Evidence map›Paper›PMID 25285313›Full record

ArticleAnnals of clinical and translational neurology2014

Molecular mechanism underlying the impact of vitamin D on disease activity of MS.

Kassandra L Munger, Karl Köchert, Kelly C Simon, Ludwig Kappos, Chris H Polman, Mark S Freedman, Hans P Hartung, David H Miller, Xavier Montalbán, Gilles Edan and 5 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Cholecalciferol in relapsing-remitting MS: A randomized clinical trial (CHOLINE).Neurology(R) neuroimmunology & neuroinflammation · 2019
    Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Obesity in Pediatric-Onset Multiple Sclerosis: A French Cohort Study.Neurology(R) neuroimmunology & neuroinflammation · 2021
    Article
  10. Sunlight exposure exerts immunomodulatory effects to reduce multiple sclerosis severity.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  11. Reply to Jakovac: COVID-19, vitamin D, and type I interferon.American journal of physiology. Endocrinology and metabolism · 2020
    Article
  12. Review
  13. Vitamin D enhances responses to interferon-β in MS.Neurology(R) neuroimmunology & neuroinflammation · 2019
    Article
  14. Lifestyle and Environmental Factors in Multiple Sclerosis.Cold Spring Harbor perspectives in medicine · 2019
    Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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

15 authors at 10 institutions in 8 countries.

Kassandra L MungerHarvard School of Public Health Boston, Massachusetts.
Karl KöchertBayer HealthCare Berlin, Germany.
Kelly C SimonHarvard School of Public Health Boston, Massachusetts.
Ludwig KapposUniversity Hospital Basel Basel, Switzerland.
Chris H PolmanVU University Medical Center Amsterdam, The Netherlands.
Mark S FreedmanOttawa Hospital Research Institute Ottawa, Canada.
Hans P HartungHeinrich-Heine Universität Düsseldorf, Germany.
David H MillerUCL Institute of Neurology London, United Kingdom.
Xavier MontalbánHospital Universitari Vall d'Hebron Barcelona, Spain.
Gilles EdanCHU-Hôpital Pontchaillou Rennes, France.
Frederik BarkhofVU University Medical Center Amsterdam, The Netherlands.
Dirk PleimesBayer HealthCare Berlin, Germany.
Rupert SandbrinkBayer HealthCare Berlin, Germany ; Heinrich-Heine Universität Düsseldorf, Germany.
Alberto AscherioHarvard School of Public Health Boston, Massachusetts.
Christoph PohlBayer HealthCare Berlin, Germany ; Department of Neurology, University Hospital of Bonn Bonn, Germany.
Bayer (Germany) · DEHarvard University · USAmsterdam UMC Location VUmc · NLHeinrich Heine University Düsseldorf · DEHôpital Pontchaillou · FROttawa Hospital · CAUniversity College London · GBUniversity Hospital Bonn · DEUniversity Hospital of Basel · CHVall d'Hebron Hospital Universitari · ES

Funding

Vitamin D, cigarette smoking, EBV infection and risk of MS progressionR01NS071082 · NINDS · HARVARD SCHOOL OF PUBLIC HEALTH · PI ASCHERIO, ALBERTO · 2010 to 2014
$695k
NINDS NIH HHS R01 NS071082
6 · The paper itself

Abstract

objectiveSome previous studies suggest modest to strong effects of 25-hydroxyvitamin D (25(OH)D) on multiple sclerosis (MS) activity. The objective of this study was to explore the mechanistic rationale that may explain potential clinical effects of 25(OH)D.

methodsThis study measured serum 25(OH)D levels and global gene expression profiles over a course of up to 2 years in patients starting treatment with interferon beta-1b (IFNB-1b) after a clinically isolated syndrome. MS disease activity was assessed by the number of gadolinium-enhancing lesions present on repeated magnetic resonance imaging (MRIs).

resultsThe number of gadolinium-enhancing lesions was highly significantly associated with 25(OH)D levels. Conducting various systems-level analyses on the molecular level, multiple lines of evidence indicated that 25(OH)D regulates expression dynamics of a large gene-gene interaction system which primarily regulates immune modulatory processes modulating MS activity. The vitamin D response element was significantly enriched in this system, indicating a direct regulation of this gene interaction network through the vitamin D receptor. With increasing 25(OH)D levels, resulting regulation of this system was associated with a decrease in MS activity. Within the complex network of genes that are regulated by 25(OH)D, well-described targets of IFNB-1b and a regulator of sphingosine-1-phosphate bioavailability were found. The 25(OH)D effects on MS activity were additively enhanced by IFNB-1b.

interpretationHere, we provide mechanistic evidence that an unbalanced 25(OH)D gene expression system may affect MS activity. Our findings support a potential benefit of monitoring and managing vitamin D levels (e.g., through supplementation) in early MS patients treated with IFN-beta-1b.

Identifiers

PMID25285313
PMCPMC4180413
OpenAlexW2120482838

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.