Evidence map›Paper›PMID 22457345›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2012

Human endogenous retrovirus type W envelope expression in blood and brain cells provides new insights into multiple sclerosis disease.

Hervé Perron, Raphaëlle Germi, Corinne Bernard, Marta Garcia-Montojo, Cécile Deluen, Laurent Farinelli, Raphaël Faucard, Francisco Veas, Ilias Stefas, Babs O Fabriek and 21 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01767701 (A Phase II Baseline Versus Treatment Study to Determine the Efficacy of Raltegravir), which is not on this map. Cited by 114 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed, 2 pooled it
22.9field-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.

NCT01767701 phase2completednot on this mapstarted 2013, after this paper: background citation

A Phase II Baseline Versus Treatment Study to Determine the Efficacy of Raltegravir (Isentress) in Preventing Progression of Relapsing Remitting Multiple Sclerosis as Determined by Gadolinium-enhanced MRI

TypeinterventionalSponsorQueen Mary University of LondonRan2013 to 2014Enrolled23ConditionsRelapsing Remitting Multiple SclerosisArmsRaltegravir
3 · Its place in the literature

Who cites it

114 citing papers in PubMed, 2 syntheses or guidelines pooled it, 193 citations in OpenAlex.

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54 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 14 institutions in 6 countries.

Hervé PerronGeNeuro, Geneva, Switzerland. hp@geneuro.com
Raphaëlle Germi
Corinne Bernard
Marta Garcia-Montojo
Cécile Deluen
Laurent Farinelli
Raphaël Faucard
Francisco Veas
Ilias Stefas
Babs O Fabriek
Jack Van-Horssen
Paul Van-der-Valk
Claire Gerdil
Roberta Mancuso
Marina Saresella
Mario Clerici
Sébastien Marcel
Alain Creange
Rosella Cavaretta
Domenico Caputo
Giannina Arru
Patrice Morand
Alois B Lang
Stefano Sotgiu
Klemens Ruprecht
Peter Rieckmann
Pablo Villoslada
Michel Chofflon
Jose Boucraut
Jean Pelletier
Hans-Peter Hartung
Don Carlo Gnocchi Foundation · ITAmsterdam UMC Location VUmc · NLHES-SO Genève · CHUniversity of Sassari · ITAssistance Publique Hôpitaux de Marseille · FRÉtablissement Français du Sang · FRHeinrich Heine University Düsseldorf · DEInternational Flame Research Foundation · ITParis-Est Sup · FRUniversidad de Navarra · ESUniversité Claude Bernard Lyon 1 · FRUniversité de Montpellier · FRUniversité Grenoble Alpes · FRUniversity Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe envelope protein from multiple sclerosis (MS) associated retroviral element (MSRV), a member of the Human Endogenous Retroviral family 'W' (HERV-W), induces dysimmunity and inflammation.

objectiveThe objective of this study was to confirm and specify the association between HERV-W/MSRV envelope (Env) expression and MS.

methods103 MS, 199 healthy controls (HC) and controls with other neurological diseases (28), chronic infections (30) or autoimmunity (30) were analysed with an immunoassay detecting Env in serum. Env RNA or DNA copy numbers in peripheral blood mononuclear cells (PBMC) were determined by a quantitative polymerase chain reaction (PCR). Env was detected by immunohistology in the brains of patients with MS with three specific monoclonals.

resultsEnv antigen was detected in a serum of 73% of patients with MS with similar prevalence in all clinical forms, and not in chronic infection, systemic lupus, most other neurological diseases and healthy donors (p<0.01). Cases with chronic inflammatory demyelinating polyneuropathy (5/8) and rare HC (4/103) were positive. RNA expression in PBMC and DNA copy numbers were significantly elevated in patients with MS versus HC (p<0.001). In patients with MS, DNA copy numbers were significantly increased in chronic progressive MS (secondary progressive MS vs relapsing-remitting MS (RRMS) p<0.001; primary progressive MS vs RRMS -<0.02). Env protein was evidenced in macrophages within MS brain lesions with particular concentrations around vascular elements.

conclusionThe association between MS disease and the MSRV-type HERV-W element now appears quite strong, as evidenced ex-vivo from serum and PBMC with post-mortem confirmation in brain lesions. Chronic progressive MS, RRMS and clinically isolated syndrome show different ELISA (Enzyme-Linked Immunosorbent Assay) and/or PCR profiles suggestive of an increase with disease evolution, and amplicon sequencing confirms the association with particular HERV-W elements.

Indexed as

Endogenous RetrovirusesBrainEnzyme-Linked Immunosorbent AssayFemaleHumansMaleMiddle AgedMultiple SclerosisReal-Time Polymerase Chain ReactionViral Envelope ProteinsViral Envelope Proteins

Identifiers

PMID22457345
PMCPMC3573672
OpenAlexW2138753535

What OpenQuestion holds

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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.