Evidence map›Paper›PMID 31056714›Full record

ReviewCurrent treatment options in neurology2019

Lipoic Acid and Other Antioxidants as Therapies for Multiple Sclerosis.

Carin Waslo, Dennis Bourdette, Nora Gray, Kirsten Wright, Rebecca Spain

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current treatment options in neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Role of fenofibrate in multiple sclerosis.European journal of medical research · 2024
    Review
  5. Article
  6. Alpha-lipoic acid: A promising pharmacotherapy seen through the lens of kidney diseases.Current research in pharmacology and drug discovery · 2024
    Review
  7. Review
  8. Review
  9. Smouldering multiple sclerosis: the 'real MS'.Therapeutic advances in neurological disorders · 2022
    Review
  10. Article
  11. Review
  12. Fatty Acid Synthesis in Glial Cells of the CNS.International journal of molecular sciences · 2021
    Review
  13. Article
  14. In Vivo Proton Exchange Rate (kJournal of magnetic resonance imaging : JMRI · 2021
    Article
  15. Article
  16. Article
  17. Review
  18. 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

5 authors at 2 institutions in 1 country.

Carin WasloVeterans Affairs Portland Health Care System, Portland, OR, USA.
Dennis BourdetteDepartment of Neurology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road - L226, Portland, OR, 97239, USA.
Nora GrayDepartment of Neurology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road - L226, Portland, OR, 97239, USA.
Kirsten WrightDepartment of Neurology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road - L226, Portland, OR, 97239, USA.
Rebecca SpainVeterans Affairs Portland Health Care System, Portland, OR, USA. spainr@ohsu.edu.
Oregon Health & Science University · USVA Portland Health Care System · US

Funding

Interactions of Centella asiatica, mitochondrial function and oxidative stress during agingK99AT008831 · NCCIH · OREGON HEALTH & SCIENCE UNIVERSITY · PI GRAY, NORA · 2015 to 2016
$271k
NCCIH NIH HHS K99 AT008831
6 · The paper itself

Abstract

Oxidative stress (OS), when oxidative forces outweigh endogenous and nutritional antioxidant defenses, contributes to the pathophysiology of multiple sclerosis (MS). Evidence of OS is found during acute relapses, in active inflammatory lesions, and in chronic, longstanding plaques. OS results in both ongoing inflammation and neurodegeneration. Antioxidant therapies are a rational strategy for people with MS with all phenotypes and disease durations. PURPOSE OF REVIEW: To understand the function of OS in health and disease, to examine the contributions of OS to MS pathophysiology, and to review current evidence for the effects of selected antioxidant therapies in people with MS (PwMS) with a focus on lipoic acid (LA). RECENT

findingsStudies of antioxidant interventions in both animal and in vivo models result in reductions in serum markers of OS and increases in levels and activity of antioxidant enzymes. Antioxidant trials in PwMS, while generally underpowered, detect short-term improvements in markers of OS and antioxidant defenses, and to a lesser extent, in clinical symptoms (fatigue, depression). The best evidence to date is a 2-year trial of LA in secondary progressive MS which demonstrated a significant reduction of whole-brain atrophy and trend toward improvement in walking speed. Antioxidant therapy is a promising approach to treat MS across the spectrum and duration of disease. Rigorous and well-powered trials are needed to determine their therapeutic benefits.

Indexed as

AntioxidantLipoic acidMultiple sclerosisNeurodegenerationNeurological diseaseNeurology

Identifiers

PMID31056714
OpenAlexW2944753720

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.