Evidence map›Paper›PMID 31205739›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Distinct serum and cerebrospinal fluid cytokine and chemokine profiles in autoantibody-associated demyelinating diseases.

Livia S Hofer, Sara Mariotto, Sebastian Wurth, Sergio Ferrari, Chiara R Mancinelli, Rachele Delogu, Salvatore Monaco, Alberto Gajofatto, Carmen Schwaiger, Kevin Rostasy and 4 more

Open access · goldAbstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 26 citations in OpenAlex.

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  12. Recent developments in MOG-IgG associated neurological disorders.Therapeutic advances in neurological disorders · 2020
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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

14 authors at 6 institutions in 3 countries.

Livia S HoferClinical Department of Neurology, Medical University of Innsbruck, Austria.ORCID https://orcid.org/0000-0002-1517-9192
Sara MariottoDepartment of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Italy.
Sebastian WurthClinical Department of Neurology, Medical University of Innsbruck, Austria.ORCID https://orcid.org/0000-0001-7122-0842
Sergio FerrariDepartment of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Italy.
Chiara R MancinelliMultiple Sclerosis Centre, Spedali Civili di Brescia, Italy.
Rachele DeloguDepartment of Clinical and Experimental Medicine, University of Sassari, Italy.
Salvatore MonacoDepartment of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Italy.
Alberto GajofattoDepartment of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Italy.
Carmen SchwaigerInstitute of Neurology, Medical University of Vienna, Austria.
Kevin RostasyPaediatric Neurology, Witten/Herdecke University, Germany.
Florian DeisenhammerClinical Department of Neurology, Medical University of Innsbruck, Austria.ORCID https://orcid.org/0000-0003-4541-8841
Romana HöftbergerInstitute of Neurology, Medical University of Vienna, Austria.
Thomas BergerDepartment of Neurology, Medical University of Vienna, Austria.
Markus ReindlClinical Department of Neurology, Medical University of Innsbruck, Austria.ORCID https://orcid.org/0000-0003-2817-1402
Innsbruck Medical University · ATUniversity of Verona · ITMedical University of Vienna · ATAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITUniversity of Sassari · ITWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDemyelinating diseases of the central nervous system associated with autoantibodies against aquaporin-4 and myelin-oligodendrocyte-glycoprotein are mediated by different immunopathological mechanisms compared to multiple sclerosis.

objectiveThe purpose of this study was to evaluate serum and cerebrospinal fluid cytokine/chemokine profiles in patients with autoantibodies against aquaporin-4 or autoantibodies against myelin-oligodendrocyte-glycoprotein-associated demyelination compared to multiple sclerosis and autoimmune encephalitis.

methodsSerum and cerebrospinal fluid cytokine/chemokine levels were analysed using Procartaplex Multiplex Immunoassays. First, we analysed a panel of 32 cytokines/chemokines in a discovery group (nine aquaporin-4-antibody seropositive, nine myelin oligodendrocyte glycoprotein-antibody seropositive, eight encephalitis, 10 multiple sclerosis). Significantly dysregulated cytokines/chemokines were validated in a second cohort (11 aquaporin-4-antibody seropositive, 18 myelin oligodendrocyte glycoprotein-antibody seropositive, 18 encephalitis, 33 multiple sclerosis).

resultsWe found 11 significantly altered cytokines/chemokines in cerebrospinal fluid and serum samples in the discovery group (a proliferation-inducing ligand, fractalkine=CX3CL1, growth-regulated oncogene-α, interleukin-1 receptor antagonist, interleukin-6, interleukin-8=CXCL8, interleukin-10, interleukin-21, interferon-ɣ-induced protein-10=CXCL10, monokine induced by interferon-ɣ=CXCL9, macrophage inflammatory protein-1ß=CCL4). Most of these cytokines/chemokines were up-regulated in autoantibodies against aquaporin-4 or autoantibodies against myelin-oligodendrocyte-glycoprotein positive patients compared to multiple sclerosis. We confirmed these results for cerebrospinal fluid interleukin-6 and serum interleukin-8, growth-regulated oncogene-α, a proliferation-inducing ligand and macrophage inflammatory protein-1β in the validation set. Receiver-operating characteristic analysis revealed increased levels of cerebrospinal fluid interleukin-6, serum interleukin-8 and growth-regulated oncogene-α in most patients with autoantibody-associated neurological diseases.

conclusionThis study suggests that distinctive cerebrospinal fluid and serum cytokine/chemokine profiles are associated with autoantibody-mediated demyelination, but not with multiple sclerosis.

Indexed as

aquaporin-4 antibodychemokinescytokinesDemyelinating diseasesmultiple sclerosismyelin-oligodendrocyte-glycoprotein antibody

Identifiers

PMID31205739
PMCPMC6537078
OpenAlexW2945657796

What OpenQuestion holds

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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.