Evidence map›Paper›PMID 26472479›Full record

ArticleClinical and experimental immunology2016

Prediction of disease severity in neuromyelitis optica by the levels of interleukin (IL)-6 produced during remission phase.

P O Barros, T Cassano, J Hygino, T B Ferreira, N Centurião, T M Kasahara, R M Andrade, U C Linhares, A F B Andrade, C C F Vasconcelos and 3 more

Open access · greenAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Induction of immune tolerance in NMOSD and MOGAD.Therapeutic advances in neurological disorders · 2025
    Review
  8. NMOSD and MOGAD: an evolving disease spectrum.Nature reviews. Neurology · 2024
    Review
  9. Article
  10. The Role of Gut Microbiota in Neuromyelitis Optica Spectrum Disorder.International journal of molecular sciences · 2024
    Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Interleukin-31 and soluble CD40L: new candidate serum biomarkers that predict therapeutic response in multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Review
  17. Review
  18. Review
  19. Review
  20. Serum levels of interleukin-6 and Vitamin D at the onset of multiple sclerosis and neuromyelitis optica: A pilot study.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2022
    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 at 3 institutions in 2 countries.

P O BarrosDepartment of Microbiology and Parasitology, Federal University of the State of Rio De Janeiro.
T CassanoDepartment of Microbiology and Parasitology, Federal University of the State of Rio De Janeiro.
J HyginoDepartment of Microbiology and Parasitology, Federal University of the State of Rio De Janeiro.
T B FerreiraDepartment of Microbiology and Parasitology, Federal University of the State of Rio De Janeiro.
N CenturiãoDepartment of Microbiology and Parasitology, Federal University of the State of Rio De Janeiro.
T M KasaharaDepartment of Microbiology and Parasitology, Federal University of the State of Rio De Janeiro.
R M AndradeDepartment of General Medicine, Federal University of the State of Rio De Janeiro.
U C LinharesPostgraduate Program in Neurology, Federal University of the State of Rio De Janeiro.
A F B AndradeDepartment of Microbiology of State University of Rio De Janeiro, Rio De Janeiro, Brazil.
C C F VasconcelosPostgraduate Program in Neurology, Federal University of the State of Rio De Janeiro.
R AlvarengaPostgraduate Program in Neurology, Federal University of the State of Rio De Janeiro.
R MarignierTeam ONCOFLAM, Lyon's Neuroscience Research Center, Lyon, France.
C A M BentoDepartment of Microbiology and Parasitology, Federal University of the State of Rio De Janeiro.
Universidade Federal do Estado do Rio de Janeiro · BRCentre de Recherche en Neurosciences de Lyon · FRUniversidade do Estado do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

T helper type 17 (Th17) cytokines have been implicated in the pathogenesis of neuromyelitis optica (NMO). As humanized anti-interleukin (IL)-6R (tocilizumab) immunoglobulin (Ig)G has been used as disease-modifying therapy for NMO, the objective of our study was to investigate the role of endogenous IL-6 on NMO-derived CD4(+) T cell behaviour. High production of IL-6, IL-17 and IL-21 by CD4(+) T-cells was detected in NMO patients. Further, IL-21 and IL-6 levels were related directly to the level of neurological disabilities. The addition of anti-IL-6R IgG not only reduced directly the production of these cytokines, but also almost abolished the ability of activated autologous monocytes in enhancing IL-6, IL-17 and IL-21 release by CD4(+) T cells. In contrast, the production of IL-10 was amplified in those cell cultures. Further, anti-IL-6R monoclonal antibodies (mAb) also potentiated the ability of glucocorticoid in reducing Th17 cytokines. Finally, the in-vivo and in-vitro IL-6 levels were significantly higher among those patients who experienced clinical relapse during 2-year follow-up. In summary, our results suggest a deleterious role of IL-6 in NMO by favouring, at least in part, the expansion of corticoid-resistant Th17 cells.

Indexed as

AdultAntibodies, Monoclonal, HumanizedCD4-Positive T-LymphocytesDrug ResistanceFemaleFollow-Up StudiesHumansHydrocortisoneInterleukin-10Interleukin-17Interleukin-21Interleukin-6InterleukinsLeukocytes, MononuclearMaleMiddle AgedAntibodies, Monoclonal, HumanizedHydrocortisoneIL10 protein, humanIL17A protein, humanIL6 protein, humanIL6R protein, humanInterleukin-10Interleukin-17Interleukin-21Interleukin-6InterleukinsReceptors, Interleukin-6tocilizumabIL-10IL-21IL-6IL-6R signallingneuromyelitis optica

Identifiers

PMID26472479
PMCPMC4750605
OpenAlexW2182323848

What OpenQuestion holds

Textmetadata
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.