Evidence map›Paper›PMID 26718566›Full record

ArticleNeurology2016

CD62L is not a reliable biomarker for predicting PML risk in natalizumab-treated R-MS patients.

Linda A Lieberman, Wanyong Zeng, Carol Singh, Wenting Wang, Kevin L Otipoby, Christine Loh, Tatiana Plavina, Leonid Gorelik, Richard M Ransohoff, Ellen Cahir-McFarland

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.0field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 51 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Diagnosis and Treatment of Progressive Multifocal Leukoencephalopathy Associated with Multiple Sclerosis Therapies.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2017
    Review
  7. Review
  8. Review
  9. The use of natalizumab for multiple sclerosis.Neuropsychiatric disease and treatment · 2017
    Review
  10. Blood Biomarkers as Outcome Measures in Inflammatory Neurologic Diseases.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2017
    Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. The effect of disease modifying therapies on CD62L expression in multiple sclerosis.Multiple sclerosis journal - experimental, translational and clinical
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Linda A LiebermanFrom Discovery Research, Biogen, Cambridge, MA.
Wanyong ZengFrom Discovery Research, Biogen, Cambridge, MA.
Carol SinghFrom Discovery Research, Biogen, Cambridge, MA.
Wenting WangFrom Discovery Research, Biogen, Cambridge, MA.
Kevin L OtipobyFrom Discovery Research, Biogen, Cambridge, MA.
Christine LohFrom Discovery Research, Biogen, Cambridge, MA.
Tatiana PlavinaFrom Discovery Research, Biogen, Cambridge, MA.
Leonid GorelikFrom Discovery Research, Biogen, Cambridge, MA.
Richard M RansohoffFrom Discovery Research, Biogen, Cambridge, MA.
Ellen Cahir-McFarlandFrom Discovery Research, Biogen, Cambridge, MA. Ellen.Cahir-McFarland@biogen.com.
Biogen (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess if the percentage of CD3(+)CD4(+)CD62L(+) cells in cryopreserved peripheral blood mononuclear cells (PBMCs) (here termed %CD62L) can predict risk of developing progressive multifocal leukoencephalopathy (PML) and better inform the physician for benefit-risk assessment of natalizumab treatment decisions in a global setting.

methodsCryopreserved PBMCs from 21 natalizumab-treated patients who developed PML and 104 matched natalizumab-treated patients with multiple sclerosis (MS) without PML collected as a part of Biogen clinical trials were retrospectively examined for CD3, CD4, CCR7, CD45RA, and CD62L by flow cytometry.

resultsIn this cohort, %CD62L in natalizumab-treated patients did not predict PML risk. Natalizumab-treated patients with MS without PML showed highly variable %CD62L upon serial sampling. In the STRATA study, the distribution of %CD62L in samples collected more than 6 months before a PML diagnosis, at diagnosis, and in natalizumab-treated patients without PML overlapped. No statistical threshold for risk could be determined. In addition, we demonstrated that lymphocyte viability strongly affects %CD62L, supporting previous reports that %CD62L is inherently unstable following cryopreservation and is sensitive to sample collection.

conclusionData from this well-controlled cohort of natalizumab-treated patients indicate that %CD62L is not a biomarker of PML risk.

Indexed as

Blood PreservationCryopreservationAdultBiomarkersCD4 Lymphocyte CountCD4-Positive T-LymphocytesFemaleHumansImmunologic FactorsLeukoencephalopathy, Progressive MultifocalL-SelectinMaleMiddle AgedMultiple Sclerosis, Relapsing-RemittingNatalizumabPrognosisBiomarkersImmunologic FactorsL-SelectinNatalizumab

Identifiers

PMID26718566
PMCPMC4776091
OpenAlexW2207593706

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.