Evidence map›Paper›PMID 25100740›Full record

ArticleScience translational medicine2014

Immunoglobulin class-switched B cells form an active immune axis between CNS and periphery in multiple sclerosis.

Arumugam Palanichamy, Leonard Apeltsin, Tracy C Kuo, Marina Sirota, Shengzhi Wang, Steven J Pitts, Purnima D Sundar, Dilduz Telman, Lora Z Zhao, Mia Derstine and 3 more

Abstract read
In one paragraph

Article in Science translational medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 150 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 1 pooled it
9.6field-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

150 citing papers in PubMed, 1 synthesis or guideline pooled it, 224 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. High-throughput, quantitative approach to peptide epitope discovery.Medical & biological engineering & computing · 2026
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  20. Efficacy of rituximab in secondary progressive multiple sclerosis: Insights from magnetic resonance imaging and disability assessments.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Arumugam Palanichamy *Department of Neurology, UCSF, San Francisco, CA 94148 USA.
Leonard Apeltsin *Department of Neurology, UCSF, San Francisco, CA 94148 USA.
Tracy C Kuo *Rinat-Pfizer Inc., 230 East Grand Avenue, South San Francisco, CA 94080, USA.
Marina Sirota *Rinat-Pfizer Inc., 230 East Grand Avenue, South San Francisco, CA 94080, USA.
Shengzhi WangDepartment of Neurology, UCSF, San Francisco, CA 94148 USA.
Steven J PittsRinat-Pfizer Inc., 230 East Grand Avenue, South San Francisco, CA 94080, USA.
Purnima D SundarRinat-Pfizer Inc., 230 East Grand Avenue, South San Francisco, CA 94080, USA.
Dilduz TelmanRinat-Pfizer Inc., 230 East Grand Avenue, South San Francisco, CA 94080, USA.
Lora Z ZhaoRinat-Pfizer Inc., 230 East Grand Avenue, South San Francisco, CA 94080, USA.
Mia DerstineDepartment of Neurology, UCSF, San Francisco, CA 94148 USA.
Aya AbounasrDepartment of Neurology, UCSF, San Francisco, CA 94148 USA.
Stephen L HauserDepartment of Neurology, UCSF, San Francisco, CA 94148 USA.
H-Christian von BüdingenDepartment of Neurology, UCSF, San Francisco, CA 94148 USA.
University of California, San Francisco · USPfizer (United States) · US

Funding

GENE LINKAGE STUDY OF MULTIPLE SCLEROSIS SIBLING PAIRSR01NS026799 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAUSER, STEPHEN L, OKSENBERG, JORGE R. · 1989 to 2018
$6.8M
Disease relevance of CD20 expression on T cells in multiple sclerosis patientsR01NS092835 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAUSER, STEPHEN L · 2015 to 2018
$1.7M
Antibody Mediated Autoimmunity in Neuromyelitis OpticaK02NS072288 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VON BUEDINGEN, HANS-CHRISTIAN · 2011 to 2015
$879k
NINDS NIH HHS K02 NS072288NINDS NIH HHS K02NS072288NINDS NIH HHS R01 NS026799NINDS NIH HHS R01 NS092835
6 · The paper itself

Abstract

In multiple sclerosis (MS), lymphocyte--in particular B cell--transit between the central nervous system (CNS) and periphery may contribute to the maintenance of active disease. Clonally related B cells exist in the cerebrospinal fluid (CSF) and peripheral blood (PB) of MS patients; however, it remains unclear which subpopulations of the highly diverse peripheral B cell compartment share antigen specificity with intrathecal B cell repertoires and whether their antigen stimulation occurs on both sides of the blood-brain barrier. To address these questions, we combined flow cytometric sorting of PB B cell subsets with deep immune repertoire sequencing of CSF and PB B cells. Immunoglobulin (IgM and IgG) heavy chain variable (VH) region repertoires of five PB B cell subsets from MS patients were compared with their CSF Ig-VH transcriptomes. In six of eight patients, we identified peripheral CD27(+)IgD(-) memory B cells, CD27(hi)CD38(hi) plasma cells/plasmablasts, or CD27(-)IgD(-) B cells that had an immune connection to the CNS compartment. Pinpointing Ig class-switched B cells as key component of the immune axis thought to contribute to ongoing MS disease activity strengthens the rationale of current B cell-targeting therapeutic strategies and may lead to more targeted approaches.

Indexed as

Immunoglobulin Class SwitchingAdultAntibody AffinityB-LymphocytesCell AggregationCentral Nervous SystemCerebrospinal FluidFemaleFlow CytometryHumansImmune SystemImmunoglobulin Variable RegionLeukocytes, MononuclearMaleMiddle AgedMultiple SclerosisImmunoglobulin Variable Region

Identifiers

PMID25100740
PMCPMC4176763
OpenAlexW2138854899

What OpenQuestion holds

Textmetadata
LicenceTDM
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.