Evidence map›Paper›PMID 26608499›Full record

ArticleInflammation research : official journal of the European Histamine Research Society ... [et al.]2016

Cytokines and matrix metalloproteinases in the cerebrospinal fluid of patients with acute transverse myelitis: an outcome analysis.

Puneet Dixit, Ravindra Kumar Garg, Hardeep Singh Malhotra, Amita Jain, Rajesh Verma, Praveen Kumar Sharma, Neeraj Kumar

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Article in Inflammation research : official journal of the European Histamine Research Society ... [et al.], 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 11 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

7 authors at 1 institution in 1 country.

Puneet DixitDepartment of Neurology, King George Medical University, Lucknow, Uttar Pradesh, 226003, India.
Ravindra Kumar GargDepartment of Neurology, King George Medical University, Lucknow, Uttar Pradesh, 226003, India. garg50@yahoo.com.
Hardeep Singh MalhotraDepartment of Neurology, King George Medical University, Lucknow, Uttar Pradesh, 226003, India.
Amita JainDepartment of Microbiology, King George Medical University, Lucknow, Uttar Pradesh, India.
Rajesh VermaDepartment of Neurology, King George Medical University, Lucknow, Uttar Pradesh, 226003, India.
Praveen Kumar SharmaDepartment of Neurology, King George Medical University, Lucknow, Uttar Pradesh, 226003, India.
Neeraj KumarDepartment of Neurology, King George Medical University, Lucknow, Uttar Pradesh, 226003, India.
King George's Medical University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRole of cytokines as well as matrix metalloproteinases (MMPs) is well defined in various central nervous system inflammatory diseases. However, the role of these cytokines and MMPs in acute transverse myelitis is inadequately studied. MATERIALS AND

methodsPatients with acute transverse myelitis, fulfilling the inclusion and exclusion criteria defined by Transverse Myelitis Consortium Working Group, were enrolled along with age and sex matched controls. A detailed clinical evaluation and magnetic resonance imaging of patients was done. Cerebrospinal fluid (CSF) samples both from patients and controls were collected. CSF samples were analyzed for cytokines [interleukin (IL)-6, IL-8, IL-10 and IL-17)] and matrix metalloproteinases (MMP-2, MMP-9). Patients were followed up for 3 months. Disability was assessed using modified Barthel index (MBI).

resultsCSF levels of all cytokines IL-6, IL-8, IL-10, MMP-2 and MMP-9, except IL-17, were significantly higher in patients with acute transverse myelitis (p < 0.001). CSF IL-6 and IL-8 were significantly associated with severity of the disease (MBI ≤ 12). After 3 months, quadriparesis (p = 0.001, odd's ratio 19.5, 95 % CI 2.34-62.39) and long-segment myelitis (p = 0.035, odd's ratio 4.37, 95 % CI 1.17-5.95) were significantly associated with poor outcome. Among cytokines and MMPs, IL-6 levels at baseline correlated significantly with the MBI at 3 months (Spearmen's ρ = -0.335, p = 0.01).

conclusionIn conclusion, both anti-inflammatory and pro-inflammatory cytokines, MMP-2, and MMP-9 are elevated in the acute phase of transverse myelitis. Possibly, IL-6 plays a role in determining the disability.

Indexed as

AdolescentAdultCase-Control StudiesCytokinesFemaleHumansIndiaMaleMatrix Metalloproteinase 2Matrix Metalloproteinase 9Myelitis, TransverseSeverity of Illness IndexYoung AdultCytokinesMatrix Metalloproteinase 2Matrix Metalloproteinase 9MMP2 protein, humanMMP9 protein, humanCerebrospinal fluidCytokinesInterleukinLongitudinally extensive transverse myelitisMatrix metalloproteinases

Identifiers

PMID26608499
OpenAlexW2284915658

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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.