Evidence map›Paper›PMID 26101453›Full record

ArticleDisease markers2015

Epstein-Barr Virus Specific Antibody Response in Multiple Sclerosis Patients during 21 Months of Natalizumab Treatment.

Massimiliano Castellazzi, Serena Delbue, Francesca Elia, Matteo Gastaldi, Diego Franciotta, Roberta Rizzo, Tiziana Bellini, Roberto Bergamaschi, Enrico Granieri, Enrico Fainardi

Open access · hybridAbstract read
In one paragraph

Article in Disease markers, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 21 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Massimiliano CastellazziDepartment of Biomedical and Specialist Surgical Sciences, University of Ferrara, 44124 Ferrara, Italy.ORCID 0000-0001-6555-6075
Serena DelbueDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy.
Francesca EliaDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy.
Matteo GastaldiDepartment of General Neurology, National Neurological Institute C. Mondino, 27100 Pavia, Italy.
Diego FranciottaDepartment of General Neurology, National Neurological Institute C. Mondino, 27100 Pavia, Italy.ORCID 0000-0002-3014-3913
Roberta RizzoDepartment of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0001-9507-9126
Tiziana BelliniDepartment of Biomedical and Specialist Surgical Sciences, University of Ferrara, 44124 Ferrara, Italy.
Roberto BergamaschiDepartment of General Neurology, National Neurological Institute C. Mondino, 27100 Pavia, Italy.ORCID 0000-0002-1397-511X
Enrico GranieriDepartment of Biomedical and Specialist Surgical Sciences, University of Ferrara, 44124 Ferrara, Italy.ORCID 0000-0003-4038-3192
Enrico FainardiDepartment of Neurosciences and Rehabilitation, Azienda Ospedaliero-Universitaria, 44124 Ferrara, Italy.ORCID 0000-0003-0477-724X
University of Ferrara · ITUniversity of Milan · ITArcispedale Sant'Anna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple sclerosis (MS) is a chronic inflammatory autoimmune disease of the central nervous system. Natalizumab, a humanized anti-α4 integrin monoclonal antibody, is a highly effective treatment approved for MS. An association between MS and an exposure to Epstein-Barr Virus (EBV) sustained by the levels of antiviral capsid antigen (VCA) and anti-Epstein-Barr nuclear antigen-1 (EBNA-1) IgG has been described. Our goal was to verify the utility of EBV-specific IgG as a marker in Natalizumab treated MS. Twenty patients (17 female and 3 male) in treatment with Natalizumab were enrolled. Serum levels of anti-VCA and anti-EBNA-1 IgG were determined and expressed as arbitrary units (AU) before treatment and every three months for 21 months of therapy. Anti-VCA IgG levels were increased at the 15th month (235410 ± 196712 AU) comparing with the 3rd (98146 ± 47145 AU) and the 6th (109866 ± 52270 AU) months of therapy (p < 0.05). No significant differences were found for serum anti-EBNA-1 IgG levels. Our data indicate that a transient, self-limited, EBV reactivation can occur in MS during Natalizumab therapy but our results do not support the use of serum EBV-specific antibody levels as biomarkers for monitoring therapeutic response to Natalizumab in the course of MS.

Indexed as

AdultAntibodies, Monoclonal, HumanizedAntibodies, ViralAntigens, ViralCapsid ProteinsEpstein-Barr Virus InfectionsFemaleHerpesvirus 4, HumanHumansMaleMultiple SclerosisNatalizumabTreatment OutcomeAntibodies, Monoclonal, HumanizedAntibodies, ViralAntigens, ViralCapsid ProteinsNatalizumab

Identifiers

PMID26101453
PMCPMC4460255
OpenAlexW1487461557

What OpenQuestion holds

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LicenceCC BY
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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.