Evidence map›Paper›PMID 26172868›Full record

ArticleGene2015

MSPrecise: A molecular diagnostic test for multiple sclerosis using next generation sequencing.

William H Rounds, Edward A Salinas, Tom B Wilks, Mikhail K Levin, Ann J Ligocki, Carolina Ionete, Carlos A Pardo, Steven Vernino, Benjamin M Greenberg, Douglas W Bigwood and 3 more

Abstract read
In one paragraph

Article in Gene, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. High-throughput sequencing of immune repertoires in multiple sclerosis.Annals of clinical and translational neurology · 2016
    Review
  12. Review
  13. 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

13 authors.

William H RoundsDepartment of Neurology and Neurotherapeutics, UT Southwestern Medical Center, Dallas, TX, USA.
Edward A SalinasDepartment of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX, USA.
Tom B WilksDioGenix Inc., Bethesda, MD, USA.
Mikhail K LevinDepartment of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX, USA.
Ann J LigockiDepartment of Neurology and Neurotherapeutics, UT Southwestern Medical Center, Dallas, TX, USA.
Carolina IoneteDepartment of Neurology, UMass Memorial Medical Center, Worcester, MA, USA.
Carlos A PardoDepartment of Neurology and Neurosurgery, John Hopkins University, Baltimore, MD, USA.
Steven VerninoDepartment of Neurology and Neurotherapeutics, UT Southwestern Medical Center, Dallas, TX, USA.
Benjamin M GreenbergDepartment of Neurology and Neurotherapeutics, UT Southwestern Medical Center, Dallas, TX, USA.
Douglas W BigwoodDioGenix Inc., Bethesda, MD, USA.
Eric M EastmanDioGenix Inc., Bethesda, MD, USA.
Lindsay G CowellDepartment of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX, USA.
Nancy L MonsonDepartment of Neurology and Neurotherapeutics, UT Southwestern Medical Center, Dallas, TX, USA; Department of Immunology, UT Southwestern Medical Center, Dallas, TX, USA. Electronic address: nancy.monson@utsouthwestern.edu.

Funding

RepServer: Antigen Receptor Repertoire Analysis Pipelines via the WWWR01AI097403 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI COWELL, LINDSAY G. · 2012 to 2016
$3.2M
NIAID NIH HHS R01 AI097403NIAID NIH HHS R01AI097403PHS HHS 5T32 A1 005284-28
6 · The paper itself

Abstract

backgroundWe have previously demonstrated that cerebrospinal fluid-derived B cells from early relapsing-remitting multiple sclerosis (RRMS) patients that express a VH4 gene accumulate specific replacement mutations. These mutations can be quantified as a score that identifies such patients as having or likely to convert to RRMS. Furthermore, we showed that next generation sequencing is an efficient method for obtaining the sequencing information required by this mutation scoring tool, originally developed using the less clinically viable single-cell Sanger sequencing.

objectiveTo determine the accuracy of MSPrecise, the diagnostic test that identifies the presence of the RRMS-enriched mutation pattern from patient cerebrospinal fluid B cells.

methodsCerebrospinal fluid cell pellets were obtained from RRMS and other neurological disease (OND) patient cohorts. VH4 gene segments were amplified, sequenced by next generation sequencing and analyzed for mutation score.

resultsThe diagnostic test showed a sensitivity of 75% on the RRMS cohort and a specificity of 88% on the OND cohort. The accuracy of the test in identifying RRMS patients or patients that will develop RRMS is 84%.

conclusionMSPrecise exhibits good performance in identifying patients with RRMS irrespective of time with RRMS.

Indexed as

AdultDNA Mutational AnalysisFemaleHigh-Throughput Nucleotide SequencingHumansImmunoglobulin Heavy ChainsMaleMiddle AgedMolecular Diagnostic TechniquesMultigene FamilyMultiple Sclerosis, Relapsing-RemittingSensitivity and SpecificityYoung AdultImmunoglobulin Heavy ChainsB cellBiomarkerGeneticsHigh-throughput nucleotide sequencingMultiple sclerosisNeurological disease

Identifiers

PMID26172868
PMCPMC4702260

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Registered trials

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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.