Evidence map›Paper›PMID 26365612›Full record

ArticleMedical microbiology and immunology2016

EBV and vitamin D status in relapsing-remitting multiple sclerosis patients with a unique cytokine signature.

Ahmad Nejati, Zabihollah Shoja, Shohreh Shahmahmoodi, Abbas Tafakhori, Yaghoub Mollaei-Kandelous, Farhad Rezaei, Kabir Magaji Hamid, Abbas Mirshafiey, Rozita Doosti, Mohammad Ali Sahraian and 4 more

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In one paragraph

Article in Medical microbiology and immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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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

14 authors at 4 institutions in 2 countries.

Ahmad NejatiVirology Department, School of Public Health (SPH), Tehran University of Medical Sciences (TUMS), Tehran, 14155-6446, Iran.
Zabihollah ShojaVirology Department, Pasteur Institute of Iran, Tehran, Iran.
Shohreh ShahmahmoodiVirology Department, School of Public Health (SPH), Tehran University of Medical Sciences (TUMS), Tehran, 14155-6446, Iran.
Abbas TafakhoriIranian Centre of Neurological Research, Department of Neurology, School of Medicine, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Yaghoub Mollaei-KandelousImmunology Department, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Farhad RezaeiVirology Department, School of Public Health (SPH), Tehran University of Medical Sciences (TUMS), Tehran, 14155-6446, Iran.
Kabir Magaji HamidTehran University of Medical Sciences, International Campus (TUMS-IC), Tehran, Iran.
Abbas MirshafieyImmunology Department, School of Public Health (SPH), Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Rozita DoostiMS Research Center, Neuroscience Institute, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Mohammad Ali SahraianMS Research Center, Neuroscience Institute, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Mahmood MahmoudiDepartment of Epidemiology and Biostatistics, School of Public Health (SPH), Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Fazel ShokriImmunology Department, School of Public Health (SPH), Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Vince EmeryDepartment of Microbial and Cellular Sciences, University of Surrey, Guildford, Surrey, GU2 7XH, UK.
Sayed Mahdi MarashiVirology Department, School of Public Health (SPH), Tehran University of Medical Sciences (TUMS), Tehran, 14155-6446, Iran. m-marashi@tums.ac.ir.
Tehran University of Medical Sciences · IRIran University of Medical Sciences · IRPasteur Institute of Iran · IRUniversity of Surrey · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple sclerosis, a debilitating autoimmune and inflammatory disease of the central nervous system, is associated with both infectious and non-infectious factors. We investigated the role of EBV infection, vitamin D level, and cytokine signature in MS patients. Molecular and serological assays were used to investigate immune biomarkers, vitamin D level, and EBV status in 83 patients with relapsing-remitting multiple sclerosis and 62 healthy controls. In total, 98.8 % of MS patients showed a history of EBV exposure compared to 88.6 % in the healthy group (p = 0.005). EBV DNA load was significantly higher in MS patients than healthy subjects (p < 0.0001). Using a panel of biomarkers, we found a distinct transcriptional signature in MS patients compared to the healthy group with mRNA levels of CD73, IL-6, IL-23, IFN-γ, TNF-α, IL-15, IL-28, and IL-17 significantly elevated in MS patients (p < 0.0001). In contrast, the mRNA levels for TGF-β, IDO, S1PR1, IL-10, and CCL-3 were significantly lower in MS patients compared to healthy controls (p < 0.0001). No significant differences were found with the mRNA levels of IL-13, CCL-5, and FOXP3. Interestingly, in MS patients we found an inverse correlation between vitamin D concentration and EBV load, but not EBNA-1 IgG antibody levels. Our data highlight biomarker correlates in MS patients together with a complex interplay between EBV replication and vitamin D levels.

Indexed as

AdultAntibodies, ViralBiomarkersCase-Control StudiesCytokinesEpstein-Barr Virus InfectionsEpstein-Barr Virus Nuclear AntigensFemaleHumansImmunoglobulin GMaleMiddle AgedMultiple Sclerosis, Relapsing-RemittingViral LoadVitamin DYoung AdultAntibodies, ViralBiomarkersCytokinesEBV-encoded nuclear antigen 1Epstein-Barr Virus Nuclear AntigensImmunoglobulin GVitamin DEpstein–Barr virusImmune biomarker signatureRelapsing-remitting multiple sclerosisVitamin D

Identifiers

PMID26365612
OpenAlexW2188496209

What OpenQuestion holds

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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.