Evidence map›Paper›PMID 24453076›Full record

ArticleNeurology2014

Naive CD4 T-cell activation identifies MS patients having rapid transition to progressive MS.

Evelyn Zastepa, Leslie Fitz-Gerald, Michael Hallett, Jack Antel, Amit Bar-Or, Sergio Baranzini, Yves Lapierre, David G Haegert

Erratum issued Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03561402 (Association of Possible Biomarkers With Disease Activity in Patients Treated With Teriflunomide), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 17% 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.

NCT03561402 completednot on this mapstarted 2016, after this paper: background citation

Association of Possible Biomarkers With Disease Activity in Patients Treated With Teriflunomide (Aubagio)

TypeobservationalSponsorMcGill UniversityRan2016 to 2020Enrolled24ConditionsMultiple Sclerosis, Relapsing-RemittingArmsTeriflunomide
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Enhanced TLR2 responses in multiple sclerosis.Clinical and experimental immunology · 2018
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Increased CXCL10 expression in MS MSCs and monocytes is unaffected by AHSCT.Annals of clinical and translational neurology · 2014
    Article
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Evelyn ZastepaFrom Neuroscience (E.Z., L.F.-G.), Department of Pathology (D.G.H.), and McGill Centre for Bioinformatics (M.H.), McGill University, Montreal; Neurology (J.A., A.B.-O., Y.L.), Montreal Neurological Hospital, Montreal, Canada; and Neurology (S.B.), UCSF, San Francisco, CA.
Leslie Fitz-Gerald
Michael Hallett
Jack Antel
Amit Bar-Or
Sergio Baranzini
Yves Lapierre
David G Haegert
Montreal Neurological Institute and Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur objective was to determine whether altered naive CD4 T-cell biology contributes to development of disease progression in secondary progressive multiple sclerosis (SPMS).

methodsWe compared the naive CD4 T-cell gene expression profiles of 19 patients with SPMS and 14 healthy controls (HCs) using a whole-genome microarray approach. We analyzed surface protein expression of critical genes by flow cytometry after T-cell receptor (TCR) stimulation of naive CD4 T cells isolated from HCs and patients with SPMS.

resultsHierarchical clustering segregated patients with SPMS into 2 subgroups: SP-1, which had a short duration of relapsing-remitting multiple sclerosis (MS), and SP-2, which had a long duration of relapsing-remitting MS. SP-1 patients upregulated numerous immune genes, including genes within TCR and toll-like receptor (TLR) signaling pathways. SP-2 patients showed immune gene downregulation in comparison with HCs. We identified an SP-1-specific transcriptional signature of 3 genes (TLR4, TLR2, and chemokine receptor 1), and these genes had higher surface protein expression in SP-1 than in SP-2. After TCR stimulation for 48 hours, only SP-1 showed a progressive linear increase in TLR2 and TLR4 protein expression.

conclusionsDifferences in naive CD4 T-cell biology, notably of TCR and TLR signaling pathways, identified patients with MS with more rapid conversion to secondary progression, a critical determinant of long-term disability in MS.

Indexed as

AdultCD4-Positive T-LymphocytesDisease ProgressionFemaleGene ExpressionHumansImmunity, InnateLymphocyte ActivationMiddle AgedMultiple Sclerosis, Chronic ProgressiveMultiple Sclerosis, Relapsing-RemittingReceptors, Antigen, T-CellReceptors, Antigen, T-Cell

Identifiers

PMID24453076
PMCPMC3945666
OpenAlexW2164272298

What OpenQuestion holds

Textmetadata
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.