Evidence map›Paper›PMID 29875186›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2018

CSF cytokine profile in MOG-IgG+ neurological disease is similar to AQP4-IgG+ NMOSD but distinct from MS: a cross-sectional study and potential therapeutic implications.

Kimihiko Kaneko, Douglas Kazutoshi Sato, Ichiro Nakashima, Ryo Ogawa, Tetsuya Akaishi, Yoshiki Takai, Shuhei Nishiyama, Toshiyuki Takahashi, Tatsuro Misu, Hiroshi Kuroda and 7 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2018. 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 100 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 1 pooled it
11.3field-weighted citation impact, top 1% 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

100 citing papers in PubMed, 1 synthesis or guideline pooled it, 195 citations in OpenAlex.

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40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 3 countries.

Kimihiko KanekoDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Douglas Kazutoshi SatoDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Ichiro NakashimaDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.ORCID 0000-0002-2612-8948
Ryo OgawaDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Tetsuya AkaishiDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Yoshiki TakaiDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Shuhei NishiyamaDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Toshiyuki TakahashiDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Tatsuro MisuDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Hiroshi KurodaDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Satoru TanakaDepartment of Neurology, Saitama Medical University, Kawagoe, Japan.
Kyoichi NomuraDepartment of Neurology, Saitama Medical University, Kawagoe, Japan.
Yuji HashimotoDepartment of Pediatrics, Chiba Kaihin Municipal Hospital, Chiba, Japan.
Dagoberto CallegaroDepartment of Neurology, São Paulo University, São Paulo, Brazil.
Lawrence SteinmanDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California, USA.
Kazuo FujiharaDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Masashi AokiDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Tohoku University · JPSaitama Medical University · JPUniversidade de São Paulo · BRChiba Kaihin Municipal Hospital · JPFukushima Medical University · JPStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate cerebrospinal fluid (CSF) cytokine profiles in myelin oligodendrocyte glycoprotein IgG-positive (MOG-IgG+) disease in adult and paediatric patients.

methodsIn this cross-sectional study, we measured 27 cytokines in the CSF of MOG-IgG+ disease in acute phase before treatment (n=29). The data were directly compared with those in aquaporin-4 antibody-positive (AQP4-IgG+) neuromyelitis optica spectrum disorder (NMOSD) (n=20), multiple sclerosis (MS) (n=20) and non-inflammatory controls (n=14).

resultsIn MOG-IgG+ disease, there was no female preponderance and the ages were younger (mean 18 years, range 3-68; 15 were below 18 years) relative to AQP4-IgG+ NMOSD (41, 15-77) and MS (34, 17-48). CSF cell counts were higher and oligoclonal IgG bands were mostly negative in MOG-IgG+ disease and AQP4-IgG+ NMOSD compared with MS. MOG-IgG+ disease had significantly elevated levels of interleukin (IL)-6, IL-8, granulocyte-colony stimulating factor and granulocyte macrophage-colony stimulating factor, interferon-γ, IL-10, IL-1 receptor antagonist, monocyte chemotactic protein-1 and macrophage inflammatory protein-1α as compared with MS. No cytokine in MOG-IgG+ disease was significantly different from AQP4-IgG+ NMOSD. Moreover many elevated cytokines were correlated with each other in MOG-IgG+ disease and AQP4-IgG+ NMOSD but not in MS. No difference in the data was seen between adult and paediatric MOG-IgG+ cases.

conclusionsThe CSF cytokine profile in the acute phase of MOG-IgG+ disease is characterised by coordinated upregulation of T helper 17 (Th17) and other cytokines including some Th1-related and regulatory T cells-related ones in adults and children, which is similar to AQP4-IgG+ NMOSD but clearly different from MS. The results suggest that as with AQP4-IgG+ NMOSD, some disease-modifying drugs for MS may be ineffective in MOG-IgG+ disease while they may provide potential therapeutic targets.

Indexed as

AdolescentAdultAgedAquaporin 4Case-Control StudiesChildChild, PreschoolCross-Sectional StudiesCytokinesFemaleHumansImmunoglobulin GMaleMiddle AgedMultiple SclerosisMyelin-Oligodendrocyte GlycoproteinAquaporin 4CytokinesImmunoglobulin GMyelin-Oligodendrocyte Glycoproteinaquaporin-4-IgGcytokine profiledemyelinating diseasemultiple sclerosismyelin oligodendrocyte glycoprotein-IgGneuromyelitis optica spectrum disorders

Identifiers

PMID29875186
PMCPMC6109242
OpenAlexW2805049236

What OpenQuestion holds

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LicenceCC BY-NC
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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.