Evidence map›Paper›PMID 30941020›Full record

ArticleFrontiers in cellular neuroscience2019

Antiphospholipid Antibodies Overlapping in Isolated Neurological Syndrome and Multiple Sclerosis: Neurobiological Insights and Diagnostic Challenges.

Chiara D'Angelo, Oriol Franch, Lidia Fernández-Paredes, Celia Oreja-Guevara, María Núñez-Beltrán, Alejandra Comins-Boo, Marcella Reale, Silvia Sánchez-Ramón

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cellular neuroscience, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.6field-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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  8. Article
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  11. Article
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  13. Neurologic Manifestations of the Antiphospholipid Syndrome - an Update.Current neurology and neuroscience reports · 2021
    Review
  14. Review
  15. Review
  16. NKT Cells in Neurological Diseases.Frontiers in cellular neuroscience · 2019
    Review
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

8 authors at 5 institutions in 2 countries.

Chiara D'AngeloDepartment of Clinical Immunology and IdISSC, Hospital Clínico San Carlos, Madrid, Spain.
Oriol FranchDepartment of Neurology, Hospital Ruber Internacional, Madrid, Spain.
Lidia Fernández-ParedesDepartment of Clinical Immunology and IdISSC, Hospital Clínico San Carlos, Madrid, Spain.
Celia Oreja-GuevaraDepartment of Neurology, Hospital Clínico San Carlos, Madrid, Spain.
María Núñez-BeltránDepartment of Clinical Immunology and IdISSC, Hospital Clínico San Carlos, Madrid, Spain.
Alejandra Comins-BooDepartment of Clinical Immunology and IdISSC, Hospital Clínico San Carlos, Madrid, Spain.
Marcella RealeDepartment of Medical, Oral and Biotechnological Sciences, University "G. d'Annunzio" Chieti-Pescara, Chieti, Italy.
Silvia Sánchez-RamónDepartment of Clinical Immunology and IdISSC, Hospital Clínico San Carlos, Madrid, Spain.
Hospital Clínico San Carlos · ESUniversidad Complutense de Madrid · ESUniversity of Chieti-Pescara · ITHospital Ruber Internacional · ESInstituto de Investigación Sanitaria del Hospital Clínico San Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antiphospholipid syndrome (APS) is characterized by arterial and venous thrombosis, pregnancy morbidity and fetal loss caused by pathogenic autoantibodies directed against phospholipids (PL) and PL-cofactors. Isolated neurological APS may represent a significant diagnostic challenge, as epidemiological, clinical and neuroimaging features may overlap with those of multiple sclerosis (MS). In an open view, MS could be considered as an organ-specific anti-lipid (phospholipid and glycosphingolipid associated proteins) disease, in which autoreactive B cells and CD8+ T cells play a dominant role in its pathophysiology. In MS, diverse autoantibodies against the lipid-protein cofactors of the myelin sheath have been described, whose pathophysiologic role has not been fully elucidated. We carried out a review to select clinical studies addressing the prevalence of antiphospholipid (aPL) autoantibodies in the so-called MS-like syndrome. The reported prevalence ranged between 2% and 88%, particularly aCL and aβ2GPI, with predominant IgM isotype and suggesting worse MS prognosis. Secondarily, an updated summary of current knowledge on the pathophysiological mechanisms and events responsible for these conditions is presented. We draw attention to the clinical relevance of diagnosing isolated neurological APS. Prompt and accurate diagnosis and antiaggregant and anticoagulant treatment of APS could be vital to prevent or at least reduce APS-related morbidity and mortality.

Indexed as

antiphospholipid syndromeMS-like syndromepathogenesisthrombosisvasculopathy

Identifiers

PMID30941020
PMCPMC6433987
OpenAlexW2925206832

What OpenQuestion holds

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LicenceCC BY
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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.