Pilot Trial of Testosterone Treatment for Fatigue in Men With Multiple Sclerosis), which is not on this map. Cited by 138 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
138citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 2% 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.

NCT03000127 phase2withdrawnnot on this mapstarted 2018, after this paper: background citation

A Pilot Trial of Testosterone Treatment for Fatigue in Men With Multiple Sclerosis

TypeinterventionalSponsorUniversity of California, Los AngelesRan2018 to 2024Enrolled0ConditionsMultiple SclerosisArmsAndroGel 1 % Topical Gel, Placebos
3 · Its place in the literature

Who cites it

138 citing papers in PubMed, 2 syntheses or guidelines pooled it, 256 citations in OpenAlex.

  1. Sleep in multiple sclerosis: a systematic review and meta-analysis of polysomnographic findings.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Sex and gender-related differences in neurological diseases: current challenges and recommendations for clinical practice.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Deletion of the X-chromosomal geneScience translational medicine · 2025
    Article
  15. Review
  16. Review
  17. Review
  18. Observational
  19. Article
  20. Article

78 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

2 authors at 2 institutions in 2 countries.

Rhonda R VoskuhlDepartment of Neurology, University of California Los Angeles, Neuroscience Research Building 1, Room 475D, 635 Charles Young Drive South, Los Angeles, CA 90095, USA. rvoskuhl@ucla.edu
Stefan M Gold
University Medical Center Hamburg-Eppendorf · DEUniversity of California, Los Angeles · US

Funding

A Combination Trial of Copaxone Plus Estriol in RRMSR01NS051591 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI VOSKUHL, RHONDA R · 2007 to 2013
$3.9M
The Effect of Sex Chromosomes on Immune ResponsesR01AI050839 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI VOSKUHL, RHONDA R · 2002 to 2009
$2.5M
Protective Effect of Pregnancy Doses of Estrogens in EAER01NS045443 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI VOSKUHL, RHONDA R · 2002 to 2005
$997k
Treatment of Multiple Sclerosis with Sex HormonesK24NS062117 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI VOSKUHL, RHONDA R · 2008 to 2012
$722k
Sex differences in the CNS during diseaseR21NS071210 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI VOSKUHL, RHONDA R · 2010 to 2011
$420k
NIAID NIH HHS R01 AI050839NINDS NIH HHS K24 NS062117NINDS NIH HHS R01 NS045443NINDS NIH HHS R01 NS051591NINDS NIH HHS R21 NS071210
6 · The paper itself

Abstract

The pathogenesis of multiple sclerosis (MS) involves complex interactions between genetic susceptibility and environmental triggers. Clinical observations suggest that the study of sex differences might provide important insight into mechanisms of pathogenesis and progression of the disease in patients. MS occurs more frequently in women than in men, indicating that sex-related factors have an effect on an individual's susceptibility to developing the condition. These factors include hormonal, genetic and environmental influences, as well as gene-environment interactions and epigenetic mechanisms. Interestingly, women do not have a poorer prognosis than men with MS despite a higher incidence of the disease and more-robust immune responses, which suggests a mechanism of resilience. Furthermore, the state of pregnancy has a substantial effect on disease activity, characterized by a reduction in relapse rates during the third trimester but an increased relapse rate in the postpartum period. However, pregnancy has little effect on long-term disability in women with MS. The unravelling of the mechanisms underlying these clinical observations in the laboratory and application of the results to the clinical setting is a unique and potentially fruitful strategy to develop novel therapeutic approaches for MS.

Indexed as

Disease SusceptibilityMultiple SclerosisSex CharacteristicsDisease ProgressionFemaleGene-Environment InteractionHumansMaleRisk Factors

Identifiers

PMID22450508
PMCPMC4435786
OpenAlexW2057790265

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.