Evidence map›Paper›PMID 31559449›Full record

ArticleInflammation research : official journal of the European Histamine Research Society ... [et al.]2019

Tumor necrosis factor alpha (TNF-α) and its soluble receptors are associated with disability, disability progression and clinical forms of multiple sclerosis.

Claudia Mara Ribeiro, Sayonara Rangel Oliveira, Daniela Frizon Alfieri, Tamires Flauzino, Damacio Ramón Kaimen-Maciel, Andréa Name Colado Simão, Michael Maes, Edna Maria Vissoci Reiche

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In one paragraph

Article in Inflammation research : official journal of the European Histamine Research Society ... [et al.], 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

23 citing papers in PubMed.

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  10. The effect of smoking on MRI lesion resolution in NMOSD-AQP4 and MOGAD.Multiple sclerosis (Houndmills, Basingstoke, England) · 2023
    Article
  11. Article
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  13. Monocytes maintain central nervous system homeostasis following helminth-induced inflammation.Proceedings of the National Academy of Sciences of the United States of America · 2022
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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

8 authors.

Claudia Mara RibeiroLaboratory of Applied Immunology, Health Sciences Center, University of Londrina, Paraná, Brazil.
Sayonara Rangel OliveiraLaboratory of Applied Immunology, Health Sciences Center, University of Londrina, Paraná, Brazil.
Daniela Frizon AlfieriLaboratory of Applied Immunology, Health Sciences Center, University of Londrina, Paraná, Brazil.
Tamires FlauzinoLaboratory of Applied Immunology, Health Sciences Center, University of Londrina, Paraná, Brazil.
Damacio Ramón Kaimen-MacielHospital Santa Casa de Misericórdia de Londrina, Londrina, Brazil.
Andréa Name Colado SimãoLaboratory of Applied Immunology, Health Sciences Center, University of Londrina, Paraná, Brazil.
Michael MaesIMPACT Strategic Research Centre, School of Medicine, Deakin University, Geelong, Victoria, Australia.
Edna Maria Vissoci ReicheLaboratory of Applied Immunology, Health Sciences Center, University of Londrina, Paraná, Brazil. reiche@sercomtel.com.br.ORCID http://orcid.org/0000-0001-6507-2839

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between tumor necrosis factor (TNF)-α, soluble TNF receptor (sTNFR)1 and sTNFR2 with clinical characteristics of multiple sclerosis (MS) remains unclear.

objectiveTo examine whether TNF-α, sTNFR1 and sTNFR2 are associated with MS diagnosis, disability, disability progression and clinical forms of MS. MATERIALS AND SUBJECTS: The study included 147 patients with relapsing-remitting MS (RRMS), 21 with progressive clinical forms (ProgMS) and 70 controls. Expanded Disability Status Scale (EDSS) evaluated disability as mild (EDSS < 3.0) or moderate/high (EDSS ≥ 3.0). Multiple Sclerosis Severity Score (MSSS) evaluated disability progression as no progression (MSSS < 5) and progression (MSSS ≥ 5). Baseline data of subjects and plasma levels of TNF-α, sTNFR1, sTNFR2 were obtained.

resultsThe MS diagnosis explained 44.6% and 12.3% of TNF-α and sTNFR2 levels, respectively. Moderate/high disability and disability progression were best predicted by sTNFR1 and age (positively) and ProgMS were best predicted by sTNFR1 (positively) and sTNFR2 (negatively), coupled with age and sex. A composite score reflecting the sTNFR1/sTNFR2 ratio showed a positive association with ProgMS after adjusting for age and sex.

conclusionIncreased sTNFR1 and age were positively associated with disability and disability progression, whereas increased sTNFR1 (positively) and sTNFR2 (negatively) were associated with ProgMS, suggesting a distinct role of them in the immunopathological mechanisms of MS.

Indexed as

AdultDisability EvaluationDisease ProgressionFemaleHumansMaleMiddle AgedMultiple SclerosisReceptors, Tumor Necrosis Factor, Type IReceptors, Tumor Necrosis Factor, Type IISeverity of Illness IndexTumor Necrosis Factor-alphaReceptors, Tumor Necrosis Factor, Type IReceptors, Tumor Necrosis Factor, Type IITumor Necrosis Factor-alphaDisabilityMSSSMultiple sclerosissTNFR1sTNFR2Tumor necrosis factor alpha

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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.